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Home My WebLink AboutPermit Building 1993-4-30 RESIDENTIAL PERMIT APPLICATION SPRINGFIELD -. _w . Inspections 7263769 Office 7263759 lOCATION OF PROPQ~,r.\'2{ORK \~y ASSESSORS MAP 1>41 "):) ffi\ ~ OWNER -\~.} ,- \.\~f}\OO ~, r) ADDRF'''; -' 1_ _ , ~ C' ~ (1) \.\~ t ~_~~ CITY "x\).~\ _ _ ./ STATE (Qt DESCRIBE WORK~ --\ fI,fD t (\ L \U (J c-h on y NEW REMOD\l ) ADDITION 'DEMOLISH OTHER ---. CONST CONTRACTO~ ~AJ7f\ f)./J") / ADDRESS CONTRACTOR H GENERAL e;,.!\~t , \l0fU PLUMBING jl.,.f l'",Yl.oJ2/ - . LOT MECHANICAL ELECTRICAL QUAD AREA H OF BLDGS OCCY GROUP H OF STORIES WATER HEATER BLOCK - OFFICE USE - lAND USE H OF UNITS CONSTR TYPE HEAT SOURCE RANGE JOB NUMBER q\l}\~~ . TAX lOT ~~o( T( ) SUBDIVISION PHONE \4.-, c:::. \'--<.1 '\ --- -0-~_ ZIP C\,11J~__ ) EXPIRES PHONE flOOD PLAIN ZONING CODE p OF BDRMS SECONDARY HEAT SQUARE FOOTAGE To request an InspectIon, you must call 7263769 This Is a 24 hour recording AJlmspectlons requested before 7 00 a m WIll be made the same working day, Inspecllons requested after 700 a m wilt be made the following work day D Temporary Electnc D Slle InspectIOn - To be made after excavation, but prior to setting fOrfll& D Underslab Plumblng/Electncall Mechanical - Prior to Gover D Footing - After trenches are excavated D Masonry - Steel location, bond beams, grouting o FoundatIon - After forms are erected but prror to concrete placement D Underground Plumbing - Prior to filling trench D Underlloor Plumbmg/Mechanlcal - Prior to InsulatIOn or decking D Post and Beam - Prior to floor Insulation or deckIng , D Floor Insulation - Prior to decking D Sanitary Sewer - Prior 10 fIllIng trench D Storm Sewer - Prlor'to filling trench D Water Lme - Pnor to filling trench D Rough Plumbing - Prior to cover , REQUIRED INSPECTIONS D Rough Mechamcal - Prior to cover D Rough Electncal - PrlOI to cover D Electrical Service - Must be approved to obtaIn permanent electrical power o Fireplace - Prior to facmg materials and framing lnsp D Frammg - Prior to cover D Wall/Cellmg Insulation - Prior to cover D Drywall - Prior to tapmg o Wood Slave - After Installation D Insert - After (Ireplace approval and Installation of unit D Curbcut & Approach - Atter forms are erected but pnor to placement or concrete D Sidewalk & Dllveway - Arter excavatIon Is complete, forms and sub base matenal In place D Fence - Wher completed D Street Trees - When all reqUired trees are planted ~!lnal Plumbing - WhLn all yJurnlJrng worl< IS COml,lele ~Fmal Electllcal - When all ( _eleClrlcal work IS complete ~n.ll Mechanical - Wnen all ( mechanical Walk IS complete D Final Bulldmg - When all reqUIred rnspect[on~ helve been approved and building IS completed D Other MOBILE HOME INSPECTIONS D Blocking and Set Up - \tvhen all blocking [~ complete D Plumblllg Connections - WIlen home has been connected to waler and seVlcr D Elec..tncal Connection - VJhcn blorklng sel up, am] plumbing [nspectlon~ hdvL bCf"'l1l '1IJprovr>c! and the lIolne I" connccl'_d te, the servlcc panel D Fmal - After all reqUited inspections are approvlJd <lnd porchcs, skirtIng, deck~ and venting t1ave bcen In~t llled Lot faces Lot Type Lot sq Ilg Intenor Lot coverage Corner Topographl Panhandle Tota! height Cui de sac BUILDING PERMIT ITEM SO FT X $/50 FT Main Garage Carport -,-- Totdl Valul BUIlding Permit Fee Slale Surcharge Tolnl Fee (A) Setb ,cks I PL HSE GAR Ace IN Is Iw L___ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT VALUE 1~L , I Jc.... J5--b/, .'75 (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM F,xtures Re<)ldenllcd Bath(s) N' Sanitary Sewer FT Water FT Storm SevJer FT Mobile HGme Plumbing Permit SIBle Surcharge Tot"}l Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent MechaniC 11 Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Is::,uance Stale Surcharge SldCVJdlk It Curbcul II Demoll tlon State Surcharge FEE \~.uD . '1:--:, (SID Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~'~, (A, BCD 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 pnor to permit Issuance APPROVED ThiS permIt IS granted on the express condition that the saId construction shall, In all respects, conform to the Ordmance adopted by the City of Springfield, Including the Development Code regulating the construction and use of bUIldings, and may be ::,uspended or revoked at any time upon Violation of any prOVIsions of said ordinances Plan Check Fee Date PaId Receipt Nwnber Received By Plans Reviewed By Date 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 appllcallon and do hereby certlfy that all Information hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the OrdtnancE;:s of the City of Springfield, and the Laws of the State of Oreqon pertainIng to the work descrIbed herem, 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 ::~:;-~;:;;:;~C;:~hA Dal" I'" C(- 3 - 9 L: 1 v VALIDATION C!::rJ n RECEIPT NUMB\1R - 00~- \ DATE PAID 4" ,~-<'U:~.~ . AMOUNT RE~ - \Q.bJ...).." '-) RECEIVED Bv..;;;;fM.. )