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HomeMy WebLinkAboutPermit Building 1993-9-14 d//?J 'Lvk~k~ . '~ . . - ~~C'" ~-' __ ?~r:-c-~ r DESCRIBE WORK: 4~/;-i~4--/ z;-c-~ ~~ ADDITION Y DEMOLlSH'o ~ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726'3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: /?-.tt:12~~'-'7"'? LOT' OWNER: ADDRESS: CITY: NEW REMODEL CONTRACTOR'S NAME GENERAL: ~~~~~ .... PLUMBING: MECHANICAL: ELECTRICAL: SPRINGFIELD .oj9/ ,~~~~ ," r. .. ' BLOCK: . . ,'; JOB NUMBER ~/~...-b 225 Fifth Str~'e~ Springfield, Oregon 97477 TAX LOT: tt::'-::<76 c::s. SUBDIVISION: PHONE: ?q/.y9~ ~/:f: ZIP: ""5?7"";::>8 ~/-?~~/,,/ ~F'~ REQUIRED INSPECTIONS D Rough Mechanical - Prior to cove~ . D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. o Wall/C'eiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stove - After installation. D Insert - After fireplace approval and installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation is complete, forms and sub,base material in place. D Fence - When completed. o Street Trees - When all required trees are planted., , .l: }~; ,..'" STATF' .OTHER ADDRESS .' 'CONST. CONTRACTOR # PHONE EXPIRES - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: # OF BLDGS' # OF UNITS: ZONING CODE: OCCY GROUPl CONSTR. TYPE: II OF BDRMS' , II OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: 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 D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. [1] Footing - After trenches are . excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are , erected but, prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to insulation or decking. D Post and Beam - Prior to floor insulation or decking. D Floor Insulation - Prior to decki ng. D Sanitary Sewer - Prior to filling trench. ' D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing' - Prior to cover. D Final Plumbing..:.... When all plumbing work is complete. D Final Electrical - When all electrical work is complete. D Final Mechanical - When all mechanical work is complete. ~ 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. D Plumbing Connections - When home has been connected to water and sewer. D Elect~ical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. . .~ , Topography Panhandle Setbacks I PL. I HSE I GAR I ACC IN Is Iw " ~---~." '''' THE PROPOSED WORK IN 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. .1 Lot faces Lot Type Lot sq. itg. Interior Lot coverage Corner Total height Cul,de-sac . APPROYED: 'j -1'. -, ITEM SQ. FT. X $/SQ. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT '., '-. ''- This permit is granted on the express condition that the said constru2tionshall,'in allh~spects, con'form tothe Ordinance adopted by the City of Springf~eld, 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: . //~ ~S .' ...... .', ..... ,,,"" ~ Main Garage Carport ~ Z?:2 1/1 ~..~t? ~2~ Building Permit Fee 962.. ~ 17~ .arg /A".. ;>",.c;: Date Paid: Total Value Receipt Number' Total Fee (A) ~Receiv By: '- / , ...-- ./ ~, ' ~~~.,..,' ~~Y-":7 p~eviewed By (' // Date Systems Development Charge is due 'on all undeveloped properties within the City limits which are being improved. State Surcharge SYSTEMS, DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s)' NO Sanitary Sewer FT. Water FT. . Storm Sewer FT. Mobile Home Plumbing Permit :?tate Surcharge Total Charge (C) MECHANICAL PERMIT Furnace 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 certi fy'tl1at only contractors and employees who are in cOrT)pliance with ORS 701.055 will be used on this .,', project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance 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 p'roperty, and the approved set of plans will remain on the eat imes duri~ conr/Jtion:J,: Signatur L ~ Date .OJ I, 1/0 J...., I , V MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge ?~ 71&~IP"'i> VALIDATION: TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) -:;.?'9..- .?G:: RECEIPT NUMBER -t::J.. ! Od-~ OJ I, L/ It:} J.., AMOUNT RECEIVED .$ jC;.7 L::, IX) P; DATE PAID 1/"- ~ Total Miscellaneous Permits (E) RECEIVED BY