HomeMy WebLinkAboutPermit Building 1999-7-16
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CONTRACTOR~4~'leS fUli'>i'RES
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1'111 Cal'l'
QUAD AREN01ICE: LAND USI;: FLOOD PLAIN'
'D.lIS PERMIT SHAU- EXPIRE IF THE WORK
# OF BLDGI7" # OF. UIIU'l'S'
1IIlTHORIZEDUNDERTHISPERMIIISI\lUI
OCCY GROUP':' ....DON..GOIlf&TR. TYPE:
r.OMMENCED OK I~ Alj"" t:u run
# OF STORIES": - - j) HEAT SOURCE:
ANY180UAYt'l:t1IU .
WATER HEATER'
.....--
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
LOCATION OF PROPOSED WORK' /, S ()
ASSESSORS MAP' /70'3;, 2 7 3 2-
':.1
LOT'
OWNER'
1hOM45
CITY:
DESCRIBE WORK'
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
/)WA/D/.
PLUMBING'
MECHANICAl'
ELECTRICAl'
.:
..
JOB NUMBER!l.9~ 3'12.- - 4
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: 06/1.3
SUBDIVISION'
PHONF'
ZIP: '1?- f4 77
OTHER
o
PHONE
r9 /A. / tV /+ott-
BLOCK:
STATF.
t?/L
ZONING CODE:
# OF BDRMS'
SECONllARY HEAT:
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 Inspoctlon - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcel/
Mechenlcal - Prior to cover,
;[]~Otlng - After trenches are
~'xcavated.
"J.NrelUtJ~
WA-I/
ADDITION
DEMOLISH
ADDRESS
RANGF.
REQUIRED INSPECTIONS
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
o Electrical Sarvlca - Must be
approved to obtain permanent
electrical power,
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond /::...~
.beams, grouting, . LWftalnlng _ Prior to cover.
o Foundation - 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 filling
trench.
o Storm Sewer - Prior to filling
trench.
o Waler Line - Prior to filling
trench.
D RGugh Plumbing - Prior to
oovar.
:.;J.._
--
o Wall/C'alllng Insulation -:- Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installallon.
o Insert - After fireplace approvlll
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Drlvewav - After
excavation Is compioto, forms
and'sub-base mAterlalln placo.
o Fence - When corl'pleted.
D~Str..t n... - Whlln all rGlq",lrgd
troe. .re plant!'d,
II II llil _"__,,.,___,
o Final Plumbing - When all
plumbing worl( Is complete,
~J . .
h !Inal Electrical - When all
rjlectrlcal work Is complete,
(' r1/Flnal Mechanical - When all
'bJ mechanical work Is complete,
.7[J Flna~ulldlng - When all
(" U 'equlred Inspections have been
approved and building Is
compleled,
OOthar
MOBILE HOME INSPECTIONS
o Blocking and Sat.Up - When all
blocking Is complete,
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections ere approved and
poroho8t.. skirting, decks, and
venu"G nlllve boen InetaloCl.
r-
,1'
Cul.de.sac
_Vf.___
~ ~ ~.. "
~>"'.",.,\ .;1i:'J,,!:I;~f...
""..!t",. ,....
Setbacks. .'S THE PROPOSED WORK tN THE.
HSE GAR ACC'IHIST08ICAL DISTRICT, OR ON
./ THE HISTORICAL REGISTER?
..1 If yes, this application must be signed
and approved by the Historical
I Coordinator prior to permit Issuance.
I
BUILDIN!G W\lOE, PLAN CHECK
AND BUILDING PERMIT
APPROVEP'
'.
Lot faces
,
I" ......
Lot TY'~.
Inlerlor
~ '. .
',{. \ .'~ "f ",1
~:-.~;\ ".'
','
Topography
Total hel ght
\.
Panhandle'
I PL.
IN
Is
Lot sQ, ltg.
. Lot coverage
Corner
,
(,
,E
BUILDING PER~ITrl;:iG
't
ITEM
sa, FT.
X $/SO. FT. _
VALUE
Garage
"
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Dovelopment Code. regulating the construction and use of
Dull dings, and may be suspended or revoked at any time
upon violation of any provisions of saId ordinances.
Plan Check Fee: ~,.'i)
Main
Carport
Oato __Aldl
Total VOl ue
Bulldlno Permit Fee
State Surcharge
Roeol~1 Numbor!
~"aDIY.d gYI
Total Feo
(A)
Plans Reviewed By
Date
(B)
Systems Developmonl Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
Storm Sewer
FT,
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Mechanical Permit
'-- - - -'-
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 tho 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.
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Issuance
,- --~..-
State Surcharge
Total Permit .
.,
-~
(D)
, /.....
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 set of plans will remain
on the site at all times during construction.
",".."~~fl.::~/ >1 _
Date 7/; 4,jq 4 C
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBE7 ()"'3t{ f i 7
DATE PAID 7" /11
AMOUNT RECEIVED~' ) J1
RECEIVED BY .;;J1J,..J'
Total Miscellaneous Permits (E)
,
\,
,
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined) ,