HomeMy WebLinkAboutPermit Building 1997-8-5
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK: _ &\.2.!
ASSESSORS MAP: \,\[)(\33l\4
LOT: BLOCK:
RESIDENTIAL
PERMIT APPLICATION
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SPRINGFIELD
. JOB NUMBER C'1" .'o.W
225 Filth Street
Springfield, Oregon 97477
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TAX LOT: -D \~ e8
SUBDIVISION:
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OWNER: Ko b to Rt- ' k -c I! 'v
ADDRESS: . 5 c;, ~ 0 7)/1/5 v' 5f..
CITY: .s PR"~) r::'~ (,1 /
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STATE: 0 K
PHONE:
DESCRIBE WORK:
_ ZIP:
NEW
REMODEL
ADDITION
OTHER
DEMOLISH
CONTRACTOR'S NAME
CONST.
CONTRACTOR II
EXPIRES - PHONE
GENERAL'
PLUMBING?<>,I
ADDRESS
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~ (2/ Sf n?Rkt 7;;Rf~IAJ ()~.
~()5 -25 ? }J /1
MECHANICAL:
ELECTRICAl'
/10'51-3
QUAD AREA'
- OFFICE USE -'
LAND USE:_
FLOOD PLAIN:
I( OF SLDGS: II OF UNITS:t\(\~'f.. ZONING CODE:
~"". .,
OCCY GROUP' . CONSTR. TY.P~~~ _\~~o II OF SDRMS:
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II OF STORIES: HEAT ~rc.~~S'~ GQ~ SECONDARY HEAT:
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WATER HEATER: ii\\\(J · ~flb'\f\J~~~()a SQUARE FOOTAGE: ___
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To request an Inspection, you mu,\\\fa~.~~~~~~_t~~i24 hour recording. All Inspections requested belore 7:00 a.m. will be
made the same working day, Inspec~Wre~~e~~ 7:00 a.m. will be made the lollowlng work day.
~ (jC~~~ ~~i3UIRED INSPECTIONS /',.
D Temporary Electric t-~-{ ~ Rough Mechanical - Prior to ~ ~~~~ Plumbing _ When all
cover. plumbing w9rl< Is complet,e.
D Site Inspection - To be made
after excavation, but prior to
setting lorms.
o Underslab Plumbing/ ElectrlcafJ
Mechanical - Prior to cover.
o Footing - Alter trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After lorms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to IlIlIng trench. .
D Underlloor Plumbing / Mechanical
- Prior to Insulation or decl<lng. .
D Post and Beam - Prior to Iloor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
~
o Sanitary Sewer - Prior to 111I1ng-
trench. ,
. .'
.
o
Storm Sewer - Prior 10 1IIIIrig
trench.
O Water Line - Prior to tilling
trench.
~Ugh Plumbing - Prior to
cover.
,
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o Rough Electrical - Prior t~
cover.
o Final Electrical - When all
electrical worl< Is complete.
"
o Electrical Service - Must 'be
approved to obtain permanent
electrical power.
o Final Mechanical - When all
mechanical worl< Is complete.
o Fireplace - Prior to (acing
materials and (ramlng Insp.
o Final Building - When all
required Inspections have been
approved and building is
completod.
o Framing - Prior to cover.
o Othor
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
MOBilE HOME INSPECTIONS
o Insert - Alter fireplace approval
and Installation 01 unit.
o Blocking and Set-Up - When all
blocking Is complete.
o Curbcut & Approach - Alter
, lorms are erected but prior 10
placement 01 concrole.
o Plumbing Connections - When
home hLls been connected to
water and sewer.
o Sidewalk & Drlvew8\' - Aller
excavation is complete, lorms
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 - WtlOn completed.
o
Final - Alter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o ~Hreet Trees - Whlln all required
. trees are planted.
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Lot faces Lot Type
Lot sq. Itg. Interior '1 p.L.
IN
Lot coverage Corner .1 S
Topography Panhandle
Total height Cui-de-sac W
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Setbacks
HSE GAR ACC
( IS THE PROPOSED WORK IN THE.
""HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance:
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APPROVED:
BUILDING PERMIT
ITEM
SO. FT.
X $/SO, FT. '"
VA LU E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT .
Garage
.
,.
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 revokod at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Total Value
Date Paid:
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Tolal Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
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- ..--.-. ---.-..-
Plans Reviewed By
Date,
Systems Development Charge Is due on all undeveloped
properties within tho City limits which are being Improved.
PLUMBING PERMIT
iTEM
ADDITIONAL COMMENTS
FEE
Fixtures
.
~ '1 ,
.:~/ "
Residential Bath(s)
NO
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Sanitary S!3wer
Water
FT.
FT.
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Storm Sewer
FT.
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Mobile Home
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Plumbing Permit
State Surcharge
Total Charge
........
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MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
By signature, I (;talc and agree, that I have carefully examIned
the comploledappllcatlon and do hereby certify that all
Information horeon Is true and correct, and l.funher certify
that any and all work performed shall be done In accordance
with the Ordlnancu3 of tho City of Sprlngflold, and the Laws
of tho Stote of Oregon perlnlnlng to the worl< described
herein, and that NO OCCUPANCY will be made of any
structure without permission of Ihe Building Safety Division.
I further certify ttlat only contractors and employees who
arc In compliance with ORS 701.055 will be used on this
project.
Wood Stovellnsert/Flroplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree 10 ensure that all required InspeclIons are
requested at the proper lime, that oach address Is readable
from tllO street, that the pormlt card Is located at the fronl
of the prop rty, and the approved set of plans will remain
on tile e a llli eZI: Cu ----'
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MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stato Surcharge
SIdewalk
'ft .'
,
Dale
Curbcut
It
Demolllion
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, 0, and E Combined)
,
Lla Ji)
VALIDATION: . [) lA1f ~
RECEIPT NUMB~ (W.\"' J
DATE PAID () .~.y() , .
RECEIVED BY VJ!) _.# .
State Surcharge
Total Miscellaneous Permits (E)