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HomeMy WebLinkAboutPermit Building 1996-11-13 , .IIi:: tlti LOCATION OF PROPOSED WORK. '2 57C:; f)~ mtl."S Dr \ I032~vl.-/ RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAp. LOT: OWNER: CITY: . SPRINGFIELD .1....", . BLOCK: Dr STATF. Of::( DESCRIBE WORK: {)J(,ofJ1'1- ~ REMODEL ADDITION DEMOLISH NEW CONTRACTOR'S NAME /l /' GENERAl. /!HiJl/Un PLUMBING: MECHANICAl. ELECTRICAl. OUAD AREA: '1 etJ lit} . OF BLDGS: OCCY GROUp. . OF STORIES:_ WATER HEATER: OTHER . JOB NUMBER Q(015Lf/ ,- 225 Fifth Street Sprlnglleld, Oregon 97477 TAX LOT: tJV I 0 :<.. SUBDIVISION. PHONF. ZIP: t{7177 ADDRESS CONST. CONTRACTOR' PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framIng Insp. o Framing - PrIor to cover. o Wail/Ceiling Insulation - PrIor to cover. o Drywall - PrIor to taping. - OFFICE USE - LAND USE: _.______ . OF UNITS: ) CONSTR. TYPE: -2-::'-^- HEAT SOURCE: RANGF. EXPIRES FLOOD PLAIN: ZONING CODE: --.L O~ . OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE: To rOQuest 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 aHer 7:00 a.m. will be made the (ollowlng work day. D Temporary Electric o Slto Inspection - To be made after excavation, but prior to settlng forms. o Undcrslab PlumbinglElectric...ll Mechanical - Prior to cover. N Footing - After trenches are _J ~xeavate'70 b~ ~OI 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 Underlloor Plumbing/Mechanical - Prior to Insulation or decl<lng. o Post and Beam - Prior to floor Insulation or decking. tJ Floor Insulation - Prior to decking. " o Sanitary Sewer - Prior 10 filling trench. o Storm Sower - Prior to filling trench. o Water L1no - Prior to filling trench. o Rough Plumbing - Prior to cover. o Wood Stovo - After Installation. o Insert - After fireplace approval " and Installation of unit. o Curbcut & ApPI'Jetch - After forms arc erocted but prior to placement of concrete. o Sidewalk & Dri\cway - After excavation Is complete, forms and sub-base rraterlal In place. o Fence - 'Nt1on completed. o Streol Treos - When all required trees are planted. o Final Plumbing - When all plumbing w~)(k Is complet.c. D Final Electrical - When all electrical worl< is complete. o FInal Mechanical - When all mechanical worl< Is complete. ~Final Building - When all ~~eqUlred Inspections have been approved and building is completed. D Othor MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all bJockln~J 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 Ille home is connected to the service panel. o Final - After all required Inspections are approved and porches. sklrllng, decks, and venting have been Installed. Lot faces . Lol Type Lol sQ. Itg. Interior Lot coverage Corner Topography Total height Panhandle Cul.de-sac BUilDING PERMIT ITEM so. FT. X $/SO. FT. Main Garage _1{f;1) -1(), I U Carport Total Value I P.L. IN Is Iw IE VALUE ., ~~11{ 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. Setbacks HSE rG~; ACC I I I I I j J Stale~iij'or~'4-u Total We .7 ~'YL- (A) _.Q2;!2JJ ---tJi- --- C)q,5S SYSTEMS DEVELOPMENT CHARGE (SDC) Building Permit Fcc (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wcr Water 1'1: FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StoveflnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit CD) MISCEllANEOUS PERMITS Mobile Home State Issuance Slate Surcharge , Sidewalk II Curbcut II Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE APPROVED: BUilDING VALUE, PLAN CHECK AND BUilDING PERMIT Tllis pemilt is grunted on tlie express condition lhal the said construction shall, in all respects. conform \0 the Ordinance adopted by Ihe 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: Date Paid: Receipt Number:__. Received By: Plans Revic~ed. ciy-'u.------ Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS , ~. -Iv be IlJi{1t1'y1 ?tJ da;/S By signature, I ::;tale and agree, Ihat I have carefully examined the completed application and do hereby certify that all Inrormatlon 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 thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify ltwt only contractors and employees who arc In compliance with GRS 701.055 will be used on this project. I furlher agree to ensure that all required inspections are requested at the proper time, ttlat each address Is readable from tile Slreet, that the permit card Is located at the front ot the property, and t approved set of plans will remain ::"~:~t';" il;;/71"M,/ Dale / - -0 /' y6 \. VALIDATION: RECEIPT NUMBER '1 ~7r; f.o //,,/ ~ -1h ~MOUNT RECEIVED.. .c:;q~~ IJ1 ____ - DATE PAID RECEIVED BY