HomeMy WebLinkAboutPermit Building 1998-12-7
RESIDE~TIAL
PERMIT ~"PPUCATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP'
LOT'
,
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SPRINGFIELD
BLOCK:
OWNER:~\ ~ ..\~<?('yl .~li/l3
ADDRESS' q 1I. L. ~re;,L'-o 1.1 L--.o.. ~
CITY' s:..nf'IV-o {.), U o'! . STAT~' 0 (Ie.....
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DESCRIBE WORi'"
s._J.~ (d
NEW
REMODEL
CONTRACTOR'S NAME
() {rI J../..e It.
GENERAL:
PLUMBIN/>'
MECHANICAl'
ELECTRICAL:
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER'
.CONST.
ATTEl'1tlJ0~P& 1 EXPiRES....
follow rules a . 8' 1 aw reqUires you to ..
~ "-1'" ,. dOPfed bv the OrAgnn , 'tIIit}'
O'VO . ''''''Clllun venter Th ...
in OAR !l"?nn1_nn~ ^ 'lose rules are set forth
0090 '(: .J',;,-' "uul,lIlVI'\Nl,lo2.001.
, " ou may obtain CODie~ nf tho r..'_ t..
vull.. 'll me center, (Note' the t, . - S ,
numb f ,e ephone
. er nrthe Om--" '".".
~ .. ~\.... ,,",I., "y l'IOIlTlCatlon
, .On ........... QS" _.
... .rvlJ''''iC.''''*4).
fJa.+, :0
Co ve..F
0>'1.
ADDITION ~ DEMOLISH
ADDRESS
- OFFICE USE -
~ - "'r-'>.~~ LAND USE:
I~V 11\16.
- --:;-'..- SHALL E"!I(~1R8MTs:If' WORK
In!\) rt;;.lllYII'
.' ,-' 'M'~~" UNDERa-l!>'iis:rRRM<PE~ NOT
t\UIIIVIU.......-
S '^" "",...""n "OR
""''''''''''''''11 OR I ,HEAT. SOURCe
.....v........... ..~-
"r" ; ,. " nA Y PERIOC'RANG E: _
.
9fltf 7'9
JOB NUMBER
225 Filth Street
Sprlnglleld, Oregon 97477
TAX LOT'
SUBDIVISION'
() 7100
PHONE:Z~7- <120 '-(
ZIP' Cn 47 (
~/(>.Ia. td 1..D.?r fc
OTHER
PHONE
FLOOD PLAIN'
ZONING CODE: _
. OF BDRMS'
SECONDARY 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 aHer 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
setting forms.
o UndersJab Plumblng/EJectrlcal1
Mechanlca! - Prior to cover.
o Footing - Alter 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 Underlloor Plumblng/Mechanlcal
- 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 Water Line - Prior to filling
trench.
o Rough Plumbing - Prior io
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
~lrePlace - Prior to facing
, erlals and framing lnsp.
o Fr mlng - Prior to cover.
o Wall/Cefllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Instailallon.
o Insert - After fireplace approvel
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 corllpleted.
o Street Trees - Wh~n all required
trees are planted.
o Final Plumbing - When ail
plumbIng wc;>rk Is complet.c.
D Final Electrical - Wilen all
electrical work Is complete.
o Final Mechanical - When ail
mechanical work Is complete.
/""\
~FI Building - When all
qui red Inspections have been
approved and building Is
completed.
oath.r
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
Inspecllons have been approved
and the home Is connected to
the service panel.
o Final - AHer all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Ins tatted.
BUILDING PERliJflT " t
ITEM .' SQ. FT. X $/SQ, FT.
Main
Garage '.
~porl COI/I;t-
/1...Tt::.
Total Value
Building Permit Fee
State Surcharge
Tolal Fee (A)
;.
I P.L.
IN
Is
w
----
E
VALUE
/So~
'J.f".tJrJ
]5/ar-
J. 7. 00
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
,
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanllary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Iss~flnce
State Surcharge
.'
Total Permll
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
. State Surcharge
Sidewalk
fl
fl
Curbcut
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
I
TOTAL AMOUNT DUE,(excludlng electrical)
fA, B, C, D, and E Combined)
FEE
/(",).!J'
'-13, }..!,-
" . ..... ~::.: (.:1 ~"I;~\:~'
...J;I.'"
,
I
'IS THE PROPOSED WORK iN THE,
"'HISTORICAl DIS;RICT..!/,'R ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Setbacks.
HSE GAR ACC'
APPROVED:
,.
. -'!o-- 'j '.
BUILDING VALOE, PLAN CHECK
AND BUILDING PERMIT
This permit Is gran led on the express condition Ihat 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
oulldlngs, and may be suspended or revoked at any time
upon violation of any pr9vlslons of said ordinances.
Ib' L S'
Plan Check Fee'
-.JWL1 g
Receipt Number: 6':<);2...2;. f&4-
Recel;JiJ ~ J tJJ /J- fr
Plans Reviewed By ~e
Date Paid:
Systems Development Charge Is due on all undeveloped
properties within Ihe Cily limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
Ihe compleled 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 Ordinanc~s of the City of Springfield, and the laws
of the Stale 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 ensuro that ail 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.
Signature ~ ~ (~
....)
Date
I)" - 7- CJ CO
VALIDATION:
03 '2- 2.- 'f V
DATE PAin 1?4 7/ t(y
AMOUNT RECEIVED_&/S_'2..S" /l
RECEIVED BY Ail ?J~
RECEIPT NUMBER