HomeMy WebLinkAboutPermit Building 1999-2-8
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LOCATION Or- PROPOSED WORK: ;;(510 ~CtJ')la.h DQ,
17032-7 4f/. l}ot)~n. ___ ___ TAX LOT: O?OOO
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ottice: 726.3759
ASSESSORS MAP:
LOT'
.
$pnINcr-IELP
.
JOB NlIMOER
(10 / ~ t
OLOCI(:
225 Filth Street
Sprlnglleld, Oregon 97.177
SUODIVISION'
OWNER: fila n KeDl.,vA! PHONE:_ 7~~ -5//4-
ADDRESS',' ~5/0 ge-~~../
CITY:~ _ ____._ STATE:!)~ ZIP:_~
DESCRIBE WORK: Jb!sfcd I l~e4i.11I-.m.p Syskm
NEW REMODa l./"" ADDITION DEMOLISH OHIE/1 ___..___
CONTRACTOR'S NAME
PHONE
ADDRESS
CONST.
CONTRACTOR'
I,XPIIlES
GENERAl'
PLUMBING:
MECHANICAL:Cnro:{.nr-+, RDW 1~\JleJ2-- (){JLJ.h()
ELECTRICAL:
1ei?9 - qq . 12b-tJ [f)
- OFFICE USE _
. ATTENTIOI\l:Oregon law requires you to
OUAD AREPli:lllnJ!' ,,,I..~ ~rln~l..rl h~the OregrKNOtil.i&\:: _,__--..N'O.TICF~ r-LOOD PLAIN:
~.!'tillcation Center. Those rules are set forth THIS PERMiT SHALL -,,~,~- ,- -0- '^'nr'>1(
. or- OLD !n;"'"n ,,;,-vv,-vv IV ,;lIvugh oAfl~gt.l&tH!?: __ Z0NING C<!> E:=-=:_
OCCY GR0\ll~ Ynll mav obtain (:.QPies of tb1o~,b'J1YPE: .AUTHORIZED UNDEp.1w~onD'H"~sJ IS NOT
calling the center. (Note: the telephone COMMENCED OR IS Mlt.~ln('\N"n F.('IJ:l
. or- STORIFS;........... . '.. Ut'I'ty Nollfi'SliE.nI-'I1CE: _____ . SECONDArIY cleAT: __'...
TIu'",U"" ,u, '"'''', ~''''~u'' II (; nUT MIV 1W' nAY rFRlnf)
WATER HEATER: Centerls..l~.90-332-23441ANGE: ___ _ SOUARl'. r-OOTACE: '''___._.
To request an Inspection, YOU rnu::;l ci\ll 726.3769, Tills 15.1 24 Ilour recordIng. All Inspections rcql,c~lcd before 7:00 a.m. will be
made (he Si1ll1e worl<lng d<lY, In:.pcction:; reque5lcd a(ler 7:00 a.m. will be made (he followlnn worl< dllY.
o Tempor.1ry Electric
D
Site In:;pection - To be made
after cXGavatlon, bUl prior to
sottlng 1(.)(11\5.
o
Underslilb Plumbinn/ Elcctricnl/
Mechnnlcal - Prior to Cover.
o
Footing - After trenches arc
excavatcd.
o Mnsonry - Steel locatlon, bond
beams, groullng.
o
Foundn(lon - Aflcr torms are
erected lJut prior to concrete
placement.
o
Underground Plumb/no - Prior
(0 rlIlInO Irenell.
o Underlloor Plumblno/ Mcch.mic."l
- Prior to Insula lion or dccltinQ.
o PoSl ."nd Oei3m - Prior to (loor
Insula.tlon or decldng,
o Floor In511lnlion - Prior 10
decldno.
o Sanilnry Sewcr - Prior 10 filling
Irench.
o
Storm Sewer - Prior to OllinO
(rench.
o
WiJ,tcr Llno - PrIor 10 tilling
Ilcnch.
o
ROugh Plumbing - Prior 10
cover.
REQUIRED INSPECTIONS
o Rougll Mcchanic.11 - Prlor to
cover. .
D nOU9h Electric..l - Prior 10
cover. .
D
Elcctric.ll Service - M\JSI be
npprovee! to obt.1in permanenl
electrical power.
o Fireplacc - Prior 10 {[Icing
materials and framing Insp.
o Framing - Prior to cover.
o Wnll/C'c1Jinn lnsuliltion - Prior 10
covcr.
D Dry...inll - Prior to 1.1ping.
o Wood Stove - Aflor In51<lJ[a:ion.
o In5crl - Alter (Irap/oea opproval
and lnslollnllon of unit.
o
Curbclll &. Appro:Jcll - Artor
forms urc crecled but prior 10
plncclllcnl of c.oncrc~t(l.
o
Sidcwalk e.. DriVCW:I\' - Atter
excavalion is complete. forllls
onel sul'J.bi'lSC ml\~<.:rial in place.
o Fence - Wlwn COlnplclcd.
o
~Hrool Tree:; - When llll required
trees arc planted.
o Fin:11 PlulI1bintJ - Wllcn all
. pllJnlt)inu w9rlt is complct.e.
D Fin:!1 Elcct~cnl - W'llen all
electric.al worl< is complelc.
&1 Mcchnllicnl - When 011
'11 chonlcol :011(10 complele,
D Fin.11 Ouildin{J - When 011
required Inspections have been
upproved Dnd builcJlng is
completed.
o Ol.hcr
MOBILE /-IOME INSPECTIONS
o
OIocking find Sel.Up -. When 011
blocldn~1 i.:; complete.
D
PlulIlbinu Connection.:; - Wilen
I\omc llil~ been connecled 10
w;.llcr an(.1 :;Cwer.
o
Elect/kal COllllection - Whcn
bIOCI(jnU. :;CI.uP. and plllmbing
IIl!.:pcclion:.; h:wc been npprovcd
ilntl IlIe hOll1e if. connected to
lhe :.;crvicc P~IIlCI.
o Finnl - A(ter all rcquired
Inspections arc .:lpprovcd and
porches, ~Idrling, dccl<s, ~nd
venting have been Installed.
LOI faCC5
LOI TypA
_In.r.
LOI sq, fig,
Lot coverage
Corner
Topograpl1y
TOlal l1elgl11
Panh;mdlc
Cul.(JC'$~C
BUILDING PERMIT
ITEM
SO, r-T,
X $/SO. I'T,
Muin
Garnge
empOrl
Tolal Value
Oullding Permi t Fee
Slate Surcharuc
Total Fce
(A)
SctlJac!c, .
...,IS THE PROPOSED WORI< iN TI~E '
..,. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, Ihis eppllcallon must be signed
and approved by the Historical
Coordinil(or prior to permit issuance.
J::!::.... HSE_ .GAR ACC
N
S
.Y'L._ __ ____
.L
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(El)
PLUMBING PERMIT
ITEM
Fixtures
Residential Elall1(s)
N'
SanItary S~wer
Wotcr
1"1:
----
I'T,
Storm Sewer
I'T,
MobIle Home
Plumblno Permi t
Slate Surchm{Je
Total Cherge
(C).
MECHANICAL PERMIT
Furnace
Exl1aust Hood
Vent Fan
N'
Wood Slove/lnsert/Flreplace 'Unil
Dryer Vent
44-~ ~
Mechonical Permi I f
IS5uancc
Slote Surcll~IlUc
Totol Pennll
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slale Surchnrge
Sidewoll(
II
Curbcut
II
Demollllon
Stale Surcharge
Tolal Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, 0, C, 0, ~nd E COlllbincu)
r-EE
l~rc.i<J
II>IP
'-;r;br:_~
~~
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlli~ permi! is granted on the express condition thot the said
con~truction shall, In all respects, conform to the Ordinance
adopted by Il1e City 01 Springfield, including Il1e
Development Code. regul.1ling the construction and use o(
buildings, .1nd m;}y be su~pcnded or revol<ed .1t any tlmc
upon viol.1tion 01 :JrlY provi:;ions of 5.1id ordinances.
Plan Cllecl( Fcc'
Dale P:Jid:
Receipl NllInber'
Received By:
1"JI;}nS Rcv-j.cwed...Qy..-----.--
Dote
Systems Development Charge is due on all undeveloped
properties within tho City limits which ~re being Improvcd.
ADDITIONAL COMMENTS
~
(
Oy slgnaturc, I slatc and .1gree, that I haye corefully examIned
the completed nppllcation .1nd do hereby cerllfy thaI all
Inform311on hercon i:; true ilnd correct, and I (urthcr certify
th3t ony and .111 work pcrformed sholl be done in accordnnce
with Ihe Ordinancc~ of tht; City of SpringUeld, :lIld the Laws
of tile Sl,1le of Orcgon perlainlng to the worl( described
herein. and lhat NO OCCUPAI>JCY will be rna(le of any
~truclure VJiUlOUI pcrmis:jion of llle Building Safely Division.
I further cerli fy tl"wi only contr.1clor::; and employees who
arc in compliance'with ORS 701.055 will be used on this
project.
I furtflCf agree to cn:;;lJie that all required lnspeclions are
rCQue~!cd at the proper time, that each addrcss Is readoblc
from the strect, that the pcrmlt card Is localcd at the front
of the prop~rty. d tllC approved !jel of pl.1n5 will rcm.1ln
on the oile all m~ dU'1i1conotrUfllon,
:'::"'""~, ~fll(UJPff
VALIDATION:
RECEIPT NUMDEf1 () SZ-?/ t
DATE PAID :;.l3/91'
AMOUNT RECEIVED _ ;" .'U.2ft
FtECEIVED OY __f.'~_0) ~