HomeMy WebLinkAboutPermit Building 1996-9-6
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OWNER: ~.~?:?~ _ k?5~~ ,)
ADDRESS:' ~.-.:S 7~ ~/S ~ ,,# ~ "::>
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CITY' :s~ (' 7':2- STATE:
DESCRIBE WORK: gJ/j,/".A'LL /5 / ::?~" ~/~/?7.('~~//7 ~~:17' ~
NEW REMODEL ADDITION.v DEMOLISH OTHER
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RESIDENTI'AL
PERMIT APPLICATION
Inspections: 726.3769
Orrice: 726.3759
LOCATION OF PROPOSED WORI<:
ASSESSORS MAP:
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LOT:
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5PRlNGr:IELO
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:~,JOB NUMBER
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'225 Fifth Street
Springfield, Oregon 97477
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TAX LOT:
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BLOCK:
SUBDIVISION:
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PHONE: "? s/e,/ - 2.5'~
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ZIP:
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CONTRACTOR'S NAME ADDRESS
GENERAL:~/?:""''t~y ~~--==i'
7;7' /'7~ ;'"/ ;r
PLUMBING:
MECHANICAL:
ELECTRICAL:
-
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CONST.
CONTRACTOR 1/
EXPIRES . PHONE
tC#9- ?/Y~
QUAD AREA:
1/ OF BLDGS:
OCCY GROUP:
1/ OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
FLOOD PLAIN:
ZONING CODE:
1/ OF UNITS:
CONSTR. TYPE:
1/ OF BDRMS:
HEAT SOURCE:
SECONDARY HEAT:
RANGE:
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. nlls 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 Inspecllon - To be made
after excavation, but prior to
setting forms.
o Underslnb Plumbing I Electrical/
Mechanical - Prior to cover.
[Z] 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 Plumbing I Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. '
O Water Line - Prior to filling
, trench.
o Rough Plumbing - Prior to
cove~ ,
REQUIRED INSPECTIONS
.0 Rough Mechanical - Prior to
cover.
o
Final Plumbing - When all
plumbing w9rl< Is complet,e.
o Rough Electrical - Prior to
CQver.
o Final Electrlcnl - When all
electrical work Is complete:
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Mechanical - When all
mechanical work Is complete.
-.
o Fireplace - Prior to facing
materials and framing Insp.
r.7l Final Building - When all
~ required Inspections have been
approved and building Is
completed.
o FramIng - Prior to cover.
o Other
o Wail/Coiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove.- After Installation.
MOBILE HOME INSPECTIONS
o Insert - After fireplace approval
and Installation of unit.
o Blocking and Set.Up - When all
blocking Is complete.
o
o Plumbing Connections - When
home has been connected to
water and sewer.
Curbcut & ApprolJch - After
forms are erected but prJor to
placement of concrole.
o Sidewalk &, Driveway - After
excavation Is complete, forms
and sub.base malerlal In place.
o
Electrical Connection - When
blocking, set-up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Fence - WtlCn completed.
o ~;treet Trees - Whtln all required
trees are planted:
o Final - Aller all required
Inspections are approved and
porches, skirting. decks, and
venting have been Installed.
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Lot faces Lot Type . Setbacks
Lot sq. fig. Interior P.L. HSE GAR ACC I
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Lot coverage Corner N
Is
Topography Panhandle
\W
Total height Cul-de.sac
IE
.. THE PROPOSED WORK IN THE,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this appllcallon must be signed
ai1d approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ, FT. '" VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Carport
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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.
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Receipt Number: 7 5~-3c;
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Plan Check Fee:
Main
Garage
,
.
Building Permit Fee
State Surcharge
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-15 _-I - '2S"
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Date Paid:
Total Value
Received By:
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properlles within tl1e City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
NO
Sanitary S~wer
Water
FT.
Storm Sewer
FT.
FT.
Mobile Home
PlumbIng Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Vent Fan
NO
By signature, I 5tato and agree, that I have carofully 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 pertaining to the work descrIbed
herein, and that NO OCCUPANCY will be made of any
structure without permisSion of the Building Safety DIvision.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
projecl.
Exhaust Hood
Wood Stove/lnserl/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 all times during construction.
Signature ~~ Z~ ..~.:J[;__~
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Date tJ-?-7~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
ft
Curbcut
Demolition
State Surcharg~
VALIDATION:
,~
TOTAL AMOUNT DUE (excluding electrical)
(A, B. C, 0, and E Combined)
.~. :2-S-
~?D9~
~-6%
AMOUNT RECEIVED tn.. ~s;--'
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DATE PAID
RECEIPT NUMBER
Total Miscellaneous Permits {E)
RECEIVED BY
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