HomeMy WebLinkAboutPermit Building 2000-7-5
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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SUBDIVISION: P /}VC;; L t9.r ~4K-';:JEd.);
SPRINGFIELD -- 'f).
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LOCATION OF PROPOSED WORK: .-.-3.3SC:,
17D2'3/3'-1
ASSESSORS MAP:
LOT:
BLOCK:
\rJ11-~ -- 7
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OWNER: A1Z.J...JA.JD~ ~'.ILR.d
ADDRESS: j;., 7 ~- r"3 ~ )..J D -S'{
CITY: S-p F /... 7)
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DESCRIBE WORK:~Q-.-.~i!
NEW REMODELX
ADDITION
STATE: . <:C ,R..
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DEMOLISH _____ OTHER
00 -0(0 S-3 -0 I
.JOB NUMBER
225 Fifth Street
Springfield. Oregon 97477
PHO~4E: 7Lr-7,- YO ~~ \
ZIP:?"'7~7 Y
CON ST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR #
GENERAL: -..5'T rl-A!..J.. ~ )L~ L/ ef( __~____ -<)~ 2__-" s-cfl
PLUMBING:
MECHANICAL'
ELECTRICAL:
QUAD AREA:
# OF SLDGS:
OCCY GROUP;
# OF STORIES:
WATER HEATER:
"'--
- OFFICE USE -
LAND USE:_
# OF UNITS:
CONSTR. TYPE::
HEAT SOURCE:
RANGE: ________..
EXPIRES .~ PHONE
7f/6-6'1S I
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. TIlls Is a 24 hour recording. All Inspections requested before 7;00 a.m. will be
made the same working clay, Inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be madc'
after excavation. but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
m Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
R7I' Foundation - After forms are
~ erected but prior to concrete
placement.
D Underground Plumbing -- Prior
to filling trench.
.0 Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
~ Post and ~ Prior to floor
Insulatlon~cklng.
C3I Floor Insulation - Prior to R1-\
' decking.
, 0 Sanitary Sewer - Prior to filling
trench.
o Storm .Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to..
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ramlng - Prior to cover.
~all/Celllng Insulation - Prior to
~ cover.
~rYWall - Prior to taping.
o Wood Stove - Atter Installation.
o Insert - After fireplace approvlll
and Install,1tlon of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvewav - After
excavation is completc, forms
and sub-base ma\erial in place.
o Fence ~ I,(Vllen cCi",lpleted.
D 8treet Trees - When all required
trees are planted.
D
Final Plumbing - When all
plumbing worl< Is complete.
o Final Electrical - Wilen all
electrical worl< Is comPlete,\
~ Final Mechanical - When al\
mechanical work Is complete.
~-:vFinal Building - When all
~ ~~qUired Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECfIONS
o Blocking and Set. Up - When all
blockln~J Is complete.
I l 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 connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, 'skirting, decks, and
venting have been Installed.
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Lot faces Lot Type
Lot sq. ftg. Interior
Lot coverage Corner
Topography Panhandle 'i'
Total height Cul-de-sac
N
Setbacks
, H S ~TG;,-R ' Ac-;-l
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is THE PROPOSED WORK iN THE.
HiSTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
I PL.
S
W
E
APPROVED:
--..;;;;:--
BUILDING PERMIT 'Ii
ITEM
SO. FT.
X $/SO. FT.
VALUE
\ (}~:. ,S B1J.ltblt~G VALOE,PLAN CHECK
AND BUILDING PERMIT '
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Carport
~ (~VC-tZ--'SL~
37e-6
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
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
Garage
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Plan Check Fee:
">:"':
'-"':::
. .. . ~.
Total Value
3960
Date Paid:
Recel pt Number'
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A) ;;&:- <l V- ___
SYSTEMS DEVELOPMENT CHARGE (SDC)
Plans Reviewed By
Date
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary S~wer FT..
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge (C)
MEGHANICAL PERMIT
Furnace
ADDITIONAL COMMENTS
FEE
Vent Fan
NO
By signature, I state and agree, that I have carefully examined
the completed application and.do hereby certify that a.II
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinanctls of the City of Springfield, and the Laws
of the State of Oregon periainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wi tho'U-t permission of the Building Safety Division.
I further certify Hlat only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proj ec l.
Exhaust Hood
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further' agree 19 ensure that, all required Inspections are
requesied at the proper time, that each address Is readable
from tho 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 du~~nstructlon.
Signature _~&J5~
7 ,-.-R-tl ~ f
Date - '-.~ ~ L/L/
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
State Surcharge
Sidewalk
ft
Curbcut
fl
Demolition
Total Miscellaneous Permits (E)
DATE PAID
RECEIPT NUMBER
o 70:>0 c:::.
93.
2Lfc90
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Slate Surcharge
VALIDATION:
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TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
AMOUNT RECEIVED 2- <g
~j]
RECEIVED BY
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