HomeMy WebLinkAboutPermit Building 1997-6-25
OWNER' ~J" 15/5011 PHON'"
ADDRF"".'"2?'3 ~#~..-..2::>~7~ .
CITY" ..,~ STAT'" . L:?,/':f" ~
RESIDENTIAL
PERMIT APPLICATION
Inspecllons: 726.3769
Oltlce: 726-3759
LOCATION OF PROPOSED WORK: .273
ASSESSORS MAP: 17-o~/~t?
LOT:
DESCRIBE WORK'
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NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
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PLUMBING:
Ilu~ 1-1'"
MECHANICA' .
ELECTRICA' .
"It
SPRINGFIELD
.~
JOB NuMBER 9 /~9~
225 Fiflh Street
Sprlnglleld, Oregon 97477
RtI
TAX LOT: ~ ~D
SUBDIVISION'
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ZIP:
Q?C/'7/
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BLOCK'
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CONST.
CONTRACTOR .
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ADDITION
DEMOLISH
OTHER
EXPIRES '::'>
PHONE
.f'I3-S7YJ
ADDRESS
( (
fo.Box
17;}.9
971./02
,f
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN:
. OF BLDGS: . OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
. OF STORIES' HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons requesled belore 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 Temporary ElectrIc
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcall
Mech:anlcal - 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
placemont.
o Underground PlumbIng - Prior
to IlIIlng trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulallon - Prior to
decking.
o Sanitary Sewer - Prior to IIIl1ng
trench.
o Storm Sewer - Prior to filling
trench.
rl'f Water Line - Prior to filling
l.4J trench.
D Rough Plumbing - Prior to
cover.
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.
D Wall/C'elllng Insulation - Prior to
cover.
D Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - After flreplace approvl!l
and Installation 01 unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvewav - Alter
excavation Is compiete, forms
and sub.base material In place.
o Fence - \Nhen con'pleted.
D Stroot Trees - Wh~n all required
trees Bre planted.
o Final Plumbing - When all
plumbing w9rk Is complet.c.
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.
DOther
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 - Alter all required
Inspections are approved and
porches, skirting, decks, and
ventlng have been installed,
"~
Lot faces Lot ~ype.
Lot sq. fig. Interior I P.L.
IN
Lot coverage Corner
" S
Topography Panhandle'
Total height Cul.de.sac W
IE
"1':','
.! -; ~;. ,; f!::, \!t. ~.~ ' .
~_ 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 Issu.Bnce.
Setbacks,
HSE GAR Acc'l
I
I
I
I
APPROVED:
, ,.
BUILDING PERMIT '.I
ITEM sa. FT. x
't
$/SQ. FT. =
VALUE
BUILDING V~Ll]'E, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on lhe express condition that lhe said
construction shall, In all respects, conform to the Ordinance
adopled by the Clly,ol Sprlngrreld, 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.
Main
Garago
"
Carport
Plan Check Fee:
Tolal Value
Date Paid:
Building Permit Fee
ReceIpt Number.
Stato Surcharge
Received By:
Total Fce
(A)
Plans Reviewed By
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is duo on all undeveloped
properties within tho City limits whIch are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s) N'
Sanitary S,ewer FT.
Water FT. /~,t?
Storm Sewer FT.
MOblte Home
~-
Total Charge
(C)
.'5'-5: -p
-~:~~
<;"7. Y<::!:l
Plumbing Permit
State Surcharge
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
By slgnalure, I stale and agree, lhat I have carelully examined
the completed application and do hereby certHy 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 ollhe City of Sprlngrreld, and the Laws
of the Slate 01 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 employees who
are In compliance with ORS 701.055 will be used on this
project. 1
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that al/ required Inspections are
requested at the proper time, that each address Is readable
Irom 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 con()~c~lo~.
Slgnature-.!lJih~ ~~
Date Lth_ ~/q)
It"", ,.
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Stale Surcharge
Sidewalk
fI
Curbcul
fI
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER ~ 3//
~. ~':J ">
AMOUNT RECEIVED ~_ '7"C:>
RECEIVED BY ~,,"...4<I _
v
DATE PAID
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)