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HomeMy WebLinkAboutPermit Building 1999-9-1 RESIDENTIAL PERMIT APPLICATION -. Inspections: 726-3769 OHlce: 726.3759 LDCATIDN .oF PRDPDSED WDRK: 3 ~7 $ ASSESSDRS MAP' / '10'] Obi 'Z LDT' .oWNER' ~ TIt./c.t ADDRESS" 3 ~ 7 ~ CITY: S6'4tAws r; ~ / BLDCK: ~ ie t..AJ4 Ik.&./"'~ ./ STAT'" tJ# DESCRIBE WDRK:_ G A-12-(}...4P- V'" ;DDITIDN io CDNTRACTDR'S NAME tJ(,VAlEA. PLUMBIN"" dWAlell MECHANICAl' ri6'f.~: ELECTRICA" TI\lCr=",.'IT~1-l1\11 F)(PIREIFTHEWORK - -",' ''''-~:l'''' 'I(" nC:OMIT I~ NnT I-VJ I nvnlL.L..U vh...._. .. --- COMMENCEDORISABANDONEDFeFPFFICE USE - --r -X'rCnlOD LAND USE: 1'\1'11 IOULJ I . NEW REMDDEL GENERA' ' QUAD AREA: . .oF BLDGS' DCCY GR.oUP' . .oF STDRIES: WATER HEATER' rT9!ti.I;R \I\I'j Ire::",,)! I 1:::\\1\1 rp.mme~ vOU h. fe~~:':: :-:.:':: ':"....#'o~+~A h:' tho ~rgnnn lltilit\; N(C~N$T.", r"nt~r, Thosp n lies are set foni' CDNrFlACTOo R1 0010throEXf1tIRESR g"')-QRi;i, .oNE in OAR 952. U - uy I u'R '''' v nn(\n v", I n"I~\J f\htain r.nnip.!; of the rules b~ - - ~~lIing the center, (Note: the telephone ...L .. ...... _....__ numoer Tonne ureyul LUUlIlY '..'VLlJlI.......uv.. I"...."'to, :C' 1 ~Rnn~ ~~??~44 L t1A/He-~>>@'\ DEMDLlSH ADDRESS · .oF UNITS' CDNSTR. TYPE: HEAT SDURCE: RANG'" ~ Cfrl/?~ JDB NUMBER 225 Fifth Street .Sprlngfleld, .oregon 97477 TAX L.oT' D2(,.00 SUBDIVISIDN' PHON'" S'-t/- '!~,- 'i 70 () ZIP' r7'17~ ~A'I';,", ~M I RldII, t-/,.,~ ./ FLDDD PLAIN' ZDNING CDDE: . .oF BDRMS' SECONDARY HEAT: SQUARE FDDTAGE: 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 Slto Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall 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 placement. o Undorground Plumbing - Prior to filling trench, o Underlloor Plumbing/Mechanical - Prior to Insulation or decking, o Post and Beam - Prior to floor Insulation or decking. /AFloor Insulation - Prior to ~ decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to Hlllng trench. O Water Line - Prior to filling trench. ,DROU9h PlumbIng - Prior to \bV cover. )iEPUIRED INSPECTIONS In jlough Mechanical - Prior to Vcover. ryou9h Electrlc.1 - Prior to blover. o Electrlca' Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. (S:v~remlng - Prior to cover. (n-:;Wall/celllng Insulation - Prior to ~ cover. ~JryWall - Prior to taping, o Wood Stovo - After Installation. o Insert - After fireplace approvlll and Installation or unit. o Curbcut & Approach - After forms are emcted but prior to placemont of concrete. o Sidewall< & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When cOinpleted. o Street Trees - When all required trees are planted. @Inal Plumbing - When all pl_umblng W9rk Is complet.e. (r---I Inal Eloctrlcal _ When all ~electrlcal work Is complete. (gJ Final Mechanical - When all o echanlcal work Is complete. r []\Ina' Building - When all Qf~eqUlred Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking end Set-Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water .'3nd sewer; o Electrical 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 Installed. (- / Setbacks I PL. HSE GAR ACC IN Is Lot facos L~t ~yp. Lot sq, ftg, Interior Lot coverage Corner Topography Total height ,. Panhandle Cul-de-sac IN E BUILDING PERMIT' ;, .t ITEM SQ, FT, x $/SQ, FT, VALUE Main Garage " Carport . ': ::. ,: t,'~ \::i.~\~; _S THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON 'THE HISTORICAl. REGISTER? If yes, this applldatlon must be signed and approved, by the Historical Coordinator prlot to permit Issuance. APPROVED: , .~ ,. .'. . 'I BUILDING VALtiE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condltlon that the said construction shall, in all respects, conform to the Ordinance adopted by the City. of Springfield, Including the Dovelopment Code, regulating the construction and use of oulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. 'f'!. .s- J Plan Check Fee: ~ ()OO <J? Date Paid: Total Value ~8'.>O Receipt Number. Building Permit Fee c,. (') Received By: ~ 9) (ff' State Surcharge 4Jl~ 75: 35 Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE 20 Fixtures Z- Residential Bath(s) N' Sanitary S~wer Water FT. Storm Sewer FT, FT., Mobile Home Plumbing Permit 2<:/ 2- ').. 2-. iN State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unll Dryer Vent ].00 Mechanical Permit ;5:00 /O,OtJ t .j'7J U.S'O Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcul It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT QUE (excluding electrical) (A, B, C, 0, and E ~ol)1blned) -Lf, ~ ]~ Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS /7 /I- ~~tWe ~'1ttlc.J/ ~".,/ ~(j~/~ . 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 perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of Ihe 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. Oat-=- VALIDATION: t),?'ilf/L RECEIPT NUMBEr DATE PAIr> t:(/ I 11'4 AMOUNT RECEIVED (, (~8iJ3 7 RECEIVED BY P t.J~