HomeMy WebLinkAboutPermit Building 1998-8-26
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
LOCATION OF PROPOSED WORK' Cf{, 'f
/7b 3']t.{'L/
ASSESSORS MAP'
LOT:
OWNER: 1//-1/"
ADDRESS' . ~q';)
CITY' E:~:J
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DESCRIBE WORK'
NEW
REMODEL
CONTRACT~R'S)NAM1
GENERAL:t,A.Jdct.,u
PLUMBING'
BLOCK:
"9
tU
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STATE: J:).~
ADDITION
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OTHER
DEMOLISH
.
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JOB NUMBER
225 Filth Street
Sprlnglleld. Oregon 97477
TAX LOT:
SUBDIVISION'
t?12-fIO
, PHONE:
087r-8'k9~
ZIP:
r;7~r) .:J
ADDRESS
~~J.~. ~_I <;:,.1/ .u~(U ,
L--<Jr.
CONST.
CONTRACTOR'
/~C)-
EXPIRES ..... PHONE
Cf9"1 .. Ybt/a:J
a~/-R>t?9'Y
MECHANICAl'
ELECTRICAl'
NOTICE: - OFFICE USE _
QUAD ARTJJJ.S PERMIT SH^ll [XI" RE I LAND USE: - -.--..-. FLOOD I?LAIN'
AI JTH . . I F THE W()R "TTl:r~, ,v...vregon law reqUires you to
· OF BLD<::lS' ORIZED 1I!llD<=fj":'1I3 P . '01" ~'TS: fllllow rules ..nopted bjz:ONJl9li\3g~~""1'
OCCY G~g~MENCEO OR ,; ^ ~ ~I Ll:>OENREMO'T ~~~QIR. TYPE: NO,tlfication Center. Tho~El:JF'I~\l,ill.l1s'let forth
ANY 18 ., , 'IJ FOR '" 01\'F. "o,,-uv ,-001 0 through 1JAj:i'9b2-001-
. OF STORIES: 0 D~ V PERlnn HEAT SOURCE: 0090. Ynl'.lI1aJLObtain c~e~D'MiIYrU1581Tly----
calling the center. (NCl!ll.; tI:1R/!3I!w~M .
WATER HEATER' RANGE: - ",,,",,.,, iur lilt! Oregonllil1ify /il6tl1i'caho~' __
vt:IHttJ I::; l"OUV"""i!-4:!;jq.q./.
To request an Inspection, you must call 726.3769, This Is a 24 hour recording. All Inspections reques ed before 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a.m. will be made the (ollowlng work day.
o Temporary Electric
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrloall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Undorground Plumbing - Prior
to filling trench.
D Undarfloor Plumblng/Machanlcal
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or deckIng.
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stovo - After Installation.
D Insert - After fireplace approvI$1
and Installation of unIt.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewall, & Driveway - After
excavation Is complete, forms
and sub-base materIal In place.
D Fence - When completed.
D Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing W9rl( Is complet.e.
D Final Eloctrlcal - When all
electrical work Is complete.
~Final Mechanical - When all
mechanical work Is complete.
D Final Bulldln - When all
required I ectlons have been
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 connecled to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
1 -' ..~. " ~;1 \ii \~\ .
'Lot Type.
Lot faces Setbacks i, IS THE PROPOSED WORK tN THE.
Lot sq. ftg. Interior I PL. HSE GAR ACC I HISTOI;lICAL DISTRICT, OR ON
I THE HISTORICAL REGISTER?
Lot coverage Corner N " yes. this application must be signed
,. S I and approved by the Historical
Topography Panhandle I Coordinator prior to permit Issuance.
Total height Cul.de.sac W
--- I
IE APPROVED'
BUILDING PERMIT r,
ITEM SQ, FT.
X $/SQ, FT.
VALUE
'. .,.... '. "
BUILDING VALl'JE, PLAN CHECK
AND BUILDING PERMIT
:, 't
Garage
"
This permit is granted on the express condition that the said
construction shalf, In all respects, conform to the OrdInance
adopted by the City 01 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 said ordinances.
Main
Carport
Plan Check Fee:
Dale Paid:
Total Value
Receipt Number.
Building Permit Fee
Received By:
Slate Surcharge
Total Fec
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development 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.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Stato Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
. Vent Fan
N'
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certHy 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
arc In compliance wllh ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
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 slte;t al~. Imes durln~nstrucllon.
SlgnaturY-~~~
Date P /;;:2cN.>-
/' t'
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
It
Demolition
~ f (II)
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
( "f 'f
/'f. 'W
~ -
RECEIPT NUMBER
DATE PAir'
AMOUNT RECEIVED
RECEIVED BY
0'/'7_ II
~ 12-(, / 'f~
, .
I1~JC( 'I /J
w V uvi7
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, D, and E Combined)