HomeMy WebLinkAboutPermit Building 1993-2-10
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
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LOT
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SPRINGFIELD
BLOCK:
OWNER:UI! /I An aI./ y,st./"n
ADDRESS "/3?S ,fJ u-- ;300'1.
CITY" Avf-I ClUrY
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DESCRIBE WORK' M IV flD.vr..-::r
NEW r;(
REMODEL
STATF' OIL
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ADDITION
DEMOLISH
OTHER
JOB NUMBER
PHON"- 6 96 -,S 7.J)L
ZIP' c:r 7 .2 2 "7
2 Pc-(l1.
CaNST.
CONTRACTOR'S NAME ADDRE~ CO N2:.RACTOr;.)' EXPIRE:../ PHONE
GENERAL:_K"\-JlI{L+- ~JJ-1r. ~ ;2.>.12./ ~JrhOJ36 fi1);.:3 ttf3-U7$-
PLUMBING: ~c.JJ1/..llv.J L 0-~,''^ '1 ----
MECHANICAL:(O...-1'l.,td..i I1-1A J ~fI -
ELECTRICAl' 15/ /t VI. r:.... ;;Y t? ('" fJ-r 'c...
QUAD AREA:
\\<\\)\.U
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H OF BLDGS'
OCCY GROUP:
H OF STORIES:
WATER HEATER'
b
- OFFICE USE -
LAND USE: \ \ \ \
H OF UNITS: \ ^ I
CONSTH. TYPE: .JJ..N_.
~ VlY
E:
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE:_WP
. OF. BDRMS: _~.
~,ECONDARY HEAT:
SQUAf~E FOOlAGE: .lh_7.n.OO
To request an inspection, you must call 726-3769. This Is a 24 hour rccordin9. All inspections requesled before 7:00 am. will be
made the same working day, inspections requested after 7:00 a.m. will be made the rollowin{) work day.
~ Temporary Electric
D Silo Inspection - To be made
after excavation, but prior to
setting torms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
1V'1 Footing - After trenches arc
~ excavated.
D Masonry - Sleel localion, bond
beams, grouting.
1'\7f Foundation - After forms are
~ereclcd but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
l"9f Underfloar."Plumbinq")Mechanical
~- Prior to insulation or decking.
~ Post and Be3m - Prior to floor
~lnsulalion or decking.
f':::A Floor Insulation - Prior to
)"""-I decking.
1Vf Sanitary Sewer - Prior to filling
~ trench.
T"Vl Storm Sewer - Prior to filling
~ trench.
191 Waler Line - Prior 10 filling
~trench.
rs<1' Rough Plumbing - Prior to
~cover.
REQUIRED INSPECTIONS
IVt Rough Mechanical - Prior to
~ cover. .
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~ Rough Electricnl - Prior to
cover.
~Electrical Service - Must be
~approvcd to obtain permanent
electrlcal power.
D Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
~Wall/Ceilil1g Insulation - Plior to
~over.
~ Drywall - Prior to taping.
o Wood Stove - After installation.
D.lnserl - Artor flrcplace apfJrovnl
and Installatlon of unit.
tvt Curbcut & Approach - After
~ forms are erected but plior to
placement of concrete.
f""Vf Sidewalk & Ddveway - Aftor
~xcavation is complete, forms
and sub.base material in place.
o Fence - When completed.
mStreot Troes - Whcn all required
(Ytrces are planted.
J5<l Final Plumbing - When all
plumbing work Is complete.
i"\...-A'Final Electrical - Wllcn <lit
~clectricLlI woll{ is complete.
i'v1 Final Mcch.mical - When all
~ mechanical wOII{ is complete.
lV'l Final Building - Whon .111
~requlred inspections have been
approved and builcJinO is
completed.
o Other
MOBILE HOME INSPECTIONS
I-I OlockinO and Sel.Up - When all
- blocking Is cOlllpletf.:.
o Plumbing COllnections - Wilen
tlome haG. been cOllllccted to
water and sewer.
o
Electrical Connectioll - When
blocl<ing, set.up, and plumbing
inspections have been approved
and Ihe home is connected 10
the service p::H1el.
I~ Finnl - Atter all loquimu
Inspections are approved emd
porches, sktrtlng, decks. ~ntl
venting have been in~lalled.
Setbacks
P.L. HSE GAR AC<;<'
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Lot faces
Lot Type
Lol sq. ftg.
Interior
Lot covorage
h
Topography
Corner
Panlwndle
_L2~'
CuI-de-sac
Total height
BUILDING PERMIT
I~~() X $/SO. FT. = VV~
-~ID j4~(OO~'k~~L
ITEM
Main
GLlraue
Carport
-l::7tnD
ry~~-
30$~
J~t~
382,2,0
SYSTEMS DEVELOPMENT CHARGE (SDC);/S
(B) -itl3()(,,~
Total Value
Building Perm; t Fec
Slate Surcharge
Total Fee
(A)
PLUMBING PERMIT
ITEM
FEE
Fixtures
nosJdcnlial Balll(~)
N-'- _"4:
/'=o,cJy
~jtlnil:IfY Sl:wnr
FT.
Water
FI.~_
'Storm Sewer
FT.
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Mobile Home
Plumbing Pefmlt
State Surcharge
.;; .0-.0
-J?' & .00
Total Charge
(C)
MECHANICAL PERMIT
Furnace
~~50
q.6J-O
'5: ""0
-/- (-
._3~OO
Exhaust HODel
Vent Fan
N'
'<
t' vvQOO ~;:)l~lInsertlFlreplacc Unit
Dryer Vent
McctlilnlclJl Perrnit
1(O:50~: ,.-~-
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_/_0,00
,Sg, J;,~
(D) 1-7.33 .:i~: ~ s_
Issuance
State Surchar~JQ
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk &:;n II
Curbcut _~~ II
r7.t;&
/"1.,,"10
Demolition
State Surcharge
Total Miscellaneous Permits
(E)
-g 1.40
~a/~
TOTAL AMOUNT DUE (excluding electrical) . -,-_
(A. B. C, D. nnei E Combined) .2~l~,'i2.1
l 6HE PROPOSED WORK IN THE
n HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes. this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Ttlls permit Is granted on the express condition Ihal the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including tile
Development Code, regulatlng the construction and Lise of
buildings, and may be suspended or revol<od at any tfme
upon violation 01 ~riSlons OI~ld ordinances.
Plall CllOCk Feed ~~o( ~
Dato Paid: _ ~_,_ . <-f~
Receipt Number ~ l.~3~
Receive y: I
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PI all Reviewed By/" / Dare
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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By signature, I state and agreo, 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 worl< described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
1 further certify that only contractors and employees who
are In comptlnnce with ORS 701.055 will be used on tllis
project.
I further agree to ensure that all required Inspections arc
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
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VALIDATiON:
7 $l'b'7-
2-/~7 :::s
AMOUNT RECEIVE" -:z.b 7~ q6"
RECEIVED BY /2' ~ -
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RECEIPT NUMBER
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DATE PAl"