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Home My WebLink AboutPermit Building 1991-4-19 OWNER f>_\s\e, ~ \~\o.~.Q-Ej)) _ -,,\ PHONE ADDRESS N l D~~ ~ $1 \\~Jlf\,l...\:JJJ -\3U Y'i. CITY ~5Uf\C)~-Q],r$ STATE (\)H2~ DESCRIBE WORK q ill nJ\~ NEW 1____ REMODEL ADDITI~"""-- DEMOLISH OTHER RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 ASSESSORS MAP LOT - SPRINGFIELD " q \n;).f)Q BLOCK JOB NUMBER 225 Fifth Street Spllngfleld, O'egon 97477 TAX LOT SUBDIVISION 14-\ - ()4.~R ZIP C(,4\l CONST CONTRACTOR'S NAME ADDRESS CONTRACTOR # EXPI RES PHONE GENERAL _&~J I+!~ 11J,,)~r Sn..::. ~ ~ ~hl"l PLUMBING MECHANICAl ELECTRICAL - OFFICE USE - QUAD AREA LAND USE FLOOD PLAIN # OF BLDGS # OF UNITS ZONING CODE OCCY GROUP CONSTR TYPE # OF BDRMS # OF STORIES HEAT SOURCE SECONDARY HEAT WATER HEATER RANG" SQUARE FOOTAGE To request an Inspection, you must call 7263769 ThIs Is a 24 hour recording AIUnspectlonitrequ~sted before 700 a m will be made the same workIng day, inspections requested after 700 a m will be made the following work day D Temporary Electnc ~ Site Inspection - To be made )..6.( after excavatlOn, but pnor to setting form:{~4~<::") e. 'St.{)e D Underslab Plumbing/Electrical I Mechanical - Prior to cover ~ Footmg - After trenches are )-LX excavated o Masonry - Steel rocatlon, bond beams, grouting D FoundatIOn - After forms are erected but prior to concrete placement o Underground Plumbing - Prior to filling trench o Underfloor Plumbing/Mechanical - Prior to I nsulatlOn or decking o Post and Beam - Prior to floor insulation or decking o Floor Insulation - Prior to decking o Sanitary Sewer - Prior to filling trench o Storm Sewer - Prior to filling trench o Water Line - Prior to filling trench D Rough Plumbing - Prior to cover REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover o Rough Electrical - Prior to cover o Electncal Service - Must be approved to obtain permanent electrical power D Fireplace - Prior to faCing matenals and framing Insp ~ Framing - Prror to cover D Wail/Ceiling Insulation - Prior to cover o Drywall - Prior to taping o Wood Stove - After Installation D Insert - After fireplace approval and Installation of unit o Curbcut & Approach - After forms are erected but prror to placement of concrete D Sidewalk & Dnveway - After excavation IS complete, forms and sub base materral In place D Fence - When completed D Street Trees - When all required trees are planted :<: - ~, '.' o Final Plumbing - When all plumbing work IS complete D Final Electrical - When all electrrcal work IS complete D Final Mechanical - When all mechanical work IS complete MFlnal 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 Electncal ConnectIOn - When blocking, set up, and plumbing Inspections have been approved and the home IS connected to the service panel D Fmal - After all requIred Inspections are approved and porches, skirting, decks, and venting have been Installed Lot Type - Setbacks _THE PROPOSED WORK IN THE Intenor PL HSE GAR ACC I HISTORICAL DISTRICT, OR ON I THE HISTORICAL REGISTER? Corner N If yes, this application must be signed S I and approved by the HIstorical Panhandle Iw I Coordinator prior to permIt Issuance cur de sac IE I APPROVED Lot faces Lot sq ftg Lot coverage Topography Total height BUILDING PERMIT ITEM SO FT X $/SO FT VALUE Main ~ Garage ~s4 Carport ~ e?, 5)/ LJ, q;,O Total Value 1/)525,0() r 5'.0 ~~ 4.33 9!J .$:5 BUilding Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent MechanIcal Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge pI k1? RtV/euJ ,Ee& /)vie 7-g0 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrrcal,;8'?3 _ 63 (A, B, C, D, and E Combined) 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 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 4.p:' ,42-, 56:,$ .Q ()I) n \ - "8.,.tJ . n L, ~\ l' r:8l) btI~ ~ Receipt Numbe, /Q55. ~ ' Re7h~~lXJG Plarrl:Pfev;i;w~ci By - Date Paid -.~~~ Systems Development Charge IS due on all undeveloped properties WIthin the City limits which are being Improved ADDITIONAL COMMENTS 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 J 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 701055 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 tl es ring construction I X Slgnature'f?~ / ~/ _ 4u.R-~ #.Lozt/ Datp ;/ ~- / 1 - .J I VALIDATION I'~I 4'-/5'- 7'/ AMOUNT RECEIVEn 915 ,~:J A/~d'-L ~ RECEIPT NUMBER DATE PAin RECEIVED BY