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HomeMy WebLinkAboutPermit Building 1992-8-6 ," RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED. WORK: ASSESSORS MAP: -I..!;!:(73 LOT: . SPRINGFIELD AS+- .5 rl';'--- A130 .3~ 4.2 BLOCi<' OWNER f? {lH e r-Id5:~lfAC;' ADDRESS' '3'3 tf:7 G arwtE ~)1lt-( ;~ d CITY 4~~.~~~.JcL-.--__--- STATE: DESCRIBE WORK TiYl<-f;- (I F6rilYld<')....J{if'j!/f" NEW REMODEL X ADDITION DEMOLISH oJ< OTHER . JOB NUMBER 92-/07<1- ,;: 225 Fifth Street Springfield. Oregon 97477 i:, TAX LOT: //:"[.~c'-D :1: I.'\" ',' SUBDIVISION' PHONF' 74(-'117.6 ZIP '37t./Y'7' CONTRACTOR'S NAME ADDRESS GENERAL:5+ij/A.}ey L.yf/17,,::fh__ A'ICcJ PLUMBING: CONST, CONTRACTOR # Gfi~4(. S.75J# PHONE 7f {:..6''/ S( MECHANICA' . ELECTRICAl' QUAD AREA: g OF BLDGS: __._____._ OCCY GnOup: _ _._._____~__._. g OF STORIES:__ WATER HEATER: - OFFICE USE - LAND USE: # OF UNITS: . , CONSTR. TYPE: _______ HEAT SOURCE: RANGE: EXPIRES 1'/1/93 FLOOD PLAIN: ZONING CODE:_ # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: 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. D Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblngl Electrical! Mechanical - Prior to cover. ~ Fooling - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are ~erected but prior to concrete placement. [J Underground Plumbing - Prior to filling trench. D Undcrfloor Plumbing/Mechanical _ Prior to insulation or <lecklng. o Post and Beam - Prior to floor insulation or decl<ing. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing -. Prl,or to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. o Rough Electrical - Prior "to cover. o Electrical Service - Must be approved to oblain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installnllon. o Insert - Atter fireplace approval and Installation of unit. o Curbeut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - When completed. o Street Trc.cs - W~len all required .' trees are planted. . D Final Plumbing - When all plumbing worl< Is complete. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. ~ Final Building - When all ~ required inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o 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 plumbing inspections have been approved and the home Is connected to the service panel. " , .~ ~ , ~f: o Final - After all 'req'uired Inspections are approved and porches, sklrtln'g, decks, and venting have been installed. ,', .d ~'J Lot faces Lot Type. Lot sQ. fig. Interior Lot coverage Corner Topography Total height Pantlandlo Cui-dc-sac BUILDING PERMIT ITEM sa. FT. x $/SO. FT. Main Garage Carport Total Value Buildi.ng Permit Foe State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sower FT. Water FT. Storm Sower FT. Mobile Home Plumbing Permit State Surcharge Total Charge (e) MECHANICAL PERMIT Furnace Exhaust Hood Ven t Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (eXCluding electrical) (A, B. C, D, and E Combined) .S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed nnd approved by the Historical Coordinator prior to permit issuance. Setbacks ~ HSE GAR ACC N --- JL._ _.___ _'_ -__ W _~__J_J_~ VALUE _2Lt3().Qo <~~lJ J.9.3 -fO.-li FEE 4/J ,";.3 , . APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition tl1at Ole said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, rC~Julating the construction and use of bulldin{lS, and may be suspended or revoked at any lilne upon violation of any provisions of said ordinances. Plan Check Fcc: ____~_ Date Paid: Receipt Number: Received By: Plans Revleweej By Date Systems Development Charge is due on all umJevelopcd properties within the City"lilllitS Wllich are being irnproved. ADDITIONAL COMMENTS _'AtJC-.~JWf~4:7~WLC./' ~ _~~ax. -~.&/~-/&'-/"7-... By signature, I state and agree, that 1 have carefully cx?mincd tile completed application and do hereby certify that all information hereon is true and correct, an(J I furlllcr certify thai any and all work performc(1 shall be done in accordance win, the Ordinances of the CHy of Springfield, nnd thc Laws or tllC Stale of Orenon pertalnin{J to the worl< described herein, and thaI NO OCCUPANCY wiJI '/)1) maue of any structure without permission of the Building Safety Division. I furttlCr cerlify that only contractors and employees who are In compliance with ORS 70'1.055 will be used on this project. I further agree \0 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 tile front of the property, and tile approved set of plans will remain on the site at all times durinu construction. >,l1alure.gk/~~~~ Date ,d}/}7?-...... VAll DATION: RECEIPT NUMBEH .__ 5$-L( DATE PAID gl"~/92... _.___ AMOUNT RECEIVED __~,?f':J RECEIVED BY _..__.__~~_