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Home My WebLink AboutPermit Building 1994-10-17 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 e.A (~ LOCATION OF PROPOSED WORK: )<'ASSESS~RS MAP: / ~l9'; ~ LOT' BLOCK: OWNER: 13:e.'?S\E,' "'"one. (1 ~_. ADDRESS' \ 4'D~4.,. LA~ \ ~ .;" ,CITY: 6?~ lNG-~ \1::. L.:r::J'" JOB NUMBER ~4/~z- 225 Fifth Street Sprlngfleld"Oregon 97477 TAX LOT: SUBDIVISION: /4- ?dn , - J' I / ~ ~ PHONF' STATE: 'O~01;:.J' , ZIP: 474'77 CONST. CONTRACTOR'S ~.f'.~,E 'P1l8D~ ADDRESS CONTRACTOR # EXPIRES G~NERAL:1ZA.V GOilm: Cb. 1foO \') EU6-EkJE ,li. t174D t.. :~1?7~ 17.-'2-'14 PLUMBING: c;616"/Ju' ,~~~S /r.(lJ~"~' \\'5 \ ~Utu A-lt~1: (o;:lj'I;tJ:'7g5~? \'2.-1'4 .J ' 'I I MECHANICAL: ^'-.JIA .... '... . '., ELECTRICAL' 'k,\'t>@ ~E:U=c.."f; - 'PDe>>1... 'ID~ 1 , ~ptU" b /l'-.. ;\ '.,~i;. -3 S" ~ $' / A6h' 5' ~I~ , 1"1'J71 ''17 4""T"'i}O'A1'\ ( A " DESCRIBE WORK' ~.VV' ' 'j.., ~ ' 'fdA litf"-.L.IU/VI~" ,: ~ ADDITION X",-- NEW REMODEL DEMOLISH OTHER f .--, ., /. / PHONE 1'1/fi/5~ 14-7 Z5'f1o .- /O/~/9f 11.1:, f3~? 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. /' REQUIRED INSPECTIONS D Temporary Electric D Rough Mechanical - PrIor to , Cover., D Site Inspection - To be made after excavation, but prior to setting forms. 'I':7f Rough Electrical - Prior to ~over. '"",,-.~ D Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. ~ootlng - After trenches are ~excavated. D Electrical Service - Must be . approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. i D Masonry - Steel location, bond beams, grouting. ~ Framing - Prior to cover, I. X1 'Wall/Celllng Insulation - Prior to ~cover. ~ Foundatlon- After forms are ~erected'but prior to concrete placement. ' o Underground Plumbing - Prior to filling trench. ,M'D-l...-11 <:>.1-. +~ t-~I~~ ~ I ..a..- , oov, .v a,..." ,\,/. ~ Underflo~umbin~ Mechanical ~ - Prior to'j'msulcHlon or decking. D Wood Stove - After Installation. ~ Post and Beam - Prior to floor ~ Insulation or decking. ~ Floor Insulation - Prior to ~decklng. , , D Insert - After fireplace approval and Installation of unit. : DCurbcut & Approach - After forms are erected but prior to placement of concrete. D Sanitary Sewer - Prior to filling trench, D Storm Sewer - Prior to filling trench. D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place, D Water Line - Prior to filling trench. D Fence - When completed. ~/( Rough Plumbing .,- Prior to ,,~cover.' , D Street Tre~s - When all. required trees are planted.' .' / "i. :.. ~ Final Plumbing - When all # ' plu'mblng w(Hk Is complete. ~Flnal Electrical - \.IV.hen all ;0'" .electrical work Is complete.' D Final Mechanical - When all mechanical work Is complete. rvr Final Building - When all ~ required Inspections have been approved and building Is completed. D Other MOBILE HOME INSPECTIONS D 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 plufldbing Inspections have been approved and the home is connected to the service panel.' , D Final - After all req'ulred inspections are approved and porches, sklrllng, decks, and venting have been Installed. '.. ';';;.::,':,:,Y-j I:' I ~ Lot faces Lot Type. Setbacks lot sq. ltg. Interior I P.L. HSE GAR Acel :I'N' I Lot coverage Corner Is I Topography Panhandle Iw 1 Total t),eight Cul.de.sac IE ., .......-:.... . I ,_ ~H'E 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. i' ~APPROVEQ; ........ . ~l" ". - BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE .. " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT fv1ai n I,.:..JO .56,).;0 .('.< 72.cS70 This permit isgrantedon the express conditipn that the said construction shall; in all r'espects,.c'onform1to the Ordinance adopted by the,Ci,ty C>~:'1}:;pringll,eld,~ i~cluding, the Development Code,' regulating the construction and use of buildings, and may be suspended or. revok~d at any time upon violation of any provfsions' of said ordinances. ::Z~ ,? 3 9//"4/5'~ , ( ( " Receipt Number: /d ~7 / 2, Rec~lved B ; ~~ ~,': , ~ 1 j.... '. t~' ". ,'_" ,J .' - .' 'I \ : , , Plans( Reviewed By Plan Check Fee:: Gatage " Carport .! ~ - I 1, Date Paid: Total Value d//!:'p /{ '. , . z,,,::z..3 1.34- (A) " .4-7.5"7 .. , - , '. , - , ~.~ . , , ~ ~ . ~. i .. ... . \ 'l. ..tl.. t " ~ . 'SY$TEMS DEVELOpMENT CHARG'E (SDC) .. -. . - (B) ,~ ~3',J9 .... ~ '\ .' Building Permit Fee ~ ~ .: J.' f'., ..J~." /~~ / ~ '/ 'I State Surcharge . ..,-'~~~\\... ~\ \ - \ .\ - ..:.... Total'Fee . Systems Development Charge is due op all undeveloped I.... . prop~rties wHhln the CiW limits which are being improved. ,~ .'" \, ,. -} . "t '.: t. i _ .~ f ~ _\ "!. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS Fixtures , 3 FEE. ~D~ pA77-1 .L , Residential Bath(s) NO Sanitary Sewer FT. FT. <~~ l!Ylar./A;1~/r ----L5 A?~LI~~ _ ' Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge 3?o Al)W/,(J (C) I, .t;"D .~ 32.. .$'0 Total Charge MECHANICAL PERMIT Furnace \lent 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'certlfy 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. Exhaust Hood Wood Stove/lnsertlFireplace Unit Dryer Vent Mechanical Permit Issuahce State :Surcharge Total Permit (D) , 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. ~nature MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Date Curbcut ft Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 4- / (fJfk , (p, q,1 VALIDATION: k-' "n RECEIPT NUMBER" - '0 n.S DATE PAID \\) . \ 1 .ct 1- AMOUNT REC~V -' ~ lQ :[,'1 RECEIVED BY ~ \../ ' State Surcharge Total Miscellaneous Permits (E)