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HomeMy WebLinkAboutPermit Building 1993-12-16 *' LOCATION OF PROPOSED WORK: 5""660 .t?.A2/'5 // ~A::J 17-C;2 -? ":f -~t/ . - .... RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT: OWNER' ADDRESS: CITY: . . SPRINGFIELD . JOB NUMBER ~:.:r / '/ 7<7 225 Fifth Street Spi-lngfleld, Oregon 97477 Jy'2_~ TAX LOT: SUBDIVISION' NEW REMODEL ADDITION OTHER BLOCK: b~. DEMOLISH PHON F' ?y"/ - 3"'cG.5~ . - 'p~~~C:LL F~~~~~ ~ ~./?7~ ,.. , ~/LP;_ STATE: ZIP' 9::> y..> g DESCRIBE WORK: C~~./~,pc:~ /6X-Z$L' ~~,.,-? ~~,~q ~~~?~r.~~C' CONTRACTOR'S NAME GENERAL: ft-~4~A.' ,. " pLUMBING' MECHANICAL: ELECTRICAl' ADDRESS CONST. ,CONTRACTOR # PHONE EXPIRES .. "- OFFICE USE - QUAD AREA: 2;.(Rs r.. LAND USE: FLOOD PLAIN: ',' ! ., LOR. # OF BLDGS: . ' # OF UNITS'. ZONING CODE: OCCY ~'ROUP: M . CONSTR. TYPE: IN # OF BDRMS' 1 , # OF STORIES' , HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG~' SQUARE FOOTAGE: 3'9.4 -.J:" 'C To request an Inspection, you must call 726-3769, This Is a 24 hour recording. All Inspections requested before 7:00 a,m. will be made the same working day, Inspections request~d after 7:00 a.m. will be made the following work day, REQUIRED INSPECTIONS D Temporary Electric D Site Inspection -' To be made after excavation, but prior to setting forms, o Underslab Plumbing/ Electrical/ , Mechanical - Prior to cover. r.v1 Footing - After trenches are ~ excavated, o Masonry - Steel location, bond beams, grouting, . , ~ Foundation - After forms are ~ erected, but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical . - Prior to Insulation or decking, o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. D Sanitary Sewer - Prior to filling trench, o Storm Sewer - Prior to filling trench. . o Water Line - Prior to filling trench, o Rough Plumbing '"'"" Prior to cover. D Rough Mechanical - Prior to cover, . D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power, D Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover, ' o Drywall - Prior to taping, " o Wood Stove - After Installation, o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After . excavation is complete, forms and sub.base material In place. D Fence - When completed. D Street Trees - When 'all required trees are planted. " '. D 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, ~ Final Building - When all ..............'cequlred Inspections have been approved and building Is completed. D Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all 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, sklrtln'g, decks, and venting have been Installed, Topography Total height Panhandle Setbacks I P.L. I HSE I GAR ACC N Is Iw IE , " ~ 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. \ , \ Lot faces Lot Type. , Lot sq, ftg, .. ", _. Interior Lot coverage Corner Cul-de-sac . "ApPRdvE8: . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ~. This permit Is ~iranted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Sprin,gfield, 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: .~6. ;? ~"'? Date Paid: / /..~ ~~ ~ '3' Receipt Number' /(/)~/ Received' y: ~. . , ~ p//JA-l s Reviewed Bf / Dpte BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, = VALUE Main Garage '=?.Ji?7I ,/~/p ~st/~9'o , , Carport .... .~ , . ., ..~- . ..... Total Value Total Fee (A) q;,.5o -- -sa3 2. cg.ll - " Building Permit Fee State Surcharge SYSTEMS DEVELOPMENT CHARf{; (SDC) Jb 15 1'P (B) 9'1- Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved, PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Residential Bath(s) NO ~ e~/OfL, li1J'?I<<d/ltlVS fi /tt _~ /(J.t'!, _ . ,t/KA'M ',r: Fixtures Sanitary Sewer FT. FT, FT, Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan NO , 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 I 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 'permisslon of the Building Safety Division, I further certify that only contractors and employees who are In compliance with 9RS 701.055 will be used on this project. Exhaust Hood Wood Stove/Insert/ FI replace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) 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 , on the site at all times during con~tl~. X;gnat~..4 -W. ~ / . Date /2 II U 17'_~ ( I MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) VALIDATION: RECEIPT NUMBER 1==*-' II 'lcf1 DATE PAID 1;}11/...IC1 ~ . AMOUNT RECEIVED ~ \SqD~ /c::q.t:Je; , ..... , . RECEIVED BY ~~ . State Surcharge Total Miscellaneous Permits (E)