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HomeMy WebLinkAboutPermit Building 1991-5-1 ., LOCATION OF PROPOSED WORK: ~~(/ p~/S"y.~ #';?~ I.B-<?:<.(j 7'-/1 ;~ . c::- .~ ' . RESIDENTIAL. PERMIT APPLICATION , Inspections: 726-3769 Office: 726-3759 " . ASSESSORS MAP: LOT: SPRINGFIELD . JOB NUMBER ~ /t:::> ~'3':3 225 Fifth Street . Springfield, Oregon 97477 TAX LOT: ON/<? BLOCK' SUBDIVISION: I OWNER: ADDRESS: CITY:, .7373 ~At~ ~ C(?f,/'f/Z:>~ ..8~~ ~/$~,. ~./O. 1) /) C-~.. . STAT~' - " ~ PHONE: -:) C::I/~8~B -tV ~~ ~/-g6~-w r ZIP' DESCRIBE WORK: l(A/~~~L ~ ~/ZS;&.~ ,~~~ '$/~~C~ ~~. . . ..... ' NEW REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME GENERAL'~~~ CONST. CONTRACTOR # ADDRESS t~~E~~ At:.:.. ~t:"-> ,. ... ~'. c' ,-/$"JY .,. . PLUMBING'. MECHANICAL: ELECTRICAL: , - QUAD AREA: .'. # OF BLDGS: OCCY GROUP: # OF STORIES' WATER HEATER: EXPIRES PHONE ?Y?~~~9 ~ - l. . - OFFICE USE - LAND USE: FLOOD PLAIN- # OF UNITS: ZONING CODE: CONSTR, TYPE: HEAT SOURCE: RANGE: # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: 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 requested after 7:00 a.m. wilrbe"made the following wor,"k.j~y;.,_,,.~,'... _ .._"'" ... ". REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. rvl Footing - After trenches are lAJ excavated, o Masonry - Steel location, bond. beams, grouting. . o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical -:- Prlo.r to insulation or decking. . , o Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking. o 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 cove~ . '... o Rough Mechanical ~ Prior to cover. . o Final Plumbing - When all plumbing work is complete. D Rough Electrical - Prior to. cover, o Final Electrical - When all - elect~ical wo.rk is complete. o Electrical Service - Must be approved to obtain permanent electrical power. o Final Mechanical - When all mechanical work is complete. o Fireplace - Prior to facing materials and framing Insp, o Final Building - When all required inspections have been approved and building is completed. o Framing - Prior to cover. o Other o WalliCeiling Insulation - Prior to cover, o Drywall - Prior to taping. MOBILE HOME INSPECTIONS 0: Wood Stove ~ After installation. o Insert - After fireplace approval and installation of unit. 0- Blocking and Set-Up - When all blocking is complete. o Curbcut & Approach - After forms are .erected but prior to placement of concrete. [2] Plumbing Connections - When home has been connected to water and sewer. o Sidewalk & Driveway - After excavation is complete, forms and sub-base.material in place. III Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. . D Fence - When completed. D Street Trees ~ When ali req.uiied trees are planted. '.',. . . ... W Final - After all required inspections are approved and . . porches, skirting. decks, and . ;..' venting have been installed. Lot faces Lot Type' Setbacks I P.L. I I I ACC I Lot sq. ftg. Interior HSE GAR .1 N Lot coverage Corner Is Topography Panhandle Iw Total height Cul-de-sac IE BUILDING PERMIT ITEM sa. FT. x $/SO. FT. = VALUE . , Main . Garage Carport ~r~5 Total Value /~r. Q!> v .?S- i-6= 7> SYSTEMS DEVELOPMENT CHARGE (SDC) Building Permit Fee I State Surcharge '.. Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home ,&~..#~a~P . " , .... ... /~,t> /-S:.~ ,,'7~ -JS. ~ Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home J19~'2~ I"S..:;'s 5'..2~ State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D, and E Combined) j'~.;~:,~ ~ ~,~~.~Z . ~ IS 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 permitis granted on the express condition that the said . construction shall, in all respects, conform to the Ordinance adopted by the City of Spring}ield, 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: Receipt Number: :.z;-/'9/ Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS I#E EL..R//'f/CAc. &~~-":~-'- ~~~L'- ~/A--~~,~ ~~"~~#"' ~~/7. I 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 pertai ni ng to the work descri bed 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 ORS 701.055 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 of plans will remain on the site at all times during construction. Signature ~" -. vwtk 5-I-ctl Date VALIDATION: RECEIPT NUMBER /q93<;; ,-/"'9/ ~ IY/./~ ~?, " DATE PAID AMOUNT RECEIVED RECEIVED BY .. .... " . ~~ , ''-.d ~~ .. '{ \. .~ cs~ 50. ..., 1 ' 03.~ , ., , \I) ~l . - G d''') UI "- f- .- .:0 . - ~ - .. P1 " , . . - , -d'. , 1ct /~9'S~ ~ ($), .. \!\ ~~ <(0(0 fA .< rJ" , v ~ ~ , .. -' a; ./l. ~ . . " : .. . ' ,: .....: 0:; -./f\ I l ; .'- I . . . . i , , I ~ I ~; I.tJl . ! - ~ . . , ., . - ... , 1./11/1 . _l ~ ~ ~ ;\ . "1 'A . :t:. l- e! , " ,-' '~ {f\~ \... . - - J 0.. . .-' . ~ ,