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HomeMy WebLinkAboutPermit Building 1994-10-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 --- . SPRINGFIELD .'---,... , 9#;?f;(;, JOB NUMBER - ..PCJ 1,< )l ~t 225 FI fth Street Springfield, Oregon 97477 66 rl'Y;r3-0eIJ V I rJ~ , TAX LOT: l J\I~"", SUBDIVISION: LOCATION OF PROPOrED WA~: ,,") .;2.. J q >ASSESSORS MAP: '7 ~~~~. $J-trl Y /) &; 17_ . / 'ADDITION LOT: OWNER: YrlLYl k. cI-:;;;;;'; 'r I e'l ADDRESS~ 5. d J 9 JJa/__< y CITY: ~ 1"".1 YJ Cj 51 e. I d.. DESCRIBE WORK: NEW REMODEL CONTRACTOR'S NAME GENERAL: (Jp.. LJO ! PLUMBING' MECHANICAl' ELECTRICAL: (lll '\I"fC'_ " QUAD AREA: # OF BLDGS: OCCY GROUP: ~~./ \ ,U \ # OF STORIES: WATER HEATER: BLOCK: tcLi vl1S u) Or ~ s:r. PHONE: STATE: /'JR" ZIP: CJ?tf?!- ~'it,tL SA eri . l DEMOLISH OTHER ADDRESS' CONST. CONTRACTOR # \D\~ ~~~ EXPIRES PHONE r) tGA.m.~ - OFFICE USE - \\\ \ LAND USE: FLOOD PLAIN: ZONING CODE:-1J)~ # OF BDRMS: ~ # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: vv SECONDARY HEAT: SQUARE FOOTAGE: ~t{J 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. will be made the following work day. REQlJlRED 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. l'91"""Footlng - After trenches are ~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. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D 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: \ ',' , D Rough Plumbing - Prior to cover. o Rough Mechanical ~ Prior to cover. o Final Plumbing - When all plumbing work Is complete. . , D Rough Electrical - Prior to cove~ ' D Final Electrical - Wohen all electrical work 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. 1Vf Final Building - When all ~equlred Inspections have been approved and building Is completed. ~ Framlng- Prior. to 'cover. D Other o Wall/C'elllng Insulatlo,n - Prior to cover. D Drywall ..,.. Prior to taping. MOBILE HOME INSPECTIONS , . o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Blocking and Set.Up - Whep all blocking Is complete. ' o Curbcut & Approach - After forms are erected but prior to placement of concrete. o 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. o Electrical Connection - When blocking, set-up, and plu~blng Inspections have been approved and the home Is connected to the service panel. o Fence, - When completed. o Street Trees - When all required trees are planted. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. . ' " . '...:;~ !.'...,.." ,{' d : " I~' \:i:,. ~', ~t; '~':" ". . l ..'. .\.- .'. '.\1 ..:., ';~. ..':~ ." . , :, " ,:'~ ..'~~ t' .~ . Setbacks ' I ~P.L. HSE GAR ACC' IN Is Iw IE ~/ Lot faces Lot ~ype. Interior Lot sq. ftg. Lot coverage Corner Topography Total height . Panhandle Cul-de-sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. = VALUE t'0al n Gacage " Carport 5~ ~><Ifo ~l/7Jo <)7JteHcr. 2.2.0 /4-/10 , ( ' /0 /0 J. ? ') .cj. -2-2-2..2- ,7S'? (... -44.9() . '2. 3.' . . ~ /.'J. I -4b-. f)7 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 1 ~I " , Total Value Building Permit Fee State Surcharge ; Total Fee (A) . PLUMBING PERMIT ITEM FEE Fixtures , . . Residential B~th(s) Sanitary Sewer NO FT. Water FT. FT. / / \ Storm Sewer . Mobile Home Plumbing Permit State Surcharge .. Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent / / Mechanical Permit Issuahce State :Surcharge ' Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk / / / Curbcut ft ft Demoll tlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) -'ft. /4- (A, B, C, D, and E Combined) . THEPROPOSED WORK tN THE _ 'HIST081CAL 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 permit is granted on the express condition that the said construction 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 revoked at any time upon violation of any provisions of said ordinances. t2-,~ ,!3 o//'7/J 1- /1'7<:;1 Received By: ~~ #'/~ Plans -Reviewed By Plan Check Fee: Date Paid: Receipt Number' ~(~~ Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~/~/~ 1tCJ:J:~~ IAJdL ~ A ~~ ~~'.r: . '. ~ 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 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 slte%/ all time~dU onstructlo V (,'-2./ r Slgnature~ ~ r:> , Date VALIDATION: RECEIPT NUMBER /f Cj~2.. DATE PAID )t>/#')'~ AMOUNT RECEIVED t:, 9J~ d, RECEIVED BY ~,.~ .