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HomeMy WebLinkAboutPermit Building 1997-5-23 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 ... SPRINGFIELD .JIItL: ~ j~n)tc <-. :L. LOCATION OF PROPOSED WORK: I~ 7",? /7,-9;~ 2-? ;\( ASSESSORS MAP' X LOT' BLOCK' OWNER' (;. Fo iR- Sf P ,_ ~ " +- iR. I+Jtfl ADDRESS" /0 70 ;!)AR/,o/v e ~ CITY: S J.? t<< ; f\/ Q -r: p I d! V ,) #)vr= STATE: . C) (f2 DESCRIBE WORK' Yc= Rno-F ADDITION NEW REMODEL CONTRACTOR'S NAME GENERA' . S (? J F i PLUMBING' MECHANICAl' ELECTRICAl' DEMOLISH .. 9 76~/.> JOB NUMBER 225 Fiflll Street Sprlnglleld, Oregon 97477 M5 TAX LOT: SUBDIVISION: ~~'=JA-......, PHONE: ?Y6-3S7!J ZIP' 97VJt;:;?> .- OTHER ADDRESS CONST. CONTRACTOR' EXPIRES '.: PHONE REQUIRED INSPECTIONS o Rough Mechanical - PrIor to cover. O Rough Electrical - Prior to cover. . . o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - PrIor to facIng materials and framIng Insp. ~ramJng - Prior to cover. ~WaIl/C'elllng Insulation - Prior to ~cover. o Drywall - Prior to taping. o Wood Stovo - After I~statlatlon. o Insert - After fireplace approv41 and Installation of unit. o Curbcut & Approach - After forms are erected b~lt prIor to placement of concreto. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - When comp.l~ted. o Street Treos - Whon all requIred trees are planted. ,. - OFFICE USE - QUAD AREA: LAND USF' FLOOD PLAIN: . OF BLDGS' . OF UNITS: ZONING CODE:_ OCCY GROUP: CONSTR. TVPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: _ SQUARE FOOTAGE: To request an Inspection, you mus1 call 726.3769. Tills Is a 24 Ilour recording. Alllnspecllons roquesled belore 7:00 a.m. will bo made the same. working day, Inspections requested after 7:00 a.m. will be made the following work day. \~... , ..... ,\, .. ....' 'fV'( Final Plumbing - When all ~ plu.mblng w()rl< Is complet,o. .. , o Final Eloctrlcal - When all electrIcal worl< Is complete. o Final Mechanical - When all mechanical work Is complete. 'Jvo( Final Building - Wilen all ~eqUlred Inspections have been approvod and building 15 complotod. DOtllor MOBILE t-IOME INSPECTIONS o Blocking and Sel.Up - Wilen all blocking Is complete. o Plumbing Connections - When home Ila5 been connected to water and sewer. o Eleclrlcal 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 porchos, skirting, decks, and venting have been InstallOd. o Temporary EloClrlc o Site Inspection - To be made after excavation, but prtor to setting forms. o Underslab Plumblng/Elactrlcal/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placemont. o Underground Plumbing - Prior to filling trencll. o Underlloor Plumblng/Mochanlcal - Prior 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 flIilng trench. . o Storm Sewer - Prior to filling trench. O Water Line - Prior to filling trench. .. D Rough Plumbing - Prior to cover. .:. r Selbacks ~IGARIACcl I N I II I ./ S" /. I I /w I I I ~~.--l I APPROVED: _ . . 'j BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . , c~. Lot faces LOI Typo Lot sQ. ftg. Interior Lot Coverage Corner Topography - Panhandle Y Total height Cul-de-sac - "':. kl. BUILDING PERMIT ., " 1 ITEM SO. FT. X S/SO. FT. Main Garage . Carport Jf'~~. ....oo.z:: - , Total Value Building Permi t Fee Stale SUrCharge 1.'1:3 '" /,!fp TOlal Fcc (A) VALUE ~th::> ?"'" .s.P-., ~-o '.S . t:J ~ -~ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures FEE Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home c.qa..'i/) Vh'TJ / .t;) (TO Plumbing Permit State Surcharge ,7r+,1-,j' Total Charge (C) / c.,. 20 '- MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan ,., Wood Stovellnsert/Flreplace Unit N' Dryer Vent Mechanical Permit Issuance Stato Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surcharge Sidewalk fl Curbcut fl Demolition Slate Surcharge ./J bbJ A7 2J.,I/E? J ) , Tolal Miscellaneous Permits (El OUNT DUE (excluding electrical) TOTAL AM (A, B, C, 0, and E Combined) 25P3 ~2.~.2.. -:. ;..".. .',: I ';... i\ . ,", : ...~- . "'..;: 11:1...;. ~,1 ';i " i. IS THE PROPOSED WORK iN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " yes, Ihls application must be signed and approved by lhe Hlslorlcal Coordinator prior to permit Issuance. This permit Is granted on the express condillon thallhe said construct/on shall, In all respects, conform 10 the Ordinance adopted by lhe Clly of Springfield, InClUding lhe Development COde, regulallng the constrUCllon and use of buildings, and may be sUspended or revoked at any lime upon vIolation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans RcVICWQ(JEiy--'- I I / Dale Systems Oe~elopmcnt Charge Is duo on all undeveloped properties within the City IImlls Which are being Improved. ADDITIONAL COMMENTS c>< /a...:l~ t..( T/ ~/?Z, J/&Y" ('~'- ' - I '.; A7<.~~ 1,2J=r-...) ..tI(I"e jZ:;. --. I , J By signature, I olato and agres, that I hava carOfully oxamlned the completed eppllcatlon and do heraby cerllfy thai all Information hereon Ie true end oorreot, and I lurther oortlfy that any and all work porformed ehall be done In accordance with the Ordlnanc~s of the City of Springfield, and the Laws of the SlaloiDf Oregon perlalnlng to lho work described heroin and th~l NO OCCUPANCY will bo made of any slruct~re wllho~t permission of Ihe Building Safely Olvl.lon, I further certHy that only contractors and employees who are In cO~Pllanco with OAS 701.055 will be used on thIs project. I further agreo to ensure that all required Inspections are requeSled at 'he proper time, that oach address Is roadable f the .treat that the permit card I. localed at Ih. Ironl rom, d I f plans will remain of the properly, and Ihe approve .e 0 on the site at all times during construction. .n~n L. L.....d.. Signature - t/." ~ Dale 0/2.J)1 f~ VALIDATION: 7.c;" 5' 2-2.- RECEIPT NUMBER ,S ,;-; DATE PAir }:f/..2-~ !: 2... ~2.... AMOUNT RECEIVED )f'~ RECEIVED BV ~. _ _ " /