HomeMy WebLinkAboutPermit Building 1995-3-9
OWNER:~~ 7Z-? /)/z-'\~t'J
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REMODEL ADDITION DEMOLISH ' ,OTHER r~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oftlce: 726.3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP:
LOT:
1-742-
ADDRESS:
CITY:
DESCRIBE WORK:
NEW
~
~ CONTRACTOR'S NAME
GENERAL: 6f'oj
PLUMBING:
MECHANICAL:
ELECTRICA' .
.
SPRINGFIE:LD
'5" S 5.S"" /:?;://11,,()
3'3 bO
#. '251
BLOCK'
STATE:
/!Jx:?
.
95d'ZJ~r-,
JOB NUMBER
225 Fifth Street
Springfield. Oregon 97477
, TAX LOT'
OI:S~
SUBDIVISION:
PHONE:
\.
?'~ 7 -~/')~~ '2,_
ZIP:
974718
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~~
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~ ADDRESS
flu; ~(Jtler J21~/ias./Jt1
CONST,
CONTRACTOR'
t, {l'b
~/9~ PHONE
(:5, _'1;7./ ~'.,. ~rQ
, .'
QUAD AREA:"qR~
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OCCY GROUP: ~
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. OF BLDGS'
· OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE: Il~()
. OF UNtTS:
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
vAJ
FLOOD PLAIN:
ZONING CODE: mrz-...-
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: ~~
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 8.m. will be
made the same working day, Inspectfons requested after 7:00 8.m. will be made the following work day.
o Temporary Electric
o Slle Inspectlon- To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
II Eootlng - After trenches are
~xcavated.
o Masonry - Steel location, bond
.beams, grouting.
o Foundation -.After forms are
erected but prior to concrete'
placement.
o Underground Plumbing - Prior
to filling trench,
o Undarfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to tloor
Insulation or decking. .
D Floo&: Insulation - Prlor to
decking,
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench,
o Water Line - Prior to filling
trench,
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - PrIor to
cover.
o Electrical Service - Must be
approved to obtaIn permanent
electrical power.
o Fh'eplace - Prior to facing
materials and framing Insp.
~ramlng - Prior to cover;
o Wall/C'elllng Insulation - Prior to
cover.
o Drywall - Prior to taping,
D Wood Stovo - After Installation.
o Insert - After fireplace approvlll
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is compietc, forms
and sub. base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. .
o Final Plumbing - When all
plumbing w9rk Is complet.e.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
~nal Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer,
o Electrical Connection - When
blocking. set.up, and plumbing
Inspections have been approved
and the home Is connected to
the servIce panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
.Lot TYP.
Interior
Lot sq, fig,
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT.
Main
Garage'
"3/,2 P
.,; 4~;4- ~
,., ..v- ;
Carport
7)[C~
" ,
Tolal Value
Sul/dlng Permit Fee
Slate Surcharge
Total Fee
(A)
",:;;: "."~. \'"
_S THE PROPOSED WORK IN T:E .
. .'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and ,approved by the Historical
Coordinator prior to permit Issuance,
." .
Setbacks
I P.L, I HSE GAR I ACC I
I N I I I
I S I I I
Iw I I I
~--L I
VALUE
"
~~-
"/<./. ?-
+5' ~-~;:il
1"''7 /,~..."
, '78. &>6
SYSTEMS DEVELOPMENT CHARGE (SDC)
----
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer
Water
FT.
FT.
FT. Lso'
Storm Sewer
MObile Home
Plumbing Permit
State Surcharge /,2-; -r- ,7,)
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
MechanIcal Permit
Issuance
Slate Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and' E' Combined)
FEE
/'
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2)-'0 v
2- 6.5
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APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by:. the' City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: ? ~ -9"3
Date Paid: -2_-/ ~- ~~
Receipt Number: /~ 2 ~c:>
Re:;:~ -4-- - ~ --
oN- ~-
PIa,t" Reviewed By --
r/e--h r
-/ Cjtlte
Systems Development Charge Is due on all undeveloped
properties within ti,o City limits which are being Improved.
ADDITIONAL COMMENTS
A/~ 67~/P!.A-(
By signature, I stale and agree, thai I have carefully examined
the completed application and do hereby certify 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 Orogon, pertaining to the work described
herein, and that NO OCCUPANCY will be mede of any
structure wllhout permission of Ihe Building Safety Division,
I further certl fy 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 re<:1ulred Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the property. and the approved set of plans will remain
on the site at all)}m~~g ~structlon.
~gnatur4J1 ~j;~
Dale ''{/r/9-j
_/ Y I
VALIDATION:
//-0 <""h 5'
DATE PAID :3/~/9..J
AMOUNT RECEIVED -7C; ~~
{.t7~
RECEIPT NUMBER
RECEIVED BY