HomeMy WebLinkAboutPermit Building 1999-6-2
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORI<:
ASSESSORS MAP: /762 S 1 'N
LOT:
OWNER:
CITY:
DESCRIBE WORI<:
NEW
REMODa
ADDITION 1...--'" DEMOLISH ___ OTl-fEn
CONTRACTOR'S NAME
GENERAL:
$PFlINCFIELP nmw:."",.,~
OLOCI<:
STATE:
,
.
JOG NLJMUEfl
C(tJ67 'f6'
225 Fillh Slreet
Sprlngrleld. Orugon 97.177
TAX LOT:
6 /4 67
SUBDIVISION:
-,
PHONr-'
'7%-115D
nr<
ZIP:_~~<6
ADDRESS
CONST.
CONTliACTOR 11
PHONE
---,.---
EXPIIlES ~
PLUMBING:
MECHANICAL:~Orf . Fl1lliLlflSl DeN 51,\ 5-l-e_ D ~O
ELECTRICAL:
ftr 2 '7 .qq
1Z1o~61 ro
-----
. . " req' . 'Ires you to -
. , -qE\i nON:Ol'egon la\l. "'. . - OFf-ICE USE _
AI ~ db the Oregon Utility .
QUAD AREA~ollow rules adopts,_ Y e rules aM'IJDJtLfOGJL, . --N.QIjCE: FLOOD PLAIN:
Notification Gemer. IIIU~ '~ q~g 001- TH .
11 OF BLDG~:EJ;!ffi9!;1) f)rJj_n()10thrOugh\O~~or--~~"B\i 'SPERMITS~I.N:O<~flijF-+He-weR"
I I M ---- - obtain copies of the ru AUTHORIZED 1II\In ;.
OCCY GROQ~!30. You may (~~.)te' the t~j:Q~I$Wf'll?TYPE: . . "1I~,ElOirHI$$?EBMlIJs.NoJ
11 OF STORIE~c~~;r~~~t~~~rl~a'on Utility ~wttiP~tbOSRCE: ____ COMMENCEDq~b~1l~~N~~lf7(:}f9R h_OO
U.T. Center is 1-800-332-234tt).. ' AI\JYI~ODAYPER'OD._
WATER HEATER: .----_ RANGE: ___ SOUARl: FOOTAGE: ..._._..__
To request an Inspection, you must call 726.3769. Tills Is OJ 2.; hour recording. Alllnzpectlons requesled belore 7;00 .un. will be
made the salllC worl<lng day. In:;pectlons requeslcd aftcr (:00 a.m. will be made the following worl< clay.
D Tempornry Electric
D Sile Inspection - To be made
aller excavation, but prior 10
se I tlng forms.
o Underslnb Plumbingl Electricnl/
Mechnnlcnl - Prior to cover.
D Footino - After trenches arc
excavated.
o Masonry - Sleel location. bond
beams, grouting.
o
Foundntion - Aller forms arc
erected bul prior to concrele
. placement.
o
Underground Plumbing - Prior
to filling trench.
o
Undcrlloor Plumbing I Mcchnnicnl
- Prior to Insulation or decJeing.
o
Post nnd Beam - Prior to (1001'
Insulation or decl<lng.
o Floor Insulntion - Prior to
decl<lng.
o Sanit;lry Sewer - Prior 10 (1Iling
trench.
o Storm Sewer - Prior [0 filling
trench. .
o Waler Line -. Prior to filling
trench. .',
Rough Plumbing -. Prior 10
cover,
\
REQUIRED INSPECTIONS
D Rough Mcchnnicnl - Prior 10
cover. '
D Rough Elcclricnl - Prior 10
cover.
o Eleclrical Service - MlISI be
'.ilpprOVec! to oblnin permanenl .
eleclrlcal power.
o Fireplace - Prior to rilclng
materials and fmming Insp,.
...
o Fr<lmlng - Prior 10 cover.
.
o Wall/C'elling Insulntion - Prior to
cover.
o Dryltinll - Prior to 1.1~1ing.
o Wood Stove - After In:31alla:ion.
o Insert - ,\(ter fireplace approvlll
and Inslallatlon o( unl[.
o
CurbclIt &. Approach - Aller
rorms arc ereCled bIll prior 10
placement o( cOnCml(~.
o
Sidew<llk ::;. OriveW:IV - A(ler
excav;lliOr1 is comple[e, .rorlll:;
ancl sulJ.IJa:;e materiill in place.
o Fence - VVIlen compleled.
o ~;lroot Trees - When ai/ r'equlred
Irees arc plnnled. .
o Final Plumbin!) - When all
. plul11l)lng w9rl< is complet,e.
r-j"~ Fi)., Elcctlicill- When all
\ I ~lrical worle is comp/ele,
c92(
- Ilnl MechalliCill - When all
meclliJnical worle '1:; complete.
o Final Ouilclill{J - WI1en all
required inspections have been
approved and building Is
completecl, \
'.
o Ol,he'r
MOBILE HOME INSPECTIONS
o Oloel""!) nnd Set.Up - Wilen all
bloclelnu I:; complete.
D
Plumbin!l Connections - WI1en
I\omr~ IW:l been connected to
Willer ;,111(1 :leVIer.
o Elcctric:al COllnection - When
1)/ocl<in!J. :lI~l.up. and plllmbing
Inl;peCIICln:l II,WC: been approved
and Ille 110Il1() i~; connecled 10
1I1!} :lurvice panel.
I I Finnl - Arler all required
. inspections arc approved and
porches, :;Idrling. decl<s. and
ventlnohave been Installed.
LOI faces Lol Type. SetbOlcl<:) .
I
P.L. HSE GAR ACC
Lol sq, Itg. Inlerior'
Lol coverage Corner N
--
Topogrnphy Panhandle S
--'
Tolal helghl Cul.(]e.$ac W
,.----... --- ----
E .~
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BUILDING PERMIT
ITEM SO. FT. X $/50. FT. ~ VALUE
Main
,
.
Garage
Carport
.
----
Total Value
-.....--..-..-.- ---.-
Oullding Permit Fee
Stale Surcharge
Total Fce
(Al.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(0)
PLUMBING PERMIT
ITEM
FEE
Fixtures
" NO
Residential Oath(s)
.
Sanitary S~wcr
Water
FT.
. FT.
Storm S,ewer
FT.
Mobile Home
Plumbing Permit
Stale Surcharge
Total Charge
(C).
MECHANICAL PERMIT
Furnace
Exhausl Hood
Vent Fan
NO.
Wood Stove/Insert / FlrenlQce 'Unit
D7V~ '.
- ---'1l--_..-
MeclwnicQI Permit
,.,.~
-.----... .., .-
__-' ",. :~~-::":"" L
It', rJ.) "
/;9.00'
~'ltL 7~_~
2-'.~
Issuance
StQle Surcll~lIOC
Total Permit
(D)
MiSCELLANEOUS PERMITS
Mobile Home
Slale Issuance
Slale Surcharge
Sldewall<
ft
Curbcut
It
Demolition
~lale Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exclutJina clecirical)
(A, 8, C, D, and E Combine(J)
.. TI:iE PF1.0POSED WORI< iN THE,
. ISTORICAL DISTRICT, OR ON. '
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by Ihe Hlslorlcal
Coordinator prior to permll issuance.
APPROVED:
, '
BUILDING VALU'E, PLAN CHECK
AND BUILDING PERMIT
.,
.
Tllis permit is granted on the express condition that the said
. construclion shall, in all respects, conlorm to the Ordinance
adopted by the City. 01 Springfield, including Ihe
Development Code, regulating the construction and use of
buildings, and may be suspended or revol<ed at any time
upon violation of Llny provisi,ons of said ordinances.
Plan Checl< Fcc:
Date Paid:
Receipt Number:'
I
. !
ReceiveO 8y:
-. ---.--.... .---.--------
Plans Reviewed By
Dale
Systems Development Charge is due on all undeveloped
properties within lhe City limits which are being Improved.
ADDITIONAL COMMENTS
aez T tt.L J. 1Ip'1t. r- ( t
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8y signature, I slale and agree, Illall haye carefully examined
tile completed application and do hereby certlly that all
Inlormalion hereon is true and correct, and I funher certlly'
thaI any and all worl< performed shall be done in accord.ance
with the Ordinanct:s 01 the Cily of Springlleld, and the Laws
of the St;Jte of Oregon perlainlng 10 the worl< described
herein, :'md thai NO OCCUP,<\f\JCY will be made 01 any
structure willloul permission 01 the Building Silfely Division,
I furtlwr certify that only conlrnclors and employees who
~He in compliance'wilh ORS 701.055 will be used on lhls
project..
I further ngree 10 c:n:;ure 1l1;:!l all required inspections arc
requested at thc proper ~mc. thaI each address Is readable
Irorn 111C slree 11a tile permit card Is localed at the Iront
01 the prope y, an . lhe .:lpproved sel of plans will remain
on the, site at ::111 es dud ~g C0dl11S con.
~
Signature - ~'d' . 6
Dale /P~J.qq
VAliDATION:
RECEIPT NUM8Ef-1 I O~ t/ZJ! ()
DATE PAID 6/;'/7'1
AMOUNT RECEIV;O' "d I. fi)
FlECEIVED OY __n.d- bJ/ .