HomeMy WebLinkAboutPermit Building 1993-2-5
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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SPRINGFIELD
JOB NUMBER
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225 Fifth Street
Springfield. Oregon 97477
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LOCATION OF PROPOSED WORK:
'><ASSESSORS MAP: /'707-
5335"
:<;'3
2)1=1154
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TAX LOT:
/30/
J.I..I1, 1Y 5 e N
S~~88
LOT:
BLOCK:
OWNER: \l'tNCE J SUE.
ADDRESS:' 5335 / D(1IS~
S 'r~I~~l'elA
CITY:
SUBDIVISION:
PHONE:
'Z!i!J- dJ I S:J.
, STATE:
{j(L
ZIP:
'l7J.t7B.
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DESCRIBE WORK:
s-\o~~a
ADDITION ~
NEW
REMODEL
CONTRACTOR'S NAME
OlAfY'JJV
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAl'
,-
0'
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR II
EXPIRES
PHONE
~
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
it OF BLDGS: II OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR, TYPE: II OF BDRMS'
,
II OF STORIES:'. HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGF' SQUARE FOOTAGE:
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
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Final Plumbing - When all
plumbing work Is complet,e.
K/1" Site Inspection - To be made 0 Rough Electrical - Prior to
~ after excavation. but prior to cover, ...
setting forms, ""IN. SpI&<C~S
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 Underfloor Plumbing/Mechanical
_ Prior to insulation or decking,
~ Post :!nd 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
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,
.
I><f Final Building - When all
, required Inspections have been
approved and building is
completed.
~ Framing - Prior to cover,
o Other
o Wall/Ceiling Insulation - Prior to
cover,
D Drywall - Prior to tapin,g.
MOBILE HOME INSPECTIONS
o Wood Stove - After installation,
o Insert - After fireplace approval
and installation of unit.
o Blocking and Set.Up - When al!
. blocking Is complete.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
o Plumbing Connections - When
home has been connected to
water and sewer.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material 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 - When completed,
o Final - After all required
inspections are approved and
porches, skirting, decks. and
venting have been Installed.
I J Street Trees - When all required
trees are planted, ,
Lot f<!.ces Lot Type' Setbacks .,s 'rHE PROPOSED WORK IN THE
'. ' I P.L. HSE GAR Accl HISTORICAL DISTRICT, OR ON
\ Interior
Lot sq. ftg. IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I
and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit .issuance,
,
Total height Cul-de-sac
IE I
APPROVED:
BUILDING PERMIT
ITEM SQ. FT..
'.
.):( $/SQ, FT. =
, .
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
Carport
,
This permit is granted on the express conditi,on 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.
o! ; ~
Main
~
/2D
~/O
IS; &/:::;'2
. ~-
.. Plan Ch~ck Fee:"
LPJ,'2O
Date Paid:
Total Value
State Surcharge
~p-o
/:10
~q.4()
SYSTEMS DEVELOPMENT CHARGE (SDC)
~
Receipt Number'
Building Permit Fee
Total Fee
(A)
Recei7;('h7~
PI~Reviewed I!fy-
~ -f1-93
- Date
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
FEE
ADDITIONAL COMMENTS
c:::::;z1~ A4-~ 41JL(. ~&~
.~. /A) /te!/fIf,T /?J
.4V~At<.F .f-ll:3t7'tIr 0/
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,1?b
71lt
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
.
. ,
Furnace
Vent Fan
NO
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 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 certi fy that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFireplace 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 se't of plans will remaiJ'1
. on the site t all t' es duri~nstruction,
XSignat e ;..e..M (12
12'-:~- 9 ~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Date
Curbcut
ft
Demolition
State Surcharge
PL-AJU, '?et// b:.U
VALIDATION:
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RECEIPT NUMBER
I Y t;(o
:).\ t?} \q~
.$4l1oU
g~
Total Miscellaneous Permits (E)
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, c, 0, and E Combined)
-4J 1r0
AMOUNT RECEIVED
RECEIVED BY
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