HomeMy WebLinkAboutPermit Miscellaneous 1998-2-11
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
lOT:
OWNEP' ~Ff'" ~jlJEI...JT"
ADORFoo. . '.205 Fae5y+H1A-
CITY" "5D1l''4b'E"iD
SPRINCFIELD
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JOB NUMBER
CflO IIi
225 Fifth Street
Springfield, Oregon 97477
~,,(2I1:~r;IO : Dj/!.. '1""74-1l?
TAX lOT:
SUBOIVISION:
ADDRESS
CONST.
CONTRACTOR.
,ZJ."S ':-C#2.SV,H1A-
BLOCK:
STATe. C:(4..q;yJ
U
PHONS:'
"74/ -~a(3
ZIP:
C/74,2,
DESCRIBE WORK: 'N31AII~ OF A '3 --ttt-) It1;q,- puMP Af.Jf) FU~ 1ZE.P1N-EMr=/Jr
NEW_ REMOOEL_ ADDlTlON_ DEMOLlSH__ OTHERJJPt\rACE.ltEATl,t..AQ S\IS~
' J I .
. OF UNI~: IS,:
CON~ :,q~: ~ . OF BDRMS'
. OF STORIES: HEAT S~C~~ q~ SECONDARY HEAT:_
WATER HEATER: RANGE: ->}.~, DC;; SQUARE FOOTAGE:
V '''!, ~t "
To request an Inspection, you must call ,726.3769. ThIs Is a 2.r~ -r~[dl~IY~ecllons requested berore 7:00 8.m. wIll be
mada tha sama wo,klng day,lnspecllons 'OQU~~~~;;';;OI~l~~~~~Wlng wo,k d~y
D Temporary Eloctrlc D Rough Mechanical - ~r~ ~~)ilnal PlumbIng - When 0."
cover. -~ <G>: ~mblng work Is complete.
~ ~~~ -tt.
o Rough Electrlcal- Prior tV~. .~ In8t'",4iIectrlctll _ When all
cover. .. ~ ~trlcal work Is complete.
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o Electrical Service _ Must ~ ~~Flna' Mechanical - When all
approved to obtain permanen\Q ~ mechanical work Is complete.
olectrlcal power. ~
CONTRACTOR'S NAME
GENERAl.
PLUMBING'
MECHANICAL: .~AtEIL.I:imn;..,(
I
ELECTRICAL.
QUAD AREA-
. OF BLOGS.
OCCY GROUp.
D SHe InspecUon - To be-mado
aller excavation, but prior 10
setting 'orms.
D Underslab Plumblng/Eleclrlcall
MechanIcal - Prior to cover.
o Fooling - After trenches are
excavated.
D Masonry - Steel location, bond
beams, groullng. ' .
o Foundallon - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o Underlloor 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 IIIlIng
trench.
D Storm Sewor - Prior to filling
trench.
o Waler line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
(J.o.ev,: 4lz.. OICX:>::J.1<;O
~/Vf'.) C(2... "114<40
- OFFICE USE -
LAND use.
o Fireplace - Prior 10 facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling InsulaUon - Prior to
. cover.
o Drywall - Prior to taping.
o Wood Slovo - Aller Installation.
o Inserl - Aller fireplace approval
and Installation o' unit.
o Curbcut & Approach - After
forms are erecled but prior to
placomont 01 concreto.
D Sidewalk & Driveway - Aller
excavation ts complete, forms
and sub.base mAteriAl In place.
o Fence - When completed.
D Streot Trees - When all rOQulred
trees ere planted.
EXPIRES '.;. PHONE
<s/JoI4~
~-2-9'/D
FLOOD PLAIN.
ZONING CODE:
o Final Building - When all
required Inspecttons have been
approved end building Is
com pIe led.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - When all
blocking Is complete.
o Plumbing ConnocUons - When
home has been connected 10
waler 3nd 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
porch os, skirting, decks, and
venting have been Installed.
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DINA DeVANEY
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ASSOCIATED 0
HEATING Br AIR CONDITIONING
P.o. BOX 412
EUGENE, QREGON 97440
Phone: (541) 683.2590
Fax: (541) 607-0287
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Lot faces
.a
Interior
lot SQ. ltg.
Lot coverage
. Corner
Topography
Total height
Panhandle
Cul.do.sac
BUILDING PERMIT
ITEM
so. FT:
X SlSa, FT.
Main
Garage
Carport
Total Value
BuildIng Permit Fee
Stale Surcharge
Total Fcc
(AI
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FlxlUres
ResIdential Balh(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sower
FT.
MobUe Home
PlumbIng Permit
Stale Surcharge
Tolal Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vont Fan
N'
Wood Stovellnsert/Flreplace Unll
Dryer Vent
. ::Z:/'" ADM'"..,
Mechanical Pormll
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
Slate Surcharge
Sidewalk
It
It
Curbcut
Domolltlon
Slale Surcharge
Total Miscellaneous Permils (E)
rDTAL AMOUNT DUE (excluding electrIcal)
(A, B, C. 0, and E Combined)
Setbacks
I Pol. I HSE GAR
N I
I s I
I
~..= =---=
VALUE
FEE
joS. CO
.4<;)
JQ.oo
,IS
4f;;u".20
".
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Accl
I
I
.._e PROPOSED WORK IN THE.
RIGAL DISTRICT. OR ON
T HISTORICAL REGISTER? ....D.C2-
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
BUILDING Vl\LlJE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condItion that the suld
construction shall, In all respects, conform to the Ordinance
adopted by the Cily 01 SprIngfield, Including the
Development Code, regulating the construction and use 01
buildIngs, and may be suspended or revoked at any lime
upon violation of any provisions 01 said ordInances.
Plan Check Fee:
Dale Paid:
Receipt Number.
ReceIved By:
Plans Reviewed ~y
Dole
Systems Development Charge Is duo on all undeveloped
properties wHhln the Clly limits which are belng-lmproved.
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 corroct, and I further certify
thai any and all work performed shall be done In accordance
with the Ordinances of the City of Sprlngfleld, and the Laws
of the Stale of Orogon perlalnlng 10 tho work descrIbed
. herein, and that NO OCCUPANCY wl}1 bo mcde of any
structure without permissIon ollhe 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 al/ required Inspecllons are
requested at the proper time, thai each address Is readable
from the streel, thai the permit card Is located at the front
of the property, Dnd the approved set of plans will remain
on the site at all times durIng construction.
Slgnature~ '*.2.lI~
Date :if..(D)~
VALIDATION:
RECEIPT NUMBER 7/61 <i ~
DATE PAID -:J - II - Cj (
AMOUNT RECEIV;'D -J:; J~)-/l
RECEIVED BY J/}vAJ