HomeMy WebLinkAboutPermit Building 1999-1-19
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK: (, S-Ll
J7~>:>- 3 y-/V' {
ASSESSORS MAP'
LOT'
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BLOCK:
OWNER:i}~OPk ry fli/(I!(}
ADDRESS: _ . J 'fJ./ / MJ"'l
CITY: 5ijl/d 'J
I
7J;~~:z3jt
STATE: /)/2
.
JOB NUMBER
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. .
225 Fifth Street
Sp,lngfleld, Oregon 97477
TAX LOT'
SU8DtVtSION:
~"9/e>
PHONE"
7Q/-6765'
ZIP: 97?/J1
DESCRIBEWORI<' /..(f7slz;;flf'~ izJ J]/'f7{/t()US (~f;'d71.
I I
NEW REMODEL ADDITION DEMOLISH OTHER
CONTRACTO.?jS/NA~f I
GENERAl' /{/()lin(J)f's
PLUMBING:
MECHANICAl'
ELECTRICAl'
U ADDryE;r>
if huJ /oft/"5
CONST.
CONTRACTOR'
OllifC,c, 7
PHONE
h 119-1{ V'T' ~
EXPIRES ......
.S- In/o a."
- OFFICE USE -
QUAD AREA: LAND USE:_ FLOOD PLAIN'
. OF BLDGS' . OF UNITS: ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONl)ARY HEAT:
WATER HEATER' RANGE: SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording, All Inspections requested 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 made
after excavation, but prior to
seltlng forms.
o Underslab Plumbing/ Electrlcal/
Mechanical - Prior to cover.
o Fooling - After trenches are
excavated.
o Masonry - Steel locallon, bond
,beams, g,outing,
o Foundation - After forms are
erected but prior to concrete
placement.
o Unde,ground Plumbing - Prior
to filling trench,
o Underlloor Plumbing/Mechanical
- Prior to Insutation or decking,
o Post and Beam - Prior to floor
Insulation or decking.
o Floor InsulaUon - Prior to
decking,
o San1\ary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench. .
o Rough PlumbIng - P,lor to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
cover.
D Rough Electrical - Prior to
cover.
o Elect,lcal Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
~I/C."lIng Insulation - P,lor to
IiLI ~~~er.
~all - Prior to taping,
o Wood 510vo - After Installation.
o Insert - Atter fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Drivewav - After
excavation Is complete, forms
and sub.base material In place.
o Fence - V"hen completed.
o Street Trees - Wh~n all required
trees are planted.
o Final Plumbing - When all
plumbing work Is complete,
, ,
D FInal Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
!Xl Flnat Building - When all
required Inspections have been
approved and building is
completed,
DOthe'
MOBILE HOME INSPECTIONS
o Biocklng and Set.Up - When all
blocking Is complete.
o Plumbing Connoctlons - 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.
Lot faces
Lot sq, ftg,
Lot coverage
Topography
Total height
L~t ~yp.
Interior
Corner
.
Panhandle
Cut.de.sac
BUILDING PERMIT 'i '~ 't
ITEM SQ, FT, X $/SO, FT,
Main
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
Total Fee
(A)
"
'c' I,';'
.' ,; ~:' , ;~\, ,,' ,: ~.;j ~ .
,., '\'i \
.S THE.PROPOS~~ WORK IN THE.
'wHISTOl;llCAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks '
I PL. HSE GAR Acc'l
I N I
I S I
w
----
,E
VALUE
"
5)'cz::>,., -
56. .,-
, ::j'.&~
/,~
6/ , ~2...
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING ~ERMIT
tTEM
Fixtures
Residential Bath(s)
N'
San II ary S~wer
Water
FT,
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Pe,mlt
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnserl/Fl'eplace Unll
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(B)
(C)
Mobile Home
MISCELLANEOUS PERMITS
(0)
State Issuance
State Su,cha'ge
Sidewalk
It
Curbcul
It
Demolition
Slate Surcharge
Tolal Miscellaneous Pe,mlts (E)
FEE
TOTAL AMOUNT DUE (excluding clectrlcal)
(A, B, C, D, and; E Combined)
'_,_.-J
APPROVED:
BUILDING "Auk PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
constructlon shall, In all respects, conform to the Ordinance
adopted by the City of Sp,'ngfield, 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,
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
SysterflS 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 compleled application and do he,eby ce,tlfy 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 perlainlng 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 Is readable
from the street, that the permit card Is located at the front
of the property, and the approved t of plans will remain
on the sltrt}1 {Im"JJ I g struCllon,
SI9natura~Y-- .c
Date !f~/9;
VALIDATION:
RECEIPT NUMBER '?'< S#i~
DATE PAID / '/"9- ,9"3-
AMOUNT RECEIVED 6('.e:P2._
RECEIVED BY ~r~ -~'" ~-
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