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HomeMy WebLinkAboutPermit Building 1996-4-22 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 '. SPRINGFIELD LOCATION OF PROPOSED WORK: 9'39 h/~ V/C~ /:>-&3-2"::::>-"'3, t" .0..<<> ASSESSORS MAP' LOT' OWNER' 51.1.Jllp. q ~9 BLOCK' G'rlf'+llA 11 MAr K -::::rCLI Y' \J I e..w [) Conrad ADDRESS' CITY' r, STATC, . JOB NUMBER ~.:::::> ~ 225 Fifth Street Springfield, Oregon 97477 I TAX LOT' ~< <.0/ SUBDIVISION: PHONC' / 4-0'- .;{0 8~ ZIP' I \ DESCRIBE WORK:/n-,?7-4/~ NEW REMODEL h....~~ {'-1:?:'~ ,4-d:'"....-5y.. ;~,J,I' ~-CC ADDITION DEMOLISH OTHER CONTRACTOR'~E GENERAl' ..-- Ko Th s CONST. C ADDRES~ ~~e:;-8~~NT~ACTOR . 6-YJ, CT-?/"ow "7?V'::>~ ' 1')53 cl.. I , ~ , PHONE ,4 <f-218'f PLUMBING' MECHANICAl' ELECTRICAl' EXPIRES -, Y -2X'- Ciro - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER' HEATER: RANGF' SQUARE FOOTAGE: _ To request ~n InspectIon, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be made the same working day. Inspections rCQue~ted after 7:00 a.m. will be made tho followIng work day. REQUIRED INSPECTIONS o Temporary ElectrIc O Site Inspection - To be made after excavation, but prior to settln,g forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. [Z] Masonry - Steel location, bond beams, grouting. D 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 decking. o Post and 8eam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decKing, , " o Sanitary Sower - Prior 10 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 Rough Electrical - Prior to cover. o 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 loping, o Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete. forms and sub-base material In place. o Fence - "Vhen completed. D Stroot Trees - When all required trees are planted. o Final Plumbing - When all plumbing worl< Is complete. , , D Final Eleclrlcal - When all electrical work ,IS complete, o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Set,Up - When all blocking Is complete. o Plumbing Connections - Wilen home Ilas been connected 10 water and sewer. o Electrical Connection - When blocKing, sel-up. and plumbing Inspections have been approved and the home Is connected to the servIce panel. o Final - Aller all required . Inspections are approved and porches, sklrllng, decks, and venting have been Installed. '~ Lot faces Lot sq, ftg, Lot coverage Topography Total height BUILDING PERMIT ITEM SQ, FT, . Main Garage Carport '. , TOlal Value Building Permi I Fee State Surcharge Total Fcc Lol ~YP. Interior Corner Panhandle Cul,de.sac , X $/SQ, FT, = ,-_.- ."! " ::. ,-' \;;:: ;~(H :~~~. .IS THE PROPOSED WORK iN THE, ""HISTOJ:lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical . Coordinator prior to permit Issuance. I P.L. IN Is \W '1 E Setbacks HSE GAR'ACCI I I .1 I' " VALUE '. /l ~", d~~~ .,..~ '.d'_ ~-9: '9'''3 (B) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) N' FT. FT. FT, (e) Dryer Vent Wood StovellnserllFlreplace Unit N' Vent Fan Mechanical PermIt Issuance State Surcharge Totaf Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It (A) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Resldenllal Balh(s) , Sanitary S~wer Water Storm Sewer Mobile Home Plumbing Permit Slato Surcharge Tolal Charge MECHANICAL PERMIT Furnaco Exhaust Hood Curbcul It Demolillon Slate Surcharge Total Miscellaneous Permits (E) ~ FEE APPROVED: . ,.).:; of BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permltl,s granted on the express condltlo~ thai the said construcllon 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 ~r~~lsions of said ordInances. P-Ian-Check F.ee: . ", .' - " Date Paid: Recelpl Number: Received By: ", Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I stato and agree, that I have carefully examined the completed appllcallon 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 thai 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 projecl. I further agree to ensure that all required Inspectlons 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 sel of plans will remain on the site at all t es during ,c~n(s:;72 ' # Signature ./, v ~ , (j LJ--d.,~ -90 Date VALIDATION: RECEIPT NUMBER :2/2'2 ;;- l./_ :?-:?_~ AMOUNT RECEIVED q;s:. Cf':3 /7.. -~/ DATE PAID RECEIVED ,BY --- '" - ~