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Home My WebLink AboutPermit Building 1995-10-6 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOCATION OF PROPOSED WORK IBO;;l.Ob~1 ASSESSORS MAP LOT s;-- ... SPRINGFIELD 3~4 CNCMlaL fJal II,. . BLOCK OWNER <:THJ~t0 IWO ~"'IvLm ;/~IAJ4L_ ADDRESS .ssf'l4 Cl\C"Q.o IQ> _ .012-1 vL CITyya.WbFI'i...Lf') STATE (')(2..U.rY\.J JOB NUMBER 9.SI r...,/<.,- 225 Fifth Street Sprtngfleld, Oregon 97477 . TAX LOT (Jo-;-ao SUBDIVISION ~V1XAJ MJ1.OV-JI, PHONE /2(~-b~ ZIP CI,47R DESCRIBE WORK "P""-,ITJON (,VALL JA) b'kAt.~ FiY>- CHOO AIU/I NEW REMODEL CONTRACTOR'S NAME GENERAL CJUl3A)/~ PLUMBING MECHANICAL ELECTRICAL QUAD AREA . OF BLDGS OCCY GROUP . OF STORIES WATER HEATER ADDITION V DEMOLISH OTHER ADDRESS CONST CONTRACTOR' PHONE REQUIRED INSPECTIONS o Rough Mechanical - PrIor to cover o Rough Electncal - Prior to cover o Electrical Service - Must be approved to obtain permanent electrical power o Fireplace - PrIor to facing materials and framIng Insp JS<[Framlng - Prior to cover o Wall/Cefllng Insulation - Prior to cover ~ryWall - Prior to taping o Wood Stovo - After Installation o Insert - After fireplace approval and Installation ot unit \ o Curbcut & Approach - After forms are erected but prior to placement of concrete - OFFICE USE - LAND USE . OF UNITS CONSTR TYPE HEAT SOURCE RANGE EXPIRES FLOOD PLAIN ZONING CODE _ . OF BDRMS SECONDARY HEAT _ SQUARE FOOTAGE To request an Inspection, you must carl 7263769 This Is a 24 hour recording All Inspections requested before 700 a m will be made the same working day Inspections requested after 700 a m will be made tho following work day o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms o Underslab Plumbing/ Electncal/ Mechanical - Prior to cover o Footing - Atter trenches are excavated D Masonry - Steel location, bond beams, groutlng o Foundation - After forms are erected but prior to concrete placement o Underground Plumbing - PrIor to flltlng trench o Underlloor Plumbing/Mechanical - Prror to Insulation or decking o Post and Beam - Prior to troor Insulation or deckIng -- , D Floor Insulation - Prior to decking D Sanitary Sewer - Prior to fflllng trench o Storm Sewer - Prior to filling trench o Water Line - Prior to filling trench o Rough Plumbing - Prior to cover D Sidewalk & Driveway - After excavation Is complete, forms and sub base material In place D Fence - When completed o Street Trees - When all required trees are planted o Final Plumbing - When all plumbing work Is complete D Final Electrical - When all electrical work IS complete o Final Mechanical - When all mechanIcal work Is complete ~Inal BUilding - When all equlred Inspections have been a proved and bUIlding Is completed o Other MOBILE HOME INSPECTIONS o Blocking and Set Up - Wtlen all blocking Is complete o Plumbing ConnectIOns - When home has been connected to water and sewer o 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, sklrttng, decks, and ventIng have been Installed Lot faces Lot Typf. "- Lot sq ftg Intenor Lot coverage Corner Topography Total height Panhandle CuI de sac BUILDING PERMIT ITEM sa FT X $/sa FT Main Garage ),N??7".r,w Carport Total Value BUilding Perml t Fee Stale Surcharge ' ?)" T ,~ Total Fee (A) " 1\ .... I PL IN Is Iw IE Setbacks , HSE ' GAR' ACC I I I I I VALUE 1!-,t'"rE) 0-<) / c::; zry:> /2.0 /&-, 2."" SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures ResIdential Bath(s) N' Sanitary Sewer FT FT FT Water Storm Sewer Mobile Home PlumbIng Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit .. Dryer Vent Mechanical Permit Issuance State Surcharqe Total Permit (D) MISCELLANEOUS PERMITS MobIle Home State Issuance State Surcharge Sidewalk fl Curbcut fl Demolition State Surcharge -2(k) .&//~) Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE q,?r 2-C;.5'..; ,S 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 01 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 '7,?...J Date Paid , Receipt Number Recelvea:B ./'C z. ~ 7/5' ~ ~. - ~/~~ Plans ~cvlewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved ADDITIONAL COMMENTS By signature, 1 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 certHy that any and all work performed shall be done In accordance with the Ordlnanc~s of the City at Sprlngfleld, and the Laws of the State of Oregon pertainIng to the work descnbed herem, and that NO OCCUPANCY Will be made of any structUl:e wJthout 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 15 located at the front of the property, and the approved set of plans Will remain on the site at all times ~unn~lon Xgnature ~ ...R' /' ' - " Date /tJ h.A~ VALIDATION Iq2/7 //)/6/5:/- . ( '(. AMOUNT RECEIV~" 2~, 'i'J- /~~ RECEIPT NUMBER DATE PAID RECEIVED BY