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HomeMy WebLinkAboutPermit Building 1994-10-31 RESIDENTIAL PERMIT APPLICATION InspeClion~: '/26-3769 Office: 72G,3J:i9 . ~ SPRINGFIELD .'~ 'q<lr JOB NUMBEfl _ b/J3_, , 225 Fiflll Street Springfield, Oregon 971177 *' ~ ~zs. ;~X LOT: ~~ LOCArlON 01 PI10POSED WOFlt'.: --_...1b.~~\,,:?"( ASSESSOn~:; MAP: _..Jl-0Z.- --:;~ - ~ - ~ OWNER: .,., '"fQJ?::r -T..::P~L,,1-1-J~ -,... ADDRESS: _, _'!2l?Jf2P ~J~~ 4c . ~~l.Jb~la.P DESCRIBE WORK: - ",l~-rA:6.1 _ 7.. V NEW ___. REMODEL ADDITION LOT: .__, CITY: BLOCK: _._.:..._ SUBDIVISION: PHONE: _....':/117.::. 61$('/ =tr .. 26 ~ ZIP: 911:Z~_~ _ _ 7XZ7, I f- /0 X.z.y' I STATE: i1l..0~t1:::)L 1!1~1)Jj/Jh5, DEMOLISH OTHER CON ST. CONTRACTOH'S NAME ADDRESS CONTRACTOR If GENERAL: .._~~ggroJ_ _ /-14/ ~'f 97 /1.1. _6Go/'Y'_7 (.A.I/Jo...)7. co, ~v~ ~. PLUMBING: .-.----- ----....-..-..- -. t) 7,/()f7-.--- MECHANICAL: ELECTRICAL: ____.., QUAD ARIA ~~~.. /I OF [lLDC~'; ".__\_ OCCY GnOUI': ~ 1/ OF STOflll :; WATER HEAl [R: EXPIRES .rlq~ PHONE ~=2762. . , , " ~, , - OFFICE USE - LAND USE: _..__~\~.._ FLOOD PLAIN: .... __u ZONING CODE: ..,LI)\2-- " OF BDRMS: _ u_... II OF UNIT~;: ,_, _., CON~;TR, TYPE: ...., V-Moo HEAT SOUFlCF: _,.._____..._.___ SECONDARY HEAT: .. SQUARE FOOTAGE: _ ,_ RANGE: To req'Jcst an inspection, you IIILlst call 726.-3769, Tills Is a 24 Ilour recording, AIIJ.ns.p,ec,t19nsJeg~~Le..c.J..,!]Q!ore 7:00 i),m, will be made the :,>;IIIIl.) worldng clay, inspections rcqueslecl after 7:00 a,m, will be made the following work day, o Temporrtry Electric; o Site Inspection - To be made afle. ,:;.:,;avation, l:out prior to sellint] forms, O Underslab Plumbing/Electrical/ Mecha"ical - Priur to cover, ~Footino. - After trenches are ~ ~xcavaH'd, o Masonry - Steel location, bond bean'ls, orouting, CI Foulld.,lion - Allvr farnls are ereclel,l I)ut plior to concrete placenl(;nl. o Undo'!;jlound Plumbing - Prior to fillin~J trencll, o Undertloor Plumbingl Mechanical - Pric,r to insulation or decking, o Post and Beam - Prior to floor insulation or lIecldng, " "\. o Floor Insulation -'- Prior to decl,i1l~J, O Sanilary Sewer - Prior 10 filling trench, o Storm Sewer - Prior to filling trencl), o Water Line - Prior to fillillg trench, < O RoufJl! Plumbing - Prior to cover, REQUIRED INSPECTIONS I:=J Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing worl, Is cOIll':llcte, 1=:J Rough Electrical - Prior to cover, D Final Electrical - When all electrical worl, is cOlllplc::te, I:=J Electrical Service - Must be approved to obtai n permanent electrical power, o Final Meclwnical - WIHJn "" mechanical worl< is carnplele, ~nal Building -- Wilen all ~~qUired inspections hrwe boon approved and buildin~) is completed, D Fireplace - Prior to facing materials and (ramlng Insp, I=:J Framing - Prior to cover, o Other o Wall/Ceilinn Insulation - Prior to cover. o Drywall - Prior to taping, MOBILE HOME INSPECTIONS I=:J Wood Stove - After installation, o Insert - Alter (Ireplace approval aneJ Installation of unit. o Blocking and Set.Up - Whon :"1 blocking is complete, , o Plumbing Connections - Wllt;n home has been connl':ctuct 10 water and sewer. o ,Curbcut & Approach - After forms are erected but prior to placement of concrete, o Sidewalk & Driveway - Aller excavation is complete, forms and sub.l)a~;e /IIaterlal in place, o Electrical Connection - Wilen blocl<ing, set.up. anel plLJll1bin~1 inspections have been approvlJel and the home is connected lei the service panel. , 0 Fence - When completed, o Final - Aller all required inspections are approveel ami porches, sldrling, decl<s, anc! venting have been installec1. o Street Trees - When all required trees are planted, Lot laces Lot Typee Setbacks , Lol sq, ftg. Interior P,L. HSE GAR ACC - Lot coverage Corner N Is Topography Panhandle ----- Iw Total height Cul.de-sac -- IE BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, = VALUE Main Garage Carport Tot;:lI Value LZJJl2 ,DU ~r\B) l~' D<b 4\.58 Building Permit Fee Slate Surcharge -\ 3~o Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (Sg,G) (B) 125 PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT, Water FT. Storm Sewer FT, Mobile Home Plumbing Permit Stale Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exflaust Hood Venl Fan NO Woocl Stove/Insert/Fireplace Unit Dryer Vent Mecllanical Permit Issuance Stale Sl!rcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale Issuance Slate Surcharge Sidewalk It Curbcul It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and E Combined) L\\.~ ~S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEFP ._...,_ If yes, this application mw;t be signed and approved by the Historic<.J1 Coordinator prior to permi I issuance, APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition th<lt the said construc,tion 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 rev ed at any time upon violation of any provisions of sa' ordinances, Plan Check Fee: Date Paid: JD:1\qt1_ Date Receipt Number' \Rm\B~. ' ~ <.Jns Reviewed B Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon is true ancl correct, and I further certify that any and all worl< performed shall be done in .;Iccordanco with the Ordinances of the City of Springfield, clnd the Laws of the State of Oregon pertaining to the worl< described herein, and that NO OCCUPANCY will bo 111;\(,10 01 any structure without permission of the Building Safely 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 ~mes d1ing constructi Signature r~ I": A Date' /p); /91. VALIDATION: