HomeMy WebLinkAboutPermit Building 1991-4-21
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AS.SESSORS MAP', Yl O~ ~ '?? ~ " . '," ,'_ '.. ~ T~?<.,LOT:,v.
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R ESlg'Er,fTIAL
1'ERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759 '
LOT:
.
SPRINGf7IELD
.
G/(}41?
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BLOCK:
, ..
JOB NUMBER
, 225 Fifth Street
Springfield, Oregon 97477
O~192.--4
'.
SUBDIVISION:
" ,
1
OWNER: ,~~~~ \\t\ ,,()\ \ Xr(\_J r\()t;en)HONEY() 1&{(j.::J I '71
ADDRESS: 't\.~oS ~~ ~ ~ \ t~ , rh .. ~'_ '
CIT~: ~.\~ ' STATE: (YlO()erf'\ ZIP: C{'(4lB
". .. . ^
::~R~WO::Mot~If)~~;,~~:Ji~o~ ~ OTHE:
CONST.
:::::::~~~S;cl ~ll ro 1~AD~4 \i'(lUl;CON~~~~ i
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,PLU,MBING:, '
MECHANICAL: ,.......
ELECTRICA~: (\JQ.. D\.: ~ ~
''0, . -; <0'
QUAD AREA:
8R~~
~3
\
# OF BLDGS:
OCCY GROUP:
#OF STORIES:
WATER'H EATER:
.....
- OFFICE USE -
\\ c:D'
l
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
F'f'__
EXPIRES PHONE
\\Jl~!q ~ I~ l("")~~ (1)
, \
l". .
, ,
FLOOD PLAIN'
ZONING CODE: L D TZ-J
# OF BDRMS:
SECONDARY HEAT:
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
D Site Inspection -: To be. made
, after excavation, but prior to
setting forms.
o Underslab Plumbing/ Electricall
, Me'chanical '- Prior to cover.
o Footing - After trenches are
, excavated. .
o Masonry - Steel location, bond
beams, grouting. "
D 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.
o
Post and Beam ,- Prior to floor
insulation or decking. '
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
'.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench. '
,0 Rough Plumbing - Prior to
cover.
RANGE:
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
, D Rough Electrical - Prior to, .
cover.
o Electrical Service - Must be
, approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
O Wall/Ceiling Insulation;"" Prior to
'cover. "
o Drywall - Prior to taping.
. , .... ..' '., . ,"
o Wood Stove"""," After installation.
o Insert - After fireplace approval
and Installation of unit. ..
o Curbcut & Approach - After
forms are,erected but prior to
placement of concrete.
D'Sidewalk&' Driveway - After
excavation is complete, forms
and sub.,base material in place.
. -" :
0' Fence';"': Wheh completed.
DStr~et Trees -'Wlle'n' all'recfuireo
trees are planted. ,," ,,' '
, .
o
Final Plumbing - When all
plumbing work 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 Other
MOBILE HOME INSPECTIONS
Vl'OCking '~nd' S~t-~p - When all
~IOCking Is complete.
~IUmbin9 connection~ '- '~hen
home has been connected to
water and sewer. '.
~Iectrical Connection - When
blocking, set-up, and p1uml:llng
inspections have been approved
and the home is connected to
the ser e p el. ~ QqQ
rf-:t()Final - After all requi red
'fY,!nspeC;~.Ion's .ar~ a'pproved and
porches, skirting, decks, and
venting. have been,lr7lstalled.
Lot Type. .. ,
\
.1..-
Lot faces Setbacks IS THE PROPOSED WORK INT-HE
I PL. ACC I HISTORICAL DISTRICT, OR ON .,., "
HSE GAR
Lot sq. ftg, Interior IN I THE HISTORICAL REGISTER~
Corner I
Lot coverage Is I If yes, this application must b'e signed
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. X $/SQ. FT. - VALUE
.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
,
Main.
,
I
This permit is granted on the express condition that the said
construction shaH, in aH respects, conform to the O'rdinance
adopted by the City of Springfield, including the
I
Development Code, regulating the construction arid use of
buildings, and may be suspended or revoked at kny time
upon violation of any provisions of said ordinances,
,
I
Garage
Carport
,.Plan Check Fee'
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
; State Su rcharge
Received By:
, ,
, "
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charg'e is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
, ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT,
Mobile Home
ICO.CV
Total Charge
(C)
)CS .co
.05
15.')S
Plumbing Permit
State Surcharge'
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 acc?rdance
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 employ~es who
are in compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsertlFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
,
MISCELLANEOUS PERMITS
Aq .a<s
J-~.1S
s,aC)
I further agree to ensure that all required inspections are
requested at the proper time, that each address is r~adable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will: remain
on th . e at a imes during ~ruction. ,
t4Lm~
ct!-~({l; I J U
Total Permit
(D)
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Date
Curbcut
ft
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and, E Combined)
k{)(o',CV
VALIDATION: ' () 8~
RECEIPT NU~R ~ ~ \f{ c>
. DATE PAID . q.l.{ I
AMOUNT REC~rI lc9-~ [tl)
RECEIVED B~C{)CA....-J
State Surcharge
Total Miscellaneous Permits (E)
-'
, I
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