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HomeMy WebLinkAboutPermit Building 1999-4-12 RESIDENTIAL PERMIT AP,PLlCATION Inspections: 726.3769 Office: 726~3759 SPRINGFIELD L.oCATION .oF PR.oP.oSED W.oRK' 2 "4 I CA~-rJ E 'Dt... ASSESS.oRS MAP' /7 () 3 2-.3 J 1 .oWNER: L-f (tt:>'-( "i J:~e;;2- t.0A ,I... "'.t... ADDRESS: .2l4:> <..{ t Ctl ~rl E- 1:>..L,-, ~ <:I~";l k l c!- (1.1Le.- - ~ (bo<\ \ D L.oT: CITY: DESCRIBE W.oRK: NEW REM.oDEL BL.oCK: STATE:' eL ADDITI.oN DEM.oLlSH J.oB NUMBER 9? /ssy 225 Fi fth Street Springfield, .oregon 97477 TAX LOT' /.:)5"')00 SUBDIVISI.oN: PHONF' 7l(b,-I :s II..( ZIP' 9""1'-t1( .oTHER C.oNTRACTOR'S NAME ADDRESS GENERAL: .S:>A.c-\. ic::. CA-;-As+VLoP In.~ ,PLUMBING: (Lo:\b ,e-.oo~ ' C.oNST. C.oNTRACT.oR # 'J2.4/5{ EXPIRES.,., PH.oNE 7210 ~1 ~o:> ~g~-/l{\ MECHANICAl' ELECTRICAL: C l~L\c:-.\S \ ~ QUAD AREA: # .oF SLOGS: .oCCY GR.oUP: # .oF ST.oRIES: WATER HEATER' ,. OM.nronon law requires YOUtu:~j~' '\T I t:I'II n , I ~.-. ~ the ure\:5VII . '(t... ,.. '. ""E'l'tt.:>rlIW ". '_ooth folloW lUll:;" ",0,.. ~~~~s alo .,.....- Notification '~~~~1~ through OAR 95~~0~; in OAR.~~"'IJS~ 'n SGpie.~ of the ru e 0090. 'fou may b~~: (Note: the te\e,~hO~:n 'Ca\hn<a't\i6~~ goO Ut\llWNotIf1cat ,. 'numb@fJ@f~Ef. ~~h.aO 1)~?-9344)., "'". Center I , I-~U - , HEAT S.oURbE': f' RANG E: FL.oOD PLAIN: Z.oNING C.oDE: # .oF BDRMS: SECONDARY HEAT: SQUARE F.oOTAGE: To request an Inspectlon,'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. o Tempo,"", E'ee'''e G: ~al Plumb'ng - When all rumblng we'" I, complete. D Site Inspection - To be made after excavation, but prior to setting forms. o Unders.lab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated:. o Electrical Service - Must be approved to obtain permanent , electrical power. Fireplace - Prior to facing , aterlals and framing Insp. o F al Building - When all qui red Inspections have been approved and building is completed. o Masonry ~ Steel location, bond beams, grouting. O 0 .other Foundation - After forms are erected but- prior to concrete placement. o Underground Plumbing - Prior to filling trench. MOBILE HOME INSPECTIONS o Underfloor Plumbing/Mechanical D Wood Stove" - After Installation. . -,Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. , o Floor Insulation - Prior to . decking. , . I o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. n. Water Line - Prior to filling ~--tre ch. . D Rou h Plumblr9 - Prior to c e~ " , o Insert - After fireplace approvlSl .. '\ and Installation or unit. o Curbcut & Approach - After , forms are erected but prior to placement of concrete. o Sidewall< & Driveway - After excavation Is complete, forms and sub,base material In place. D Fence - When COi"'1pleted. D Street Trees - When all required trees are planted. , o Blocking and Set. Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D 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. ,~ Lot faces Lot Type Lot sq. ftg. I P.L. Interior Lot coverage N Corner Panhandle '(. S Topography Total height Cul-de-sac w E 'I BUILDING PERMIT '~ ITEM sa. FT. VALUE X $/SO. FT. Main Garage '. Carport .' 'I :'". \'J': .;. :" " . ',~, ("J ' Setbacks HSE GAR Accl I I .4 THE PROPOSED WORK iN THE. HISTOBICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED' BUILDING VALd'E,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 violation of any provisions of said ordinances. Plan Check Fee: j.~()OO~ Date Paid: Total Value 1~'6".5'O Receipt Number: Building Permit Fee 12. & S Received By: State Surcharge Total Fee (A) j 7/,/ ~ Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures '3 Residential Bath(s) NO Sanitary S~wer FT. Water FT. 2--<;' Storm Sewer FT. Mobile Home FEE 30 25)<>> Plumbing Permit S-C;-O;.J Lt. '-/0 ~'t Llo State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnserttFlreplace Unit Dryer Vent Mechanical Permit jf" {,M- e,.; 10 . ir-I 7 s,- 2. b. J... 0 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) J-5(,. 7 r Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS 11 I Ik..ll U .P I=:-L t:z 1/Zr J tJ~;( ~ I .~~ 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. 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 dfring construction. Signature CJ-A ~ Date L{r I z.--qq VALIDATION: RECEIPT NUMBER I (J. S S f.( 7 ?- 4/r;'/71 AMOUNT RECEIVErD '/7 2-r-b" 7j; t(J(JM/ DATE PAID RECEIVED BY