HomeMy WebLinkAboutPermit Miscellaneous 1997-8-25
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
JOB NUMBER 9"//-<":>7
225 Fifth Street
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK' 5" / ~ M'/?-~
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ASSESSORS MAP' J?.../.!>2 - ~-.:;:-.. 3-;;>
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TAX LOT:~/""'/
LOT'
BLOCI<"
SUBDIVISION:
OWNER: jr}g IDA ,-:::i:e//1J!5e.
ADORE""" S!do /'?1/7/,J
CITY: 0piil az
PHONF'
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STATE: '
ZIP'
-Jt'o,R. -O,c?'flX5iS01't1, U tPe5k~J.,- d'r'R<7v.j7
I. ADDITION
DESCRIBE WORK:
NEW
REMODEL
DEMOLISH
OTHER
CONST,
, CONTRACTOR'
/K N Mk.l i9"<I
CONTRACTOR'S NAME
GENERAl' /YJ<.f/CC{'-/
ADDRESS
c'r76uc6JR,f Me
EXPIRES ,... jPHONE
/~ /)i.,~ ~$"-n"c;'
&e""
PLUMBING'
MECHANICAl'
ELECTRICAl'
- OFFICE USE -
QUAD AREA' LAND UI"'" FLOOD PLAIN'
· qF BLDGS' · OF UNITI'" ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
· OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording, All Inspections requested before 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a,m, will be made the following work day,
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical"":' Prior to
cover.
o Final Plumbing - When all
plumbing work Is complete.
, ,
O Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Rough Electrical - Prior to
cover.
o Final Electrical - When all
electrical work Is complete.
o Underslab Plumblng/EI6ctrlcal/
Mechanical - Prior to cover.
o Final Mechanical - When all
mechanical work Is complete. . 0'
o Electrical Service - Must be
approved to obtain permanent
electrical power,
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved end building Is
completed,
o Flr6place - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting.
~ Framing - Prior to cover.
o Other
o Foundation - After forms are
erected but prior to concrete
placemont.
o Wail/Ceiling Insulation - Prior to
cover.
o Underground Plumbing - Prior
to filling trench,
o Drywall - Prior to taping,
MOBilE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stovo - After Installation.
o Blocking and Set.Up - When all
blocking is complet6,
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - Atter fireplace approvlll
and Instailatlon of unit.
o Floor Insulation - Prior to
deckl ng, " _
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut & Al'proach - After
forms are erected but prior to
placemont of concrete.
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is complete. forms
and sub.base material In place.
o Storm Sewer - Prior to filling
trench.
o Waler Line - Prior to flillng
trench,
o Fe[l~!;- When completed.
o Final - After all required
Inspections are approved and
porchos, skirting, decks. and
venting have been Installed.
o Rough Plumbing -,PrIor to
cover.
O.Street Treo8 - When all required
trees are planted.. .
~4!~
1'7" -::;>,23
I '3 /, .3 tj
o/'Bp?
~t ~pe. "
Lot faces
Lol sq, ltg, Interior
Lot coverage Corner
Topography Panhandle ;'
Total height Cul.de.sac
BUILDING PERMIT'
ITEM SQ, FT,
;, '1
X S/SQ, FT, a
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
- ,
, "
Setbacks
I P.L,
IN
Is
Iw
IE
VALUE
'~ ~-aCI:I
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s)
N'
Sanllary S~wer
Water
FT,
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
rt
Curbcul
rt
Demolition
State Surcharge
Total Miscellaneous Permlls (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FEE
t,I ~ .a-;>
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I IS THE PROPOSED WORK IN THE,
HISlORICAL DISTRICT, OR ON
THE HISlORICAL REGISTER?
II yes, this eppllcallon must be signed
and approved by the Historical
, Coordinator prior to permit Issuance.
APPROVED'
This permit Is granted on the express condlllon that the said
construction shall, In all respects, conform 10 the Ordinance
adopted by the City ,of Springfield, Including the
Development Code, regulating the conatruetlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Recel pt Number:
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
By signature, I stale and agree. that I have carefUlly examined
the completed application and do hereby cerlUy that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to lhe work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permlsslo~ of Ihe Building Sefely Division,
I further certify that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that oach address Is readable
from the street, that the permit card Is located attha front
of the property. and the approved set of plans will remain
on the site at all times during construction.
Slgnat:r:2U~ ~
Dato ~~07
I
VALIDATION:
DATE PAID
? 7/~2
~.2";;:'<9"'::>
7!.-g? 6"-;>
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RECEIPT NUMBER
AMOUNT RECEIVED
RECEIVED BY