HomeMy WebLinkAboutPermit Building 1998-12-28
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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SPRINGFIELD
LOCATION OF PROPOSED WORK:..:;;z.;2. 7108
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BLOCK:
OWNER:_/:/~ ~~?c..
ADDRESS:' '7 '2 ~~ . ';'L,-A- ~.- _ ".~
CITY' ??/Q::.(? STAT~'
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JOB NUMBER ~~/
225 Filth Streel
Springfield. Oregon 97477
TAX LOT'
SUBDIVISION:
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DESCRIBE WORt<. 1~.l"7'"~~ ~~ ~~~,~.Po?Z> bA"~4-9r~.
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CONST.
j,.7~~~~~7"~ >z;>CONTRACTOR' EXPIRES
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CONTRACTOR'S NAME
GENERA' .FrP'.~
,IP - , _ /
pWMBING:
MECHANICA' .
ELECTRICAL:~~/L~
~ PHONE
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- 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: RANG~' SQUARE FOOTAGE:
To requesl an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requesled 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 mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanlca.1 - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
.beams, grouting.
o Foundation - 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 Stann Sewer - Prior to Hlllng
trench.
o Waler line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
~ Rough Electrical - Prior to
lA.J cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
I4J Framing - Prior to cover.
o Wall/Ceflfng Insulation - Prior to
cover.
[J<1 Drywall - Prior to taping.
o Wood Stovo - After Instal/allon.
o Insert - After fireplace approv~1
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 - VVhen completed.
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing w9rk Is complet.e.
ri71 Final Electrical - When all
~ electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
1171 Final Building - When all
l,&..J required Inspections have been
approved and building Is
completed.
o 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 Installed.
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BUILDING PERMIT "1 'Ii 't
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
;/71~ l/0?~~~
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
"'I' . ..l,; ~~,: ;~1 ;~.~;~\:;
, '.,1. ,
Setbacks .
HSEIGAR
VALUE
"
I-~~.
2~-
I'~~'
-~~
2"7.-
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
Slorm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace 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
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. D, and E Combined)
FEE
Z2~
Acc.1
I
.S THE PROPOSED WORK tN THE.
.HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes. this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVEf"
BUILDING VALl1E,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
adopled by the City 01 Springfield, Including the
Development Code, regulating the construction and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Recel pt Number'
Received By:
Plans Reviewed By
Date
Systell)s 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 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.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address 15 readable
from the street, that the permit card Is located at the !ront
of the property. and the approved set of plans will remain
on the site at all tI:S...d~?/CtlOn.
Slgnatu~~ ..
Date //::~ R/aN
, /' /' .-
VALIDATION:
-?~ 7"CJ./
DATE PAID/ 7....:z.Ji6 .9.8
AMOUNT RECEIVED -:??_ c> 0
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RECEIPT NUMBER
RECEIVED BY