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Home My WebLink AboutPermit Building 1995-12-4 ~t@ LOCATION OF PROPOSED WORK }"t./ /tb d7~~ \50~ao~\ ASSESSORS MAP )-( OWNE~ l N\W t' nto y-('JH.flD:U .1 ~0 , . ADDRESS 9:Jq:s::{ ~CJ ....~? nr\ \..J,l)\..Q.QJ'. CITY ,,-~J\ \ J\~ ~ Q ~ rll. STATE &\'Q~tJ(\ ,~\ (\() \ () , C-.\l\ lr\ I ~ t k ,-~.l.O Q nC~ ~ADDITION DE~IS~ , . RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOT DESCRIBE WORK NEW .......... REMODEL SPRINGFIELD BLOCK OTHER JOB NUMBER CfSOld~L. 225 Fifth Street Springfield, Oregon 97477 TAX LOT t1)'\fTJ SUBDIVISIOufuI lrU.f\' 8()J\..\' ,,;--r:-. \ . 1..l.\Lt() PHONE Il44 InCl In I yl? ZIP q,fj4/]P1 CONTRACT~~.NAME GENER."I\ Q..'\('u \donf(\~ PLUMBING 9l1\j)~ ~ f"\ \ rJ1Q I \ MECHANICA' , Q\(l I \.rl. J) (\ f i'd-, ELECTRICA' I Au L~ t ~ CONST CONTRACTOR' Q10oX: S \,'?-,\ q 'L WR InRl"'\-S PHONE qn 1o\d)L Io~~ Sn ~ Q230foCJZ <\-1 s 2J~q ADDRESS - OFFICE USE - EXPIRES 1\ 2.1:\. C\1n C\ \C!t. C\\() ') 2q QljJ C\ '\ C\s QUAD AREA ....~.:3J(<'\C' - LAND USE III J FLOOD PLAIN . OF SLDGS I . OF UNITS I ZONING CODE LDf2.- OCCY GROUP 1<,~+J.1 CONSTR TYPE iJAJ . OF SDRMS ,':3 . OF STORIES I HEAT SOURCE ~l) /-I SECONDARY HEAT {2 WATER HEATER F~ RANGE fJ SQUARE FOOTAGE J.i...cL~-?'" To request an Inspection, you must call 726.3769 This Is a 24 hour recording AlllnspectJons requested before 700 a m will be made the same workIng day, Inspections requested after 700 am 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 [!}-Footln9 - After trenches are excavated D Masonry - Steel location, bond beams, groutIng ~Undation - After forms are erected but prior to concrete placement o Underground Plumbing - Prior to fillIng trench REQUIRED INSPECTIONS ~ough Mechanical - Prior to cover ~ough Electrical - Prior to cover [IrElectrlcal Service - Must be approved to obtain permanent electrical power o Fireplace - Prior to facing materials and framing Insp Q-Praming - Prior to cover ~all/Celling Insulation - Prior to cover Q-Drywau - Prior to taping [B-Underfloor Plumbing/ MechaOlcal 0 - Prior to Insulation or decking Wood Stove - After installation [ld-post and Be'am - Prior to floor Insulation or decking ~'oor Insulation - Prior to deckl ng ~nltary Sewer - Prior to filling trench ~torm Sewer - Prior to filling trench D--Y!.ater Line - Prior to filling trench ~ough Plumbing - Prior to cover o Insert - After fireplace approval and Installation of unit [;J;:urbcut & Approach - After forms are erected but prior to placement of concrete G"Sldewalk & Driveway - After excavation Is complete, forms and sub base material In place o Fence - When completed o Street Trees - When all requIred trees are planted G::lnal Plumbing - When all plumbing work Is complete c:I:fFlnal Electrical - When all electrical work Is complete ~inal Mechanical - When all mechanical work Is complete c:g.:.lnal Budding - 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 , II o Plumbing Connections - When home has been connected to water and sewer o 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 J :Ipe Setbacks , J THE PROPOSED WORK IN T'~E ~ InterIor I PL HSEIGAR ACC I HISTORICAL DISTRICT, OR ON n IN I I THE HISTORICAL REGISTER<t_ CJ Corner I I It yes, this application must be signed Panhandle S and approved by the Historical I Coordlnato\" prIor to permit Issuance Cui de sac W IE I APPROVED Lot faces Lot sq ftg Lot coverage Topography \~I Total height ~ ( lJA' ) BUILDING 'PERMIT ITEM SO FT \\~3 ~\.oD X $/SO FT 5\.D7D V\. \[) Main Garage Carport Total Value Building Permit Fee State Surcharge -\- -;)D/O Total Fee (A) VALUE Lo0\.1'lt '1 <6C\ lo '1\~'1D .....moo ~I")c\~. 2J~\O.q~ (B) SYSTEMS DEVELOPMENT CHARGE (SDC) li\>\?~~ PLUMBING PERMIT ITEM FIxtures Residential Bath(s) N" c:9. Sanitary Sewer FT Water FT Storm Sewer FT Mobile Home Plumbing Permit State Surcharge + 3.0/D Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N" Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State SurChar~ Sidewalk ~ \ ) Curbcut C\)lo ft ft Demolltlon State Surcharge \~. ~\r\ f\ \)n \"'1 000 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE l~o() ~ \.loD CD \~'?D \I~&J t\ Sf) 0.. . cD -:l,CO \\0 SO \DCO I L~?J dJ 63 dlO~ \.~ U() L\UCO 8~~~4-\ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition thai 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 ~yv Receipt Number .() , ,r Date Paid Received By ~tlC\ \\\~, \1 hl Plans Reviewed By - " . Dale Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved ADDITIODl,AL COMMENTS tu4U A4i~T ",!to b\J1\ [\ X , ",-~n. 0 u 'n \JXtv LJ4 \. Il f1PD \S\t\\\~}{ '. \ C\lDD - ~(\m \ ~,)F. .4--5 ~~J't1' ~ < '52 ~ 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 1 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 GRS 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 f plan will remain +e site at all times during con r ctlo 'SI ature ~ ~7 - .......UL~ v Date VALIDATION \(1 \7 2C RECEIPT NUMBER ~ I 0 ~ DATE PAID --ll} Ac{~. . AMOUNT RECElv~n ::93\r5l.\. . X~ RECEIVED BY YJ\~ .