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HomeMy WebLinkAboutPermit Building 1993-8-9 RESIDENTIAL pERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PRO\OSED)"ORt<. ASSESSORS MAP' \ '1 l... ')"0 LOT: MI4-n.~ t t>cbh.e. ADDRESS: 2. '>0 ~ t>~.. S CITY: _~fI~' hL~ C\ e.l.t OWNER' . SPRINGFIELD 25"'03 (Z~ D"",_~s 51 l...\ L\ \ ~_G. BLOCK' t>....c" ; tT"' ~r STATE: ~ (\. ('e..~"1 DEMOLISH .n~- t DESCRIBE WORt<. A n..~ '0.... u~ ADDITION X NEW REMODEL OTHER CON ST. CONTRACTOR' CONTRACTOR'S NAME GENERA" t:>...LoIL s ...."".. ADDRESS t_sTn_..A~....... t-lL\ 'T1........~7a- An PLUMBING' MECHANICAL: ELECTRICA' . QUAD AREA: 6R t\. \0 . OF BLDCS _ \ OCCY GROUP' ~'3 . OF STORIES \ WATER HEATER: '.' ..' - OFFICE USE - \\\ \ . , CONSTR. TYPE: V ^-l LAND USE: . OF UNITS: HEAT SOURCE: RANGF' . ,lOB NUMBE~ ~\(')?S 225 Fifth Street Springfield, Oregon 97477 TAX LOT' e SUBDIVISION: PHONF' ZIP' Cj~c..I"':l~ (j.....~L 11-- -- a'..~ \ EXPIRES c.. ..q, I.{ PHONE iC(1. ') 10 <;'<1 FLOOD PLAIN: ZONING CODE: Ino . OF BDRMS: SECONDARY HEAT: "- SQUARE FOOTAGE: ....saJ 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, Inspectio,ns requested after 7:00 a.m. will be made the following work day. o Temporary ElectT,ie o Site Inspection - To be made after excavation, but prior to setting forms. o Undcrslab PlumbingJ Electricall Mechanical -. Prior to cover. K"7f Fo~ting - After trenches are ~ excavated. o Masonry - Steel location, bond , beams, grouting. , rvi' Foundation - After forms are y..:=t erected bU I prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbingl Mechan.ical _ Prior to ins\Jlation or decking. 'f;;;:-;( Post and Beam - Prior to floor l....2SI insulation or decking. rv:t Floor Insulation - PriOI to lp decking. 7"vf Sanitary Sewer - Prior to filling ~ trench. o Storm Sewer - Prior to Wl1ng trench. D Water line - Prior to fllling trench. . f'J1' Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. ~ Rough Electrical - Prior to ~ cover. o Electrical Service - Must be approved to obtain perma'1ent electrlcal power. o Fireplace - Prior to facing materials and framing Insp. ;gJ' Framing - Prior to cover. rs?1 WalllCeiling Insulation - Prior to ~ cover. ",rgI D.ywall - Prior to taping. D Wood Slove' - After installation. o Insert - After fireplace approval and installation of ur-it. o Curbcut & Approach - After forms are erected but rrior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, f:,rms and sub. base materia! in place. D Fence - When completed. i J Stroet Trees - VVI1en all lequired L-- trees aft~ planted. 01 Final Plumbing'- When all ~ plumbing work is complet.e. (71 Final Electrical - When all ~ electr:cal work is complete. 'f;('1 Final Mechanical - When all ~ mechanical work Is complete. ~Flnal Building - When all ~ requIred inspections have been approved and building is completed. DO'her 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. o Final - After all required inspections are approved and porches. skirting, decks, and venting have been Installed. . Lot faces Lol Type Setback" Lot sQ. ltg. Interior I PL. IHSE GAR ACC I IN I Lot coverage Corner Is I Panhandle Topography ~; Iw I Total height Cul.de.sac LEO I _ __-.J BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. VALUE Main Garage t;\c\ ~ZfD \R reD Total Value \~.5D lo~3 \34.93 Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CH~q~ lS~)_ (B) Lbu PLUMBING PERMIT ITEM FEE '-- Dl),to Fixtures ~~ Resldenlial Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit ..3D.UU \,50 3' .caO State Surcharge Totar Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood ~oo Vent Fan N' Wood Stove/lnsertlFircplace Unit Dryer Vent Mechanical Permit 1.:5 .00 if) cD /}S as :/-'S Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 1.9&JB .. IS THE PROPOSED WORK IN THE HISTORICAL 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 thallha said construction shall, in all respects, conform to the Ordinance adopted by the Cily of Springfield, including the Development Code, reoulating the construction and use of buildings, and may be suspended or revoked at any time upon violalion o~ prov~s of said ordInances. Plan Check Fe~ ':'>/. Date PaId l ~ t}- Receipt Number' C\ ~L\Q '. ~ ----; Received By: -~ -~ '- Plans Reviewed By Date Systems Development Charge is due' on all undeveloped properties within the City limits which arc being improved, ADDITIONAL COMMENTS r \ ~ ~ 0 rrnCD D. ~ ~m:uL \t\, ':;~ro~0lL~ \1_fidllY_ -LOI_ 11 LCD. V\ \ I\t\mOOrtn~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all ~nformation 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 Ci ty 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 willl ORS 701.055 will be used on this project. I further agree to enSllre that all fCquired inspcctio(1s arc 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 sel of plans will remain on the. Sl~ time.::.. during con'f1ction. Signatur~ l~c.. ..c?C:;Z AAo-_ Dale _tA. ~r q . ;> qt, VALIDATION: n RECEIPT NUMBER '-"I X' ~ . DATE PAID ~q3 AMOUNT RECEIVED f/b 1 CI~( J Y v1 ) ul{u0- RECEiVED BY