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Home My WebLink AboutPermit Building 1994-12-9 RESIDENTIAL PERMIT APPLICATION Inspections 726.3769 LOT SPRINGFIELD BLOCK OTHER JOB NUMBER Cft\~~1 225 Flllh Street Springfield, Oregon 97477 t \ l.\L\ \ d--{ L()Co ZIP Ul~l?) CONTRACT9,'1'~ NAM~ E J' ADDRESS GENERA"- ~'\.'1.J.J.( \ Qf\ 1\\1 PLUMBING ~)[(\ Q ri \ P. ~ Go Q \ MECHANIC~ ~ _L.\-r\. 0 f\ TN-) ELECTRICP'\' ~\ \ Q A. ~ }Q]V{'\U' ~ ) CONST CONTRACTOR # ~\ f\~~ 5\~?{1 Bt '\C\S \ ()~r'j~ qa~ld~ \O~'7J\\ lo C\ ~ '?, ldrfi). , L\1~.Ai~ QUAD AREA ~ <;:\Q / N OF BLDGS \ OCCY GROUP _ ~ ~ -\ I\i\ . OF STOR1ES )~ --------~f WATEI}..HEATER --' ~ - OFFICE USE - LAND USE \ \ \ \ :::S~:IT;~PE 0 ~ \1 )~l HEAT SOURCE t-, RANGE, EXPIRES ~\t;\ q \l\, f)\Q. C\4 FLOOD PLAIN ZONING CODE ---LD~ .::) N OF BDRMS SECONDARY HEAT SQUARE FOOTAGE ll~~ To request an Inspection, you must call 726-3769 Thle Is a 24 hour recording All Inspections requested before 700 a m will be made t,he ~ame working day, Inspections requested after 70.0 a m will be made the following work day REQUIRED INSPECTIONS r'i1I Rough Mechanical - Prior to L..Q{ cover o Temporary Electric O Slle Inspecllon - To be made after excavation, but prIor to setting forms o Underslab Plumblng/Electrlcall Mechanical - Prior to cover rv1 Fooling - After trenches are ~ excavated o Masonry - Steel location, bond beams, grout! ng ~ Foundation - After forms are erected. but prIor to concrete placement o Underground Plumbing - Prior to filling trench ~ Underlloor PlumbIng/Mechanical - Prior to Insulation or decking ~ Post and Beam - Prior to floor l......2S.J Insulation or decking IZJ Floor Insulation - Prior to decking IVl Sanitary Sewer - Prior to filling l.-C>.l trench rg] Storm Sewer - Prior to filling trench I'Vl Water Line - Prior to filling ~ trench r'V'l Rough Plumbing - Prior to ~ cover . .... . ' -. ['VI Rough Electrical - Prior to l.".O.l cover C2I. Electrical Service - Must be approvad to obtain permanent electrical power o Fireplace - prior to facing materials and framing Insp ~ Framing - Prior to cover ~ Wail/Ceiling Insulation - Prior to cover /ZlDryWall - Prior to taping o Wood Stove - Arter Installation o Insert - After fireplace approvl!ll and Installation of unit ~ Curbcut & Approach - After forms Bre erected but prior to placement of concrete ~ Sidewalk & Driveway - After excavation Is completo, forms and sub base material In place o Fence - When completed o Street Trees - When ell required trees are planted [2g.. Final Plumbing - When all - plumbing work Is complete I";ll Final Electrical - When all I".C:::!, electrical work Is complete E;gFlnal Mechanical - When all mechanical work Is complete r::1l Final BUilding - When all t.:Z:::t'7equlred Inspections have been approved and building Is completed o Other MOBILE HOME INSPECfIONS o Blocking and Set Up - When al/ blocking Is complete 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 Lot faces Lot "TYpe .x. Interior Lot sq Itg Lot coverage Corner Topography Total height Panhandle ~ Cul.de.sac BUILDING PERMIT ITEM \,~F FT Main J ,~ ~lrO ,l~ ,\ \ 1 ~.~ I " , ,I 0-tJ1_11&?(1 Setbacks 'HSE'GAR'ACC' , l -- 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 I PL IN Is Iw IE X~~f) -ld3J.On J41~..~ '1l5?n t~4Cb ID~1+ ~!1 (A) 3'T[{i!ffJ-' Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) .2091f.o// PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' &J- Sanllary Sewar FT Water FT Storm Sewer FT Mobile Home FEE , iLoO.crJ Plumbing Perm II State Surcharge Total Charge 1(00,00 4.80 + 8.CO (C) 1]2.~c) MECHANICAL PERMIT Furnace Exhaust Hood Ve'lt Fan N' 2'l . Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge 56\ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk 10 It Curbcut rQ(() It O-""..'U,. -.jL0 CM.c:LLt ~\1 ;J;ha,y\c1 ~ ~ 4ro qco r-:2,OO 1(0.\)0 /000 f3_~ ~ r?() S) 13Q(;) (Sea 4:-Uq:J Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~-6~f;lp (A, B, C, 0, and E Combined) APPROVED . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT , This permllls granted on the express condition that the said construction shall,ln 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 . ',~. . , /. Date Paid V ~ Receipt Numb~ru Y "\. Received By ~ ~S!\~lLti '/ \~.CW Date Systems Development Charge Is due on all undeveloped properties wllhln the City II mils which are being Improved ADDITIONAL COMMENTS ~Uffi ('~d 0 O.I"Xt ~ ~ l-"~ \ '. \C). UJJ I ~1 ) '- ~N\Q)(: \ cHoO - . ~~ \ By signature, I state and agree, that I have carefully examined the completed appllcallon and do hereby cettlly that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the Clly of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, end that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division I further certify that' only contractors end 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 reapa~le , from the street, that the permit card Is located at the front I of the property, and the approved set Of~lans "ill main on the ~e at a~mes during constr~n _ _ Signature ffi/'1?f'/7~ ~ / -c1' Date VALIDATION , 2.... RECEIPT NUMBER . \~1? ~ DATE PAIr> \ \~ l\,L{4- AMOUNT RECEI~~(t;() J21;o RECEIVED BY ~ l0