HomeMy WebLinkAboutPermit Building 1998-9-16
RESIDENTIAL
PI!RMIT APPLlOATION
Inspections: 726.3769
Office: 726-3759
.
LOCATION OF PROPOSED WORI<' 10 /0
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ASSESSORS MAP'
Ma,;.!
LOT' BLOCK:
OWNER' L,f,4 PA-
ADDRESS' ~) 7-2 ) ~/r TlI
CITY' Yl'1j,.." (; t'//
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DESCRIBE WORK'
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NEW
REMODEL
CONTRACTOR'S NAME
/J f/'/ ,.{J {lit
GENERA' .
PLUMBING'
MECHANICA' .
ELECTRICAl'
~I S:i, 26~-
STATF-' oft-
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AODITION
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JOB NUMBER
225 Fifth Street
Sprlngflold, Oregon 97477
TAX LOT:
SU8DIVISION'
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PHONF'
72(,- 2SI'f
ZIP:
<;'7lf77
L
A7 I5+JJe
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR'
EXPIRES '.C:- PHONE
,
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QUAD AREA: LAND USE:
. OF BLDMPTICE: . OF UNITS-
OCCY GR6tilS PERMIT SHALL EXPIRE IF THEOOOfl:\: TYPE:
. OF STO~MWORIZED UNDER THIS PERMIj!j!;'Al'J@<!iURCE:
WATER Hf.2-~~.ENCED OR IS ABANDONED~.Q&GE:
ANY 1AO nAY Pt=~lnfl
- OFFICE USE -
ATTENTION:Oregon law requires you to
1..,1:.:... :_'es-edopted ~@Q)I~Nj Itilitv
Notification Center. Th~HJf,SP;;lf,~~t forth
in OAR 952-001 -001 0 through L>~R "o,,-uu ,-
JGG3:-'I'vu ,-.-,<-, obtain ~dilfilSlijf1M5:r-Ulo~ hI'
callinq the center. (Nm~AWO~~QIW:
number for the Oregon'D'illity iIlStlficiUi'o;;
Geffier is 1-80~g8Jre4>(}OTAG E:
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.
o Temporary Electric
o Site Inspection - To be mado
after excavatlon, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
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 Underlloor Plumblng/Mechanlcal
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
Hench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough MechanIcal - Prior to
cover.
D Rough Electrical - Prior to
CQver.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Plumbing - When all
plumbing worl< Is complete.
- ,
D Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required InspectIons have been
approved and building Is
completed.
o Framing - Prior to cover. @
. 0 ther
o Wall/Celllng Insulation - Prior to
cover.
o Fireplace - Prior to facing
materials and framing Insp.
o Drywall - Prior to taplng_
o Wood Stovo - Arter I~stallatlon.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewall< & Driveway - After
excavation Is compiete, forms
and sub-base ma.terlal In place.
o Fence - \OVhen completed.
D Street Trees - When all required
trees are planted.
/PMJ
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
ventlng have been Installed.
,.
Lot faces
Lot ~yp.
Lot sq. ltg,
Interior
Lot coverage
Corner
Panhandle .,.
Topography
Total hel ght
Cul.de.sac
';1
BUILDING PERMIT
'n .~
ITEM
SQ. FT.
X $/SQ. FT.
Main
Garage
Carport
...;.
I P.L.
IN
Is
W
----
E
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Slorm Sewer
FT.
FT.
Mobile Home
Plumbing Permit
Stato Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D. and E Combined) ,
FEE
,'.'
.", :::" ~;:\;r:~.i
~S THEPROPOSED WORK tN THE.,
HISTOI;lICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance,
Setbacks
HSE GAR Acc.1
..---1
I
I
APPROVED:
BUILDING VAU:JE, 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 ot Springfield, including the
Development Code, regulating the construction and use of
oulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Systems Development Charge Is due on all undeveloped
properties within tile City limits which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that 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 Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division.
I further certify that only contractors and employees who
aro 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 eaCh,address Is readable
lrom the street, that the permit card Is located at the front
of the property, and the a proved set of plans will remain
on the site at all time ring construction.
~/t.s.'
Signature
Date
/ - /6
'19;
VALIDATION:
RECEIPT NUMBER
3N IV
qf Id tf&
~'
DATE PAIr>
AMOUNT RECEIVED
RECEIVEO BY