HomeMy WebLinkAboutPermit Building 1992-9-25
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RESIDENTIAL .
PERMIT APPLICATION
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Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
SPRINGFIELD
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BLOC1<'
ASSESSORS MAP:
L01'
OWNER:!;?'C.I-l.~ 0 n
u.~ <P., A"'-
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ADDRESS: \ '2.,A. '3. ~ t )\ 0A.....:::T"
CITY: "':'-,pp \\..'\C_!:~_IJ)
STATF'
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DESCRtBE WORK: ~Ae-. Hr>Q"1.L">4
NEW
REMODEL
ADDtTtON
DEMOLISH
OTHER
JOB NUMBER q '11 ~4~
225 Fifth Street
Sprlngfietd, Oregon U7477
TAX LOT: Oll::;~
SUBDlvtStON:
PHONE: 1~~-4'Z.$l.(f.>
ZIP: ~14--' :-L
CaNST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAL~~"-lCL.(\U-.m_Co,'< :l.:'~~r:~SOI'l_". Jo:74. "'CC
PLUMBING:
MECHANtCA' .
ELECTRtCAt .
QUAD AREI"
. OF BLDGS'
OCCY GROUP:
. OF STORtES'
WATER HEATER'
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE: __
HEAT SOURCE:
RANG~'
PHONE
f.97.05r6
EXPtRES
FLOOD PLAtN: _" _
ZONING CODE: __...
It OF BORMS: __ __
SECONDAIlY HEAT:.
SQUAllE FOOTAGE: . _ _____
To request an Inspection, you must call 726-3769. This Is a 24 hour rocordlnu. AI' inspections requested before 7:00 .1.In. will be
made the same working day, inspections rCQuested after 7:00 a.m. will be Ina(lc lhe following work dLlY.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
selting forms. '
o
Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - Aftcr trcnches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms arc
erected but prior 10 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
decktng.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sower - Prior to filling
trench.
o Watcr Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mcchanicnl - Prior to
cover.
o Rough Electrical - Prior 10
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior 10 facing
materials and framing Insp.
jL)J Framing - Prior to cover.
o Wall/Ceiling Insulation - Pliur to
cover.
o Drywall - Prior to t;lpin{J.
o Wood Stove - AHer Ins tall a lion.
o Insert - After fireplace apPlOval
and Installallon of unit.
o Curbcut & ^PlHO.ICh - Arter
forms arc erected but prior to
placement of concrete.
o Sidewalk & Driveway - Aftol
excavation Is cOlllplele, fonn5
and sub. base material in place.
o Fence - When completed.
o Street Treos - When all required
trees are planted.
1:=1
Final Plumbing - Wilen :III
plumbing work Is complelo.
o
Final Elcchical - Wilen all
electrical work is complete.
o
Final Mechanical - When nil
mechanical work If. complete.
o
Final Ouilllinu - Whrm all
required Inspections have boen
approved Clnd bulldinn is
cumpleted.
1:=1 Other
MOBILE HOME INSPECTIONS
I~ OIocking and Sel.Up - When all
blocking Is complete.
I~ Plumbing Conneclions - When
home hns been connected to
waler and sewer.
o Electrical Connection - Whenl
blocking, sel-up, and plumbing
inspections hLlve been approved
and the home is connected to
the service panel.
o
Final - AHer all required
Inspections ale approved and
porches, skirting, decks, and
venting have been installed.
.
Ll)1 la(;{J~
Lot TYII'-::
.
Sethacl(s
-----"-~-
IS . PROPOSED WORK IN THE
HtSTORtCAL DISTRtCT, OR ON
THE HtSTORtCAL REGISTER?
Lot sq. flU.
IntcliOl
~ JiSE .GAR _ACC
~------
2-___
Y'l....--___
E
Lot covlHa~le
Cor ner
TopourapllY
PanllWldle
Tolal helghl
Cul.de.sac
BUILDING PERMIT
ITEM SO. FT. X $/50. fT.
VALUE
Main
GmaU8
Carport
qQ2~O
Cl - (jO
~I ::::'O.==-
II.SO
,8~
1E>.:.9
SYSTEMS DEVELOPMENT CHARGE (SDC)
Total Value
Buildin{J Pellllit Fet.:
SI;lle ~';llICll;HUU
Tutal l:-t~O
(AI
(B)
PLUMBING PERMIT
tTEM
FEE
Fixtures
Residential B.Htl(S)
!!L-_.__ -
Sanitary Sewer
FT.
fT.
Water
'Storm Sewer
FT.
Mobile Home
Plumbing Permit
State SurchiHue
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hoo(1
Vent Fan
N'
Wood Stovellnsert/Flrer>lace Unit
Dryer Vent
Mectwnical Pelll1it
.
Issuance
Slate SurchnrUc
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surclla,-ue
Sidewalk
It
Curbcut
It
Demolition
Slate SurCll,lIfJO
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exclueJlnu electrical)
(A, 8, C, 0, ,lilt! E CombIned)
\e.~~
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issu[lflce.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the sale1
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, 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 snid oreJlnances.
Plan Check Fcc:
Date Paid:
Rcceipl Nurllbcl':__
Rt~ccjvcd By:
Plan:; Ilt~viewud By
Dale
Systellls Development Charge Is (lue on all undeveloped
properlies within the City Ilmils which arc being Improved.
ADDITIONAL COMMENTS
By signature, I state and agreo, that I have carefully examined
the completed applicatlon and do hereby certify thai all
Information hereon Is true and correct, and I turtller certify
that any and nil work performed shall be done in accordance'
with the Ordinances of the City of Springfield, and the Laws
of the State of Oreoon 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 tllat only contractors and employees who
are In compliance wit!1 ORS 701.055 will be used on this
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 (It the front
of the properly. and the appr '"~ O~, ~; ~:~IJI remain
on 010 site at all limes durl construction.
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VALIDATION:
RECEIPT NUMBER OOc,~c>..co
DATEPAIf' o,!J..-<;/qz..
,
AMOUNT RECEIVED_/I?:;8
RECEIVED BY _,~-,,1 DF I r ,