HomeMy WebLinkAboutPermit Building 1999-10-5
SPRINGFIELD
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LOCATION OF PROPOSED WORK: \ Cl1. '-\ o'!1. 0 c .l....J '-.. ",,L
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OWNER: Rc'cQ...c't \\Q....&",j.))
ADDR~"''''' I t\ L. '-\ Cl \ L (J ;~'^... c.\l
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DESCRIBE WORK: c,:; ,,~<\.. \ (.o"^"
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"R~ibENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
ASSESSORS MAP'
LOT' I,,+- C;
CITY'
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
\;'\....."'.>-J
GENERA' .
PLUMBING: M
MECHANICA' .~b.
ELECTRICAl' i\",,", w'
BLOCK:
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JOB NUMBER
qc;l3Jl/
L"',^L
STATE: '
tic
225 Flflh Street
Springfield. Oregon 97477
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TAX LOT:
SUBDIVISION'
R:'l t-c (, \.t..M.
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DEMOLISH
'oD"''''''
PHON~'
ZIP:
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OTHER (~.....\- ClMM.\k
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D Rough Mechanical - Prior to
cover.
e?'
o ~ugh Electrical - Prior to
Cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Wood Stovo - After Installation.
D Insert - Afler fireplace epproval
and Instaflatlon of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is completo. forms
and sub.base n:aterlal In place.
D Fence - When COfilpleted.
D Street Trees - When all required
trees are planted. .
ADDRESS
~"'~''''~
CONST.
CONTRACTOR .
EXPIRES .~ PHONE
I)~~.,o,(~
l}IJ(n)'1nl(r.:I~~
- OFFICE USemSPERMlTSHALLEXPIREIFTHEWOHK
QUAD AREA: - "wreqU"tt\\"'N'O"US'E: AIITHORIZEDUNDIfJiilliI!,')~f1lMITISNOT
. OF BLDGS.ATTEN~~I~~~~d bVthe or~~~s~~\I~h/ COMMENCEDORI~~~2~~:fUH
lOllu"'..r.--- . Thoserulesar" --' . PERIOD
OCCY GRowetitir.ationcenter"_"_rOU9hCi0N'lfTW'NpE: ANY 180 DAY . OF BDRMS'
. OAR 952-UU1-UU '':' ... . ot the rules by
. OF STORI!n,~ ........."._.~ ~~'J nhlalO caples t,!EAT,\SOLJRCE: SECONDARY HEAT:
tl'Ol1u. ,,-,,,..- . (Note: theT",''',. ...;.
WATER HEATERlallinptheCen~er. -:)0 UtiliIYRA"N'Gglt1on SQUARE FOOTAGE:
nllmbertonn\:Ju,".:'__ ~",,-')~,.
ceOler'~ I-........~ --
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. Inspections requested aller 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Final Plumbing - When all
plumbing work Is complete.
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10 Final Electrical - When all
~efectrlcal work Is complete.
D Final Mechanlcel - When all
mechanIcal work Is complete.
@FlneIBUlldlng-Whenall
n;qulred Inspections have been
epproved and building Is
completed.
D Other
MOBILE HOME INSPECTIONS
D Blocking end Set. Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer; .
D Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required '
Inspections are approved and
porchos, skirting, decks, and
venting. have been Installed.
"
D Fireplace - PrIor to facing
materials and framing Insp.
@ramlng - Prior to cover.
z::-,
~D Wail/Ceiling Insulation - Prior to
cover.
D Underground Plumbing - Prior D J
to filling trench. C/ywall - Prior to taping.
D Underlloor Plumblng/Mechanlcel
- Prior to Insulation or decking.
D Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placemont.
D Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to mllng
trench.
D Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover..
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Lot faces Lot l'ype Setbacks IS THE PROPOSED WORK !NTH!: ". .
I Accl .... HISTOJ:1ICAL DISTRICT, OR ON
Lot sq. fig. Interior PL. HSE GAR
I THE HISTORICAL REGISTER?
Lot coverage Corner N If yes, this applloatlon must be signed
,. S I and approved by the Historical
Topography Panhandle I Coordinator prior to permit issuance.
Total height Cul.de-sac _"'l.___
E I APPROVED:
BUILDING. PERMIT '.',
ii 't
ITEM
sa. FT.
x s/sa. FT. =
VALUE
BUILDING VAUJE, PLAN CHECK
AND BUILDING PERMIT
Carport
h.~mh &uf Ro.M
97'~, 9.5'
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
oulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Garage
"
Pian Check Fee:
Sul/ding Permit Fee
"T 97(0.95'
$@'.';{
Date Paid:
TOlal Value
Total Fee
(A)
g.O?
,..
'l6,n
Receipt Numb~r~
Received By:
State $urcharge
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS
El-n-7,uJ p?~ />t,1
flJlA'!'/"h leu-,....,r
/
<((), 7()
<tg S$'
/ J 't. :;'.5~'
FIxtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully examined
lhe 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 pertaining to the work described
herein. and that NO OCCUPANCY will be made of any
structure without permisSion of the Building Safety Division.
J further certify that only contractors and employees who
are In compliance with OAS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required 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 a,\~urln~\COnstructlon.
Slgnaturp I'l~
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Datp
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
fI
Curbcut
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER () 357 t )'
DATE PAID .1''/ !.1 f r
, 1 D1 z,(,
AMOUNT RECEIVED /2 -~ ....y I
RECEIVED BY tIIf/WM
Tolal Miscellaneous Permits (E)
"
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, D. and E qomblned)
i
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