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Home My WebLink AboutPermit Building 1992-7-31 OWNER '\7)'(\'\. .~ ~ _~Q~ ~- 0 ADDnE~~)m \~i1BLa..v ~\QQ fd7 GlTY --" ---=\)\~_~_ _ STATE ,(~{ ) OESCRIBEWORI< ( ~ 0 f\Oi 9..)'_ UJ ~ [t\,1-n /~ NEW REMODEL ADDIlION \ DEMOLISH OTHER HESIOENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 Lor (,ENERAL 1'1 UMBING SPRINGFIELD BLOCK \ JOB NUMBER C1 \ffioS TAX LOT SUBDIVISION PHONE 'lAI~S\~ ZIP ct 111-1 . G\ ( )\4'3-b) CONST CONTRACTOR # PHONE ADDnESS \ FL[C1 nlCAL _ _ MeCI/ANICAL _______ ______ ___ --- ---- QUAD AfH~A . OF BLDGS OCCY GROUP . 01- STORIES WATER HEATER OFFICE USE - LAND use H OF UNITS CONSTn TYPE HEAT SOURCE RANGE EXPI RES FLOOD PLAIN ZONING CODE . OF BDRMS SECONDARY HEAT SQUARE FOOTAGE To rcquc~t an Inspection you must call 7263769 This Is a 24 hour recording Atllnspectlons requested 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 Tempormy Electric D Site Inspection - To be mad(' after cx(~aV.ltlon t)ut prior to setting forms D Underslab Plumbing/Electrical I Mechamcal - Prior to cover D Footing - Aflel trenches are excavated D Masonry - Steel location, bond bcarn~, grouting D Foundation - After forms dre erected bul prior 10 concrete placement [J Underground Plumbing - Prior to II1Img trench D Undcrlloor Plumbing/Mechanical - Prior to In::.ulatlon or clecklna D Post and Beam - Prior to f100t m::.ulatlon or decking D Floor Insulation - Prior to decl<lng D Sanitary Sewer - Prior to 1IIllng trenctl D Storm Sewer - Prior to Illllnq trom.1I D Water Line - Prior to fllllnq trench D RouOh Plumbmo cover Prior to REQUIRED INSPECTIONS Cl Rough Mechanical - Prior to cover Cl 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 Frmmng - Prior to cover D Wail/Ceiling Insul.ltlon - Prior to cover D Drywall - Prior to taping D Wood Slove - After InstallatIon D Fmal Plumbing - When all plumbing worl< Is complete d Final Electrical - Wilen all ~Iectrlcal worl< IS complete D Final Mechanical - When all mechanIcal work Is complete dFtnal Bulldtng - When all Fequlred Inspections have been approved and building IS completed D Other MOBILE HOME INSPECTIONS D Blockmg and Set Up - When all D Insert - After fireplace approval blocking Is complete and Installatfon of unIt D Curbcut & Approach - After D ~Iumbmg Connections - When home has been connected to forms arc erected but prior to water and sewer placement of concrete D Sidewalk & Dnveway - After D Electrical Connection - When blocking, set up, and plumbing exravatlon I J complete, forms Inspections l1ilvc been approved .Hld ::.ub base matPrlal In placo and the home Is connected to the service panel [] Fence - Wilen completed D Final - After all requl red Inspections are approved and D Street Trees - When all required porches, skirting, decks, and trees are plantpd \ venting have been Installed I ! , , j, I Lot faces Lot Typl:. , ,~ , . Lot sq ftg Intenor Lot covorage Corner Topography Total 110lght _ panhandle -,-; _ Cui (Ie sac BUILDING PERMIT ITEM sa FT ,x $/sa FT Main Garage Carport Total Value Building Permit Fcc Stdte Surcharge Total Fcc (A) IS THE PROPOSED WORK IN THE HIS rORICAL DISTRICT, OR ON 1 HE HISTORICAL REGISTER? H yc~ Ihls application must be signed and approved by the Historical yOOrdllldlor pnor 10 pOllnd Issuance ._ SelbackL_ PL HSE 'GAR ACC1 N ----~ ~--- W ---- ~---- APPROVED VALUE ~~ '15 --(503 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures ReSidential Bath(s) NO Sanitary Sewer FT Water FT Slorm Sewer FT Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N" Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge SIdewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) FEE l~cD '1,) 15~ 1<::; TOTAL AMOUNT DUE (excluding electrical) -).5~ (A, B, C, D, and E Combmed) :-:; BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Tills pennlt IS granted on the express condlllon Ihat the said constructlOn'ih'dll In dll respects conform to the Ordinance ddopted by the Clly of Springfield, 'Including the Development Code IC{juldllllg the Lonstructlon and W'O of bulldrn(js and may bo suspended or revoked at any time upon violatIon of dny plQVrSIOns of said ordinances Plan Cllocl< Fcc , Date Paid Receipt Number Received By Plans ReViewed By Delle Systems Dcvelopment ChillgC 15 (lue on JII unejeveloped ploperllCs WI tll III the City Ilrnlts which are being unproved ADDITIONAL COMMENTS By signature Istate and agree, that I have carefully examined ttle completed aplJllcatlon and do hereby certify thaI all Information IlCroon IS tlUO and correct, and I fUllller certify that any .mtl all wOlk pel formed shdll be done In JLLOrdancc _ With the Ordinances of the City of Spnngfleld, and tile Laws of the 8t110 of Oreqon pertalnlllg to the wOlk described 110rCln .mll thai NO OCCUPANCY Will be 1l1ddc of my ~trllclure WIlIlOUI pCI 1111 51 on of the BUllclln!:.l $dl<.. Iy DIVISion I further certify th.It only contractors and employees who are III compliance With ORS 701055 Will be ll&ed on 1l1lS project I further agree to ensure that all required inspections arc requested at the proper tIme, tllat each address IS readable from the slreet, that the permit card IS located at the front of the property and tile approved set of plans will remain on the Slto at all tImes dunng constructIon I Signature ~ 1~' \ Q,,,....., Q~ Y c~ ~\V l II Date "7 - 3. ( -OJ 2. VALIDATION t=!1\..-' - ) RECEIPT NU'1fEF' ;)' J"lf-.}-/ DATE PAID_L3{-/:l~)lfr;2.E: AMOUNT RECEW ~ V,C.J.....J RECEIVED BY ~71'fl") )