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HomeMy WebLinkAboutPermit Building 1991-5-7 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: I:?O'S :2 7 LOT: SPRINGFIELD 1- BLOCK' ADDRI=C::C::' 279<' '?' P7d4 MN..Jscx") c j;ftc;tc~dK) Roy~ 'Av-E OWNER: CITY: STATE: ~I , JOB NUMBER 9/CJ/47 225 Fifth Street Springfield, Oregon 97477 TAX LOT: E" ~ot) SUBDIVISION: PHONI=' 0g~ -9'&.s~ ZIP: 9 7~ 2:... DESCRIBE WORK: :F/'52/~~k77r''}() ./ Q/1/'A )-t:L;///Vt~r ;==On ~;/C?) ~Fi('/JJ(lJfJ('~ NEW REMODEL CONTRACTOR'S NAME ADDITION DEMOliSH OTHER ADDRESS CONST. CONTRACTOR # PHONE G EN ERAL: PLUMBING: ()WA)~ ~ ~/~--es" ~cX'1<"(::'C,j MECHANICAL: \(~~~2~a< EUc--r.- ELECTRICAL: EXPIRES 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ~ Footing - After trenches are ~ excavated. o Masonry .,.... Steel location, bond beams, grouting. ~ Foundation - After forms are .J4l erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to insulation or decking. 'C8::I Post and Beam - Prior to floor insulation or decking. ~ Floor Insulation - Prior to ~decking. , 'M Sanitary Sewer - Prior to filling r-"'" trench, 'f';Zf Storm Sewer - Prior to filling ~trench, l"".c(1 Water Line - Prior to filling ~trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cove~ . ' D Rough Electrical - Prior to cover. 'TVf Electrical Service - Must be ~approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping, D Wood Stove - After installation. D Insert - After fireplace approval and installation of unit. -F;;7T Curbcut & Approach - After .v""'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. D Street Trees - When all required trees are planted. l5<t Final Plumbing - When all . plumbing work is complete, , lXT Final Electrical - When all ~e/ectrica/. 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, 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 Setbacks Lot sq. ftg. . ~D Interior I P.L, HSE GAR ACC Lot coverage JAfO Corner IN v Is IS*' Topography L2~ Panhandle Iw Total height Cul'de-sac IE 5' BUILDING PERMIT ITEM SO, FT. X $/SO. FT. Mai n j/72. 11'=iuJ ~ Garage 1:4"~ lo.CV\ ') I \ Carport VALUE 2.. S' irO II4J \OOOc? 2JSOO J.\,\ 5J~ - } 2,2.3 (A>4wT\. SYSTEMS DEVELOPMENT CHARGE (SDC) Total Val ue Building Permit Fee State Su rcharge Total Fee (B) PLUMBING PERMIT ITEM Fixtures '. Residential Bath(s) NO , Sanitary Sewer FT. .(' -6" L) FT. N Water FT. I, Storm Sewer Mobile Home FEE --2~ ~ z.E; 4G 2.5'40 Plumbing Permit 7580 :37~ 1l!;;?'~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Su rcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut JS- ft Izft) Demolition State Surcharge jJLA,J .A'M&1 ,f!eE- z, S.~:r Total Miscellaneous Permits (E) TOTAL AMOUNT ,DUE (excluding electrical) (A, B,C, D~ ,and E Combined) IS 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. APPROVED: BUILDING VALUE, 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 th,e 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: ~ 2. 5'". ~ ~ Date Paid: Receipt Number: Received By: P~~~~- ~(7/ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS Pl5A?/:N"r /S H/(. l)wE{..,U~ ~u~/),v . "360~ ~..dZ WILL JZ.,E _~~/A'/?~ /!~M€. --5~L!~Lr ~F! ,,()fhJ J EUvAJ741() J~,(".FX l4/~"L/c.,tttJ~Al. Of\nM\~_s\t)b. '~ ~\ . (\) U 1] tfi eJl ffiAD . ^f\'/\,Ct- ) II ,', n If) , IC1\(\WFL-/ 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. 'f 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 :~g:::"9;; :: ~";tiA~ . Date ~....,4/_ 7 - tf/ /7", f' . , VALIDATION: q oA RECEIPT NUMBER I q , 'If', · DATE PAID 0 " r; . q I I AMOUNT A~~Uu.Y3 .:;)1 RECEIVED~ l , ." . . .I20l.7" ?01J