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HomeMy WebLinkAboutPermit Building 1991-5-17 ASSESSORS MAP' -. IF OWNER' ~ b .,j~._-;Tt..<... ~ '"'- +f.e~ AODRES"" rltf 9 ~ fVt........f;;'{,...:r ~-'''''.:. CITY' 4~~",,-- 0......... 8../' <J ' . rJ - -- -:---. S..... ,<- r,,~, {.. f<;'p=.L..uLJ U J /t10~ RESIDENTIAL PERMIT APPLICATION Inspections:, 726.3769 Office: 726.3759" ' LOCATION OF PROPOSED WORI<' LOT: DESCRIBE WORK' NEW )( REMODEL - CONTRACTOR'S NAME G'ENERAl' ~.{."-'-'- SPRINGFIELD ~ss'''J)/O -..>...L .s+- BLOCK: STAT'" ADDITION DEMOLISH . ;Ul. v I- t] / ()'-/(J). , JOB NUMBER 225 Fifth Street Sprlngfleld,Oregon'97477 TAX LOT: -'S~~~;;ISIONW.,..b~: F"..J.-I--r r PHONF' tfJS.117 '" ZIP' f7 Vol OTHER CONST, CONTRACTOR' EXPIRES PHONE .3iQ"'~~ t../ff <lJ S j, 7 '" ail /' <.( ,,!f/ <{d'S" y '" ~OLVV ~/H_ 7 <f/- 000 ,L 3J8.3<.. 7//, '<fL.-oJ(,7 L ADDRESS K H~_.. r oJ ff L M-r. {"f,. r (2~; ,_ ) PLUMBING' ('u~_ PI.. _ I..." K...A...~_r. t:~. . .~ J MECHANICAI.?,~I ~r fLI/A'~ ~r70 €..+- Jvtt. ,;:~, " " ,I ~ ELEcTRICAL' N-~ ~ ~,,_ J E"'--- .,,o 7 ~ 7H 7::J v:>J. I{J 1:;'<.". . J v. "- OFFICE USE - QUAD AREA: , R..\\ lLU LAND USE: \ \ \ \ FLOOD PLAIN' . OF BLDGS: , . OF UNIT'" ~ ZONING CODE: L 0 {2:... OCCY GROUP: 'e~--\~ CONSTR. TYPE: VN . OF BORMS: -4 .. OF STORIES: rl HEAT SOURCE: FG SECONDARY HEAT' WATER HEATER' S RANGF' E... SQUARE FOOTAGE: r9/JJ I ~ 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. o Temporary Electric . o Site Inspection - To be made. after excavatIon, but prior to settIng forms, o Underslab Plumblngl Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated, o Masonry - Steel location, bond beams, grouting, ~Foundation - After forms are ~rected but prior to concrete placement. o Underground Plumbing - PrIor to filling trench, ~ Underfloo~lumblrutl-Mechanici.t>: P.J - Prior to l'iiscrTaTiOn- or decking. ~ Post and !3eam - p'rlor to floor ICL..lnsulatfon or decking. -c7f Floor Insulation - Prior to ~deckjng. '1Vf Sanitary Sewer - Prior to filling ~rench, ~ Storm Sewer - Prior to filling ~ trench, ~ Water Line - Prior to filling trench. ~ F;?1' Rough PI.umbing - Prior to ~over. REQUIRED INSPEC!I,2NS I':7f Rough Mechanlcal.'- pri?r to ~ cover. '" ~ .;--'... '.-- ;g '\ Rough Electrical - Prior to cover. , K7'f Electrical Service - Must be ~ approved to obtain permanent electrical power, ~ Fireplace - PrIor to. facing , materials and framing Insp. g,:raming - Prior to cover. 'T"v'r'Wall/Ceiling Insulation - Prior to ~ cover. ' ~DryWall - Prior to taping, ..' . ., D Wood Stove - After Installation. o Insert - After fireplace approval and Installation of 'unIt. K/l" Curbcut & Approach - After ~forms are erected but prior to placement of concre,te. . ~Sidewalk'&.Oriveway - After ~excavation Is complete, forms and.sub-base material in place. ~Fe,nce -'When completed. ~reet Trees...:. When'all":req~lred' ~ees are planted. . , ~ Final Plumbing - When all ~Iumbing work Is complete, K'Ji( Final Electrical - When all ~electrlcal work Is complete. rv1 Final Mechanical - When al/ ~mechanlcar work Is' complete. r'V1' Final Building - When all ~requlred Inspections have been approved and building Is completed. ~Other JY(~:JC.f~~tU ,OWe;:; 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. D Final - After all required inspections are approved and . porches: skirting, decks, and venting have been installed. . . . '-, . , THE PROPOSED WORK IN THE Lot faces * Lot Type Setbacks Lot sq. ltg, /m~ ~terior I PL, HSE '1"0 I HISTORICAL DISTRICT, OR ON IN /9' . I THE HISTORICAL REGISTER? Lot coverage ~ Corner If yes, this application must be signed ..::z.~ Panhandle Is sr' I and approved by the Historical Topography lw 1-1' I Coordinator prior to permit issuance. Total height u.: Cul.de-sac IE /2' 12.' I APPROVED: BUILDING PERMIT SQ, FT, r9A()4 Aloe) X $/SQ, FT, VALUE ITEM Main Garage Carport /[iJ/Yh. -1-33/)"0 2/ ~ S' 151. (p~ SYSTEMS DEVELOPMENT CHARGE (SDC) /5t:Jo .00 Total Val ue Building PermIt Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ /12 ~() Sanitary Sewer FT, Water FT, FT, Storm Sewer 15~ ,//)7 5"D JD Sf> .217 BS State Surcharge Total Charge (C) MECHANICAL PERMIT ~;n ~(;"D /z'?O Fu rnace Exhaust Hood Vent Fan N' ..,. . Wood Stove/Insert/Fireplace Unit Dryer Vent 3 ,t:1U z.~ 77~o I/)'"" J.9S ~q 3[1. 4~ 1-IAY JC; Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk f34. It 2.2. ~ /1:0 Curbcut ?~ It Demolition StajjSUrCharge ~. f\[' 9-.-- ~ Total Iscellaneous Permits (E) ~.- 4/ . tJo ?'?~2. '7/ , ....~ TOTAL AMOUNT OUE (excluding electrical) (A. B. C, 0, and E Combined) 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. Plan Check Fee: jf')- r I. uS" dJ-ttJ11 Receipt Number' /'1 fLi C; Re~~: prd-rfs f'[evl "wed By' - Date Paid: !5..:.Cj, - r / Date .Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS (11 \ W'XtJ 9._ .;. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all !nformatlon 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 site at all times during construction. Slgnature~-'L ~ </h-.I/Y/ Date VALlOATION: RECEIPT NUMBER -:2~&;)9 3 >-/;::> -"7/ AMOUNT RECEIVEr> -:<. ':::1,53' -) / /26'~--=-,- OATE PAIr> RECEIVED BY '.or