HomeMy WebLinkAboutPermit Building 1995-4-25 (2)
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726-3769
Office: 726-3759
SPRINGFIELD
. (\5001,\
.JOB NUMBER
225 Filth Street
Springfield, Oregon 97477
LOCATION OF PROPOS :0 12.R~: 513 /3.s
ASSESSORS MAP: . f) lll--?-h.l[D
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TAX LOT' Ot2a)
OWNER: ~~~ t:i..J~;o ,_..~~~,
ADDRESS: .....s-02Y'" 4J~A/
CITY' <:;;;;;;' ,to / c::/ '"
. LOT
BLOCK:
SUBDIVISION:
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PHONE:
:7 .:z ~ - 2../ ., /
STATE:
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ZIP: t:?7011
DESCRIBE WORK: PL~_/hA-4L'..J_.r~~ .~(,.. ..::s-
NEW V REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
GENERAL: G,jlIp~ "0 ~ k,,~
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PLUMBING:
H
MECHANICAL:
ELECTRICAL:Q~H
ADDRESS
.~:z.c/ d~AL5r
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CONST.
CONTRACTOR II
4~7Z.
EXPIRES PHONE
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QUAD AREA: ~ ~e...~
/I OF BLDGS' \
OCCY GROUP: ~-5
II OF STORIES: \
WATER HEATER: C;./
- OFFICE USE -
LAND USE: \ l SO
I _
CONSTR. TYPE: V ~
HEAT SOURCE: F'L
U
FLOOD PLAIN:
U)p
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/I OF UNITS:
ZONING CODE:
/I OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:-LJ88
RANGE:
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 made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical1
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grou,ting.
o Foundation - Alter forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underfloor Plumbing/Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to floor
insulation or decking.
o Floor Insulation - Prior to
decki 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
cover.
'1..--...........-- ,._......
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Final Plumbing - When all
plumbing work Is complet.e.
o Rough Electrical - Prior to
cover.
o Final Electrical - 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.
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Framing - Prior to cover.
o Other
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Wood Stove - After Installation.
o Insert - Alter fireplace approval
and Installation of unit.
~Iocking and Set-Up - When all
blocking Is complete.
o Curbcut & Approach - Alter
forms are erected but prior to
placement of concrete.
~Iumblng Connections - When
home has been connected to
water and sewer.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material in place.
~Iectrjcal Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
~al - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been installed.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
1
BUILDING PERMIT
ITEM sa. FT. x $/sa. FT. = VALUE
Main
Garage
,.3rD
~DSO
Carport
Total Value
jDW
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1.1 ...j'f"7 ",
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~ B. btlJ
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
\ t6 .00
Plumbing Permit
State Surcharge ~ ~
Total Charge
\CSpU
, . aD
1{P.W
(C)
MECHANICAL PERMIT
Furnace
Exhaust, Hood
Vent Fan
NO
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
ins.CD
<9.0.CXJ
6.~5
~.16
Mobile Home
State Issuance
State Surcharge
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.1:, :3Pb
Curbcut
II
Demolition
'State Surcharge
Total Miscellaneous Permits (E)
, lUll) .' -".'7,-,,',,1
TOTAL AMOUNT DUE (excluding electrical) ~ l..l'
(A, B, C, 0, and E Combined)
, 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.
I
Plan Check Fee:
Date Paid:
Receipt 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 state and agree, that I have carefully examined
the completed application and do hereby certlly 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
project.
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 c~s~n.
Signature...---..V ~.t:-
\.....-/ ' -
Date .4-.z.s;-- 9,,-
VALIDATION:
RECEIPT NU~ER ~ ,# .-: ~() 1'1 /I Y
DATE 'PAID "f7c5t. )
AMOUNT RECfl~D M() .~-2 ~,\
RECEIVED B(/\ V)I) ) ,
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