HomeMy WebLinkAboutPermit Building 1991-12-13 (2)
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK'
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ASSESSORS MAP'
LOT: BLOCK'
OWNER:~H~/S ?~1Iv
ADDRESS: ~~~ .
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CITY' STAT~'
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JOB NUMBER...97'/:;=-~
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
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PHONF'
ZIP:
DESCRIBE WORK' C....j,.... e..--=.T :2t::>.{~".Y ::>?!.Qo" ~~.JII!?r- ~z>p~,'7~
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CONTRACTOR'S NAME
GENERAL:~.IC'b?'f ~
P.LUMBING:
CONST.
~~DR.~ ,/~~ CONTRACTOR #
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PHONE
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MECHANICA' '
ELECTRIC,' , , __..,
EXPIRES
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- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR, TYP~' . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANG~' 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
o Site Inspection - To be made
after excavation, but prior to
settfng forms.
0, Underslab Plumblngl Electrlcall
. Mechanical - Prior to cover.
r;;::::r"'Footing - After trenches are
j.c::S. excavated.
o Masonry - Steel location, bond
beams, grouting.
~Foundatlon -- 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.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o 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.
,rgJ Framing - PrIor t'o cover.
o Wall/Ceiling Insulation - PrIor to
cover.
~ 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.
o Sidewalk & Driveway - After
excavation Is complete. forms
and sub-base material In place.
o Fence - When completed.
o Street Trees - When all req"uired "
trees are planted.
o
Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When all
mechanical work Is complete.
8Final Building - When all
required Inspections have been
approved and building Is
completed.
,0 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 Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
inspections are approved and
porches, skirting, decks', and
venting have been Instarred.
Lot faces Lot Type . Setbacks . THE PROPOSED WORK IN THE
Lot sq, ltg, Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner II yes, this application must be signed
I'" I approved
;S " and by the Historical
Topography Panhandle -I~ I Coordlnatorprior to permit issuance.
~ O' o. ., \ -:- ~ ~.
Total height Cul:de-sac IE I
APPROVED'
BUILDING PERMIT
ITEM SQ, FT. IX $/SQ, FT,
VALUE
Main
Garage
Carport
~?/.~~
ID/.7S
I t!>./b
Total Value
Building Permit Fee
~(p,'SO
2.S3
S93~
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
ExlsTlNt; st.A--~ (B) 'JJ/A_
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N"
Sanitar~. Sewer FT,
Water FT,
Storm Sewer FT,
Mobile Home
"
PlumbIng Permit
State Surcharge
Total Charge (C)
FEE
~ ~ ...0"0 O'
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N"
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcut
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
-5!l.~3
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: 3&.7""3'
Date Paid: //-/i/?-<9/
Receipt Number' ~ '5/9~
Re~elve By: ~.a ,. . <... .
a:-'~
~ ./ /Y/ //lI't.t
Plans Reviewed By
jZ/($ t.2L
, Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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 01 any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project,
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 site at all times during constructlon.
Slgnaturefl~::'7..f7 r L/P ,~
Date 1-"') _1'<<....9/
VALIDATION:
P 3/1/
/2-/?-~/
AMOUNT RECElv"n C:;-<;1. '3'"3
RECEIVED BY ~;~--"f'Jr-7 ~---5'?
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RECEIPT NUMBER
DATE PAIr>