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HomeMy WebLinkAboutPermit Building 1993-3-24 ~ ~ UJ~l'r' ~ .; c!19 5"9 PCLA-h-u~ /2ci h/ " .. v t~ RESIDENTIAL ' PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: 013 LOT: OWNER: ADDRESS: CITY: jJ~Cu::J~ DESCRIClE WORK: NEW V SF/!) REMODEL CONTRACTOR'S NAME GENERAL: HE and i Const.,Inc, PLUMBING: ~ MECHANICAL: J ELECTRICAL: J I I ! - i QUAD AREA: ~ , I /I OF BLDGS: J OCCY GROUP: J Lynns Electric Don Lewis Plumbing Marshalls Oil & Ins. /I OF STORIES:; WATER HEATE9 Brooks Excavation ,'-- ~ /fD 7 BLOCK: STATE: (J)/L, ADDITION DEMOLISH OTHER c71iA-L' d~/7 ~ JOB NUMBER _CZ~3;) ~\ -----... 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION://~~ .;LJ~ PHONE: 70?(;,-3898 ZIP: 97f/55' ADDRESS , CONST. CONTRACTOR /I 84959 Parkway 71158 Pleasant Hill, Or 97455 P.O. BOX A 23101 Fall Creek 97438 ' 500 Greenfield 33076 Eugene, Or 97404 4131"E"St. 25790 Springfield, Or 97478 27661 Cn)w F.:d Eugene, Or '37402 ~_.- ----... 55921 03/93 345-7564 I ! . 'OI""'\"."~I-'=-'\:J.I.r\O.C.~J..-::::::) To request an inspection, you must call 726.3769, This is a 24 hour'recording, All inspectior1s 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing! Electrical! Mechanical - Prior to cover, I5lJ Footing ~ After trenches are excavated. , o Masonry - Steel location, bond beams, grouting. '-;;.JFoundation - After forms are '4;t:f erected but prior to concrete placement. o DQ ~ Underground Plumbing - Prior to filling trench. Underfloor Plumbing! Mechanical - Prior to insulation or decking, Post and Beam - Prior to floor insulation or decking. ttJ' Floor Insulation - Prior to decki ng. r"iliSanitary Sewer - Prior to filling Lf-J trench. 1\(-1 Storm Sewer - ,Prior to filling 'P trench.' " ~ t r7f,Water Line - Prior to fiiling' ~ trench. , . M ROU~h PIUmbi'~9 - P.rior to ~cover ' REQUIRED INSPECTIONS d Rough Mechanical- Prior to ~ cover ,g) Rough Electrical - Prior to cover J) ~ Electrical Service -. Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp, ~Framing - Prior to cov~r, \ ~ ~ Wall/Ceiling Insulation - Pr,ior to cover cztDrYWall - Prior to ,taping., D' Wood Stove - After ir.stallation, o Insert - After fireplace approval and installation of IJnit. ~Curbcut & Approach -After forms 'are erected but prior to placement of ,concrete. 1ZI Sidewalk & Driveway - After excavation is complete, forms and sub.base material in place, D. Fence - When completed, i \JI Street Trees .--: When all required ~rees are planted. ~ Final Plumbing - When all plumbing work is complete. ~ Final Electrical - When all - electrical work is complete. r'71 Final Mechanical - When all ~ mechanical work is complete. ~inal Building - When all L.,.LJ 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 porchps, skirting, decks, and venting have been installed. Lot faces Lot Type lot sc;. ftg, Interior Lot coverage Corner Topography Panhandle -1Lo .8' Cul-de-sac Total height BUILDING PERMIT ITEM SQ, FT. j421d- 4t1 X $/SQ, FT Main Garage' Carport Total Value , Building Permit Fee State Surcharge Total Fee (A) Setbacks P,L. 'JjSE !Q.~BJ ACC I N '-', THE PROPOSED WORK IN THE ;STORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? S W I~-- -- =pq4l _ JQl:JLD Z%J-(QL ~CO \ q !)l) fl3JU SYSTEMS DEVELOPMENT CHAROE (SDC) . (B) II 1<6 ~D 03:- PLUMBING PERMIT ITEM Fixtures j Residential Bc::th(s) NO cb-.. Sanitart Sewer FT Water FT. ~ Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Totai Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood 3 Vent Fan NO Wood StoveJlnsertlFireplace Unit Dryer Vent Mechanical Permit' Issuance State Surcharge Total Permit (D) MISCELLAN,E~:()US PERMITS ~ Mobile Home State Issuance FEE' JlrD~ {W.O! P3.c:D ,lIaR .CO l.o :CD 4- ' :)J---- :rr---'~ s. _ ':-J .au 6T)-'SC? IQ.~_. J. <6 (7-, ~,3D State Surcharge \C\~ Sidewalk roO ft Curbcut 2i) ft - \4.:0_ 'r Demolition State Surcharge 4f)~ (, ~ \f\ .(\_ (\~_..I if yes, this application must be signed and approved by the Historical Coordinator prior .to permit issuance. -\ APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on th,e express condition,that the said' construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Gode, regulating the construction and use of buiidings, and may be suspended or revoked at' any time upon violation of any provisions of said ordinances: ::,~ :::Ok Fe~~ Receipt Number' ~B~ff1! p~IR~v~ewed By ,F '~ 13 B3 Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS ~X\Q~\~-~~~ \0.'\:) ~ ". ' ~~~'><\CUuO)l(j_~ ~ .-> By signature, I state and agree, tha!"I'have carefully examined the completed application and do h~reby 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 th~'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 t11at only contractors and employees who are ,in ,com:pliance with ORS 701.055 will be used on this project. VALIDATION: ~I ,;,--,- - . RECEIPT NUMBER, . . JqCl.r.7~:---';< DATE PAID (~,~~ A~OUN'T'RE,~ Elvv;f ~rzffi~~c::::" HRECEIVED V'~~-). Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exclL:ding electrical~~.~ (A, B, 'C. 0, and E Combined) , J