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Home My WebLink AboutPermit Building 1992-11-12 C01/l{m pc V?D?L , RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726,3759 ASSESSORn MAP: LOT: q DESCRIBE WORK: NEW J REMODEL lMJU-t. Atl())ry)~, t-bA-{'rN.Jee~ 1t/ h l/DhO JOB NUMBEA ~.\ \\ \..\~ ~A- I I') 2fJ If hlrvw.--- SPRINGFIELD STAT~' ADDITION OTHER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: ~\~ D'-A SUBDIVISIO~Uf..L, "--AU~ ~O\C;if-3 L( If ~ PHONE: ZIP: q ?;;4o ( fcofIV (to ~ OWNER: ' ADDRESS' :Jon tre<0-trY1w D.v CITY: ~ Aft CUJl ()hAA' /)D ( l\klAJ (j)Ailt-ATU c-~h'orl oi v DEMOLISH CONS~ ' CONTRACTOR'S NAME , ADDRESS . CONTF}!\9TOR # EXPlfES PHO-JE GENERAL: tv~lfJJ bfLULrn.CUI\ 4-11f\- 2.f\(tu ~ l \l5&< cJ!~qtJ3lL~~-78Jf PLUMBING: 9~K'~ ' MECHANICAL: _ . ~ 1\ ELECTRICAL: If ct .' ~ Lt {./ QUAD AREA: 4R.~G # OF BLDGS' - t OCCY GROUP: k3-YrYl 11 OF STORIES: \ '~ WATER HEATER: - OFFICE USE - III # OF UNITS: I 1\ 1 CONSTR. TYPE: ~!V\ l HEAT SOURCE: \/'..1 n ~.. LAND USE: RANG~' FLOOD PLAIN:- ZONING CODE: W/0 # OF BDRMS: ... ~ SECONDARY HEAT: SQUARE FOOTAGE:/LJJQ4 , 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. ~'TempOrary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. W1' Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trencll. ~ Underflli'O'r PlumblnQ}Mechanical ~ - Prior 'tt.~"",u'at"lO"i1 or decking. 1\.-1"Post and Beam - Prior to floor ~ insulation or decl<lng. K7( Floor Insulation - Prior to )/"L, decking. , IYI Sanitary Sewer - Prior to filling ~trench. I\.A Storm Sewer - Prior to filling , ~ trench. . ~ Water Line - Prior to filling ~ trench. . . I\..A Rough Plumbing - Prior to ~cover. REQUIRED INSPECTIONS 15<1 Rough Mechanical - Prior to , ,cover. . ",,.'(Rough Electrical - Prior to ~ cover. d Electrical Service - Must be ~ approved to obtai n permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. I"v"1 Wail/Ceiling Insulation - Prior to ~ cover. o Drywall - Prior to t~plng. D Wood Stove - After I~stallation. o Insert - After fireplace approval and Installallon of unit. , I'v1 Curbcut &' Approach...,... After ~ forms are erected but prior to' placement of concrete. ~Sidewalk & Driveway - After ~excavatlon Is complete, forms and sub.base material in place. o Fence - When completed. (~treet Trees - When 'a(1 required rees are planted. ' ~ Final Plumbing - When all ~ plumbing work Is complete. r:><:[ Final Electrical - When all electrical work is complete. , . l5<:f Final Mechanical - When all , mechanical work Is complete. 1:><r Final Building - When all ( ... required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blockln'g and Set.Up - When all blocking Is complete. ,'" o Plumbing Connections - When home has been connected to water and sewer. o EI~ctrlcal Connection - When blocking, sehup, and plumbing Inspections have been approved and the home Is connected to t.he service' panel, d""" , Final "';"'After all required . Inspections are :approved and , porches',' sklrlln'g, decks, ci'nd venting have' been Installed. ' " f, I' t: ~ Lotfaqes , ~ . , . ~ ':. 'f';.:.,....';F:V.. ..' .'.... . . Lot>~'~:',it~.!);:&2- 3 i Lot ,coverage 27 % S THE PROPOSED WORK IN THE HISTORICAL.: DISTfllCT, ORON THE HISTORICAL REGlISTER?' If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance, , Lot TY.pe , ~"_~ r ';""" .... ;~~:"~,~l .~"lh'tMi6rl"'" , .., . .~~3.~'~~-:: : '\.~ ------'- Corner ;. :,. ~...'~ ~~,:.:-. 'p~nh~~dle Setbacks .,J~L.' ,HSE GAR ACC 0"~ ,';l-::~-\ . "'-. -,,' ~'I' 'N' 2"5 S 2/' 'l:--." . TopographY Total height \'?/ _ Cul-de-sac W IE 5' 0( , BUILDING PERMIT sa. FT; , X $/SO.. hT, '" VALUE /f1~ 510 ciD LaK CfDl ~ \4,\U TP;iSq~ ITEM. Main Garage Carport ']~4Liq ~I"':. ) tS 0 / @;,p~ (A) , :t7'7,or -*' I SYSTEMS DEVELOPMENT CHARGE (SDC) ~ il'5B~~ Total Value Building Permit Fee State Surcharge Total Fee (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO "2 /~~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ~6-0 Total Charge (C) / &,$, ~ MECHANICAL PERMIT Furnace 4.S-0 t c,.fk1 Exhaust Hood Vent Fan NO 2. Wood StovellnsertlFlreplace Unit Dryer Vent ~&-e Mechanical Permit miD, /5, O<J --LO,OiJ ,7,) 2'S.75" Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge jq,30 i.3 .tOO Sidewalk i;.Z ft '21- ft Curbcut Demolition State Surcharge .a!M AlH/CtAI , " Total Miscellaneous Permits (E) 4GJ , 4-Q ~r{) . 25':)(::. ~ 7 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) , APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 violatio~ provisions of said ordinances. Plan Check Fee\~'-- ~(1 &,,:::> . - -. " Date Paid: Receipt Number' L11~ 2- Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS --- ~'N\e ~~(nC\~h \S\\~ \\ C\5lD6E, ~ 0.\,-~ '-..i \.-st+,: I: Y)f)[) ) \(i\n[lOk-[)(}~Q->'1 Jq {p ~ '\ ~1tl\_. -r.ili~' I . INn ,,,- . J,LL!( ..J \,.J By signature, I stale 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 the work described herein, and that NO OCCUPANCY will be made of any structure Witllout permission of the Building Safety Division. I further cerli fy that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. 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. Xnature(kiL~ I Date VALIDATION: ( ?;y RECEIPT NUr~ER r 0-1 DATE PAID! {- //J -Lf~ AMOUNTR~;.TW\- RECEIVED~ " ~) '-.' .~_..~ ~ .:",:",:~',~.