HomeMy WebLinkAboutPermit Building 1998-1-21 (2)
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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LOCATION OF PROPOSED WORK: r<)b&J
ASSESSORS MAP' /70 233 1- ~.t0
LOT:
BLOCK:
OWNER: {,-~V ~ ../')p.b~
ADDRESS: c;-~ ,J)CU... 'i 1./
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CITY:
STATE:
DESCRIBE WORK:
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
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JOB NUMB~R _c:; g 66 7 c.,
225 Fifth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION:
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PHONE: _!l..ff?
93 (" Co
ZIP:
9 7 V? 3
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CONTRACTOR'S NAME
GENERA' .
ADDRESS
CONST.
CONTRACTOR #
EXPIRES ..... PHONE
,..
PLUMBING:
p..s:r
q'/ Z/ .56= /J t!l e:f~Y
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MECHANICAl'
ELECTRICAL:
//~373
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1.7-9 fI / ~7 J .s2$3
- OFFICE USE - I
aUAD AREA: LAND USr:. FLOOD PLAIN:
# OF BLDGS: # OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR. TYPE: # OF BDRMS:
# OF STORIES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER:. RANGr:. 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,
REQUIRED INSPECTIONS
o R~ugh M.echanlcal .:.:. Prior to
cover.
o Temporary Electric
D Site Inspection - To be made AI D Rough Electrical - Prior to
after excavation, but prior to ''''''''' cover.
setting forms, l'; V Ill"~
. . 7r;.~ \"'..
up. . .
o Underslab Plumbing/ Electr~n Z'~A...L Electrical Service - Must be
Mechanical - Prior to co~r, ltO~ ~l9lP~~ved to obtain permanent
04f4t rc.>~D: el94l~cal power. '
o Footing - After trench~ ~4'C U4'I>. ~p.
excavated.. '80 ~-'F1f€lSlm~8'~r to facing
.O~y~~tprra~):!d rr~}Ig Insp,
o Masonry - Steel location, bond ~~~f "'f8~M ~~,.u ~ Jtta
beams, grouting.. ~amlntpb\1R.rlcS(JtlncsC?~rt
. . ~~ ~~ .
o Foundation - After forms are ,.c-O~ 'l'
erected but prior to concrete 0 Wail/Ceiling Insulation _ Prior to
placement. cover.
o Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping.
o Underlloor PlumbIng/Mechanical 0 Wood Stove - After I~stallallon.
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking, .
. '0 Insert - After fireplace approval
and Install all on or unit.
o Floor Insulation ~ Prior to
decking, .
,0 Curbcut & Approach - After
. forms are erected but prior to
placement of concrete,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. .
o Sidewalk & Driveway - After
excavation Is completo, forms
and .sub-base material In place.
o Water LIne - Prior to filling
trench.
o Fence. - When completed,
. 0 Rough Plumbing - PrIor to
cover,
o Street Trees - When all requIred'
trees are planted, .
~ Plumbing - When all
plumbing W9rl< Is complet.e,
o 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.
D Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete,
o Plumbing Connections - When
home has been connected to
water and sewer,
.
o Electrlcaf'Connectlon - When
blocking, set.up, and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel.
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o Final - After all required
Inspections are approved and
porchos, sklrllng, decks, and
venting have been Installed,
Lot faces
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Lot Type .
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'( .THE,PROPOSE~ WORK tN 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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Setbacks '
HSE GAR ACC.
Lot sq, ftg.
Interior
I P.L.
IN
Is
Lot coverage
Corner
Topography
Total height
Panhandle '
Cul-de.sac
W
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APPROVED:
BUILDING VALOE, .PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
. constr!Jctlon 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.
BUILDING PERMIT :i
ITEM SQ, FT.
'. '..~..
!j \;
X $/SQ, FT, =
VALUE
Main
Garage
"
Carport
Plan Check Fee:
Date Paid:
Total Value
Building Permit Fee
Receipt Number:
Received By:
Slale Surcharge
Tolal. Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
1.
Plans Reviewed By
Dat~
Systems Development Charge Is due on ail undeveloped
properties within lhe City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT,
FT.
FT.
Storm Sewer
Mobile Home
Tolal Charge
(C)
1/ j\',-
;;S 1- )'/~
5f1-~ , ;;)D
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Plumbing Permit
Slate Surcharge
MECHANICAL PERMIT
Furnaco
.'~ :
Vent Fan
NO.
By signature, I. state and agree, that I have carefully examined
,
the corrypleted ,al?pllcatton and do hereby certify that all
. Infortpation .hereon Isirue. ~nd correct, and I further certify
. "'.\"1
.'that any and all work perfcfrmed shall be done In accordance
. ~, .' , ' ~ . ~. ~ \', ..
.' ".,::;~;: Vflth the Ordlnanc,~s of the City of Springfield, and the Laws
". ,of the Slate .of Oregon pertaining to the work described
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,,1.\".." ,.' ~,,: . 'herein, and that NO OCCUPANCY will be made of any
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~. ::::,1\ . ." ."., .~.' structure without permission of the Building Safety Division,
.~., ':: .1 I further certify that only contractors and employees who
. are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permit
Issl,{ance
State Surcharge
Total Permit (D)
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MISCELLANEOUS PERMITS
Mobile Home
State 18suance
State Surcharge
Sidewalk ft
Curbcut fl
Demolition
State Surcharge
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 alts ~Ime durlnlil oonet 0
Signature ~ I\.e..
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Date, / --Z/- 9 Y
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VALIDATION:
RECEIPT NUMBER )Z-S =3 F
DATE PAID / - ,;;21- l' <t
A I:J' d"a
AMOUNT RECEIVED --+P I CL:>
RECEIVED BY ~. .
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)