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HomeMy WebLinkAboutPermit Building 1995-2-7 OWNER: ~\\.r<\ ~(\f\ ADDR~S~'... A:\()~~ t~~ \j.YQ.JV CITY: ~"l.~)\_\_n~00ct. ~ATE: \~ DESCRIBE WORK: ~f) ~ NEW ~ REMODEL' ADDITION RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 . Office:. 726.3759 LOT: CONTRACTOR'S NAMEl ~ v\.. GENERAL~J\\~'i..en,\ n.J It, PLUMBING: MECHANICAL: ELECTRICAl' QUAD AREA: It OF BLDGS: OCCY GROUP' It OF STORIES: &~~ \ ~ \ WATER HEATER: SPRINGFIELD BLOCK: DEMOLISH OTHER / / .-- ., ~/ q~\t'2- -) JOB NUMBER 225 Fifth Street Sprlnglleld, Oregon 97477 SUBDIVISION: PHONE: 1 ~jp-~lQ,Cot ZIP: al11P) CONST. CONTRACTOR It . EXPIRES PHONE ,-- --~ llb-&t-16 , ~ao/?fr\ '~J ld ~~~ ADDRESS I ) ...:.... OFFICE USE - LAND USE: \ \ \ \ VtJ FLOOD PLAIN' ZONING CODE: ~ II OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All inspections requested belore 7:00 a,m, will be made the same working day, Inspections requested after 7:00 a.m. will be made the lollowlng work day, D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electrical! Mechanical - Prior to cover. r71 Footing - After trenches are I....,bJ 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. ..' 0 Underfloor Plumbing/Mechanical . '- Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to . decking. D Sanitary Sewer - Prior to filling trench. fVl Storm Sewer - Prior to filling Lf>-J trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. . 1/ OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANG E' REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o 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. ~ Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace a'pproval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place, o Fence --:- When completed. o Street Trees - When all required trees are planted. jVI] Final Plumbing - When all Lf>J plumbing worl< Is complete. o Final Electrical - When all electrical work is complete. , o Final Mechanical - When all mechanical work Is complete, IV1 Final Building - When all t-.p-J required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. D 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, . l.... ,~~~;., ."!,. ';.. ' Lot (aces Lot Typ Lot sq. ((g. Interior Setbacks I P.L. 'HSE I GAR. ACC ' I N I I I S I I I I Iw I I I I E I I I IS THE PROPOSED WORK tN 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. Lot coverage Corner Topography Total height Panhandle Cul-de.sac APPROVED: , BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Carport 4Uo \4. . \[) vl\~LP 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 01 any provisions of said ordinances. Plan Check Fee: 4-n.lo~ Main Garage " Date Paid: Total Value lo~.c::D Receipt Number' Building Permit Fee ~o 5.0\ ~ved By State Surcharge ~ Pia ~vlewed By vI), ~ \ ~'\S Total Fee (A) ate SYSTEMS DEVELOPMENT CHARGE (SDC) (B)~t 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) NO \,>-0 ~\t\r(\ .\ O~\i.f'\O\ ~fuL~rt:. Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) 05 MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO 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 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. Wood Stove/lnserllFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) os j. I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable (rom the street, that the permit card Is located at the (rant of the property, and the approved set of plans will remain on the site at all times ~urlng constructlon.4 r-I -AA~J ~ ~ Slgnature\ / 7/"e.h __'/~ Datf' X 2- -7 -./f" MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and' E' Combined) IDR.(<q- VALIDATION: ~n RECEIPT NUMBER \ ~.1 DATE PAID c!). ') . q AMOUNT RECEI't'E$ \Og, \Lf RECEIVED BY 0\\ ~ State Surcharge ~o~~~c:~s' ~:,: -m.la~ (E)