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HomeMy WebLinkAboutPermit Building 1993-5-13 . ~ JOB NUMBER "Q 225 Fifth Street ~" Springfield, Oregon 97477 LOCATION OF PROPOSED WORK' 1?,l~~q f 1 r\ ~'(D Q..,Y\ ASSESSORS.t:AP: 1'70 Q3 ~'73 4 TAX LOl' (2 SQ/X.l LOT:""\ BLOCK: SUBDIVISION: ~ )N ./ RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726.3759 SPRINGFIELD II... q '?J:F9fJ -n OWNER\ r 1\ \. "l\ ~ \ _ ()r ffi ffiL[' ) PHONE: ( f\ R'i-., - tCJd nS_ ;S~\ ') \ - ~~ -\:\.' - - . - :~~RESq-l'"bi f\Q_ STATE: \J\'O ~B\\ ZIP: qr\4CV) DES\RJ1E WORKl~ ~~ \:{'},-] ,~~ l ~ ~.~ \y D f\:i1 Q I\0 0 _ NEW';'./ REMODEL ~DITION DEMOLl~ OTHER CONTRACTOR\r'l('M~ _ _ GENERAL:\.;. ~U2D CK> 7'lJYc.7 AAL:X\Q f' ) PLUMBING: MECHANICA' t ELECTRICAl' ADDRESS CONST. CONTRACTOR' PHONE EXPIRES OUAD AREA: 8~~~ - OFFICE utE - LAND USE: ~ \ \ FLOOD PLAIN: . OF BLDGS' . OF UNITS: \ ZONING CODE: UXU OCCY GROUP: Q,,:\*Y\ CONSTR. TYPE: VtJ . OF BDRMS: < q . OF STORIES: ~ HEAT SOURCE: FE:--- SECONDARY HEAT' WATER HEATER: f'--' RANGE: _ p) SOUARE FOOTAGE&J6 / 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 reQllest~d after 7:00 a.m. witt be made the following work day. cpTemporary Electric O Site Inspection - To bp. lTl<:!dc after excavntion, but prior 10 setting forms. o Underslab Plumbing/Elcctrical/ Mechanical - PriO,. to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, gmuting. 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. [RJ Post and Beam - Prior to (Ioor insulation or decking. IA I Floor Insulation - Prior to decking. (2] Sanitary Sewer - Prior to Oiling trench. l-:vl Storm Sewer - Prior to filling trench. [K] Water Line - prior to filling trench. [RJ Rough Plumbing - Prior te cover. . ~ REQUIRED INSPECTIONS rv1 Rough Mechanical - Prior to LA,.J cover. [bJ Rough Electrical - Prior to Cf)vcr. I..{l Electrical Service - Must be 3pproved to obtain f,':;rrnancnt electrical power. o Fireplace - Prior to facIng materials and framing Insp. [g] Framing - Prior to cover. [Zl Wall/Ceiling Insu'lation - Prior to cover. [K] Drywall - Prior to ~nI?Jng. D Wood Stove - After installation. D Insert - After flrejJi.Jc/1 approval arl<1 installa:ion of unit. f4J Curbcut & Approach - After forms are erected bl:I' prior to plaCl):llcnl of concrcte. Iyl Sidewalk & Driveway - After excavation is com~letc, forms and sut..ba::;c material in place. o Fence - When ccmr'eted. [KJ S.treul Trees - Whei1 211 required !rc~s ;lre planted. !2'J Final Plumbing - \^/hen all plumbing work Is complet.c. !XJ Final Electrical - When all electrical work Is complete. [X] Final Mechnnlcal - Wilen all mechanical work Is comp:ete. IX] Final Building - When alt required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - Wilen home has been connected to water and sewer. o Electrical Ccnnection - When blocking, set-up, and plumbing inspections have b~en approved and the home is connected to the service panel. o Final - After all requIred inspections are approved and porch~s, skll'ting, decks, and \.'~Ill!ng have been installed. Setbacks I P.L. HSE I GAR ACC I ~~~- 1;1 1- ~~~ Lot faces ~ Lot sq. flg. 6S!f~ Lot coverage ~ Topography ~ Total height, AS / . Lot Type Interior Corner Panhandle ~ Cul.de.sac S liN IE BUILDING PERMIT I !~If' ~;~b = q~LqlQ 41\~ \L\ ,\() _(Q ;~M'/, ITEM Main Garage Carport ( ()()W"6 _'12~ 2S" ;?/. 7~ 'f.g.O~ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' -? Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home 1<92_9P Plumbing Permit ~~~ ~. ~.,. -:::7~2./3 State Surcharge Total Charge (C) MECHANICAL PERMIT ~csO ~ ~9::> /2.-- Furnace Exhaust Hood Vent Fan N' 4 Wood Stovellnsert/Fireplace Unit Dryer Vent -::?:,- Mechanical Permit -::?5~ Si:> h?_"~ /.2!i5 "? 6. ;;e,. Issuance Slate Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~&; "':Zt:. /57 'tftC' a~ fl Curbcut fl Demolition State Surcharge Total Miscellaneous Permits (E) -:::?'9. 2:> ?7C "Z'2.. TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and E Combined) 'I I~E 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 U1allhc said construction shall, in all respects, conform to the Ordinance adopted by the City 01 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon Vi~latiOn of a~prov~o"tff,said ordinances. Plan Check Fee: 0 c:J\. _ Date Paid: . ?J) . ~ Receipt Number: Received By: . ~'-/ ' ~ -r::-"73 tP~~nev,ewed By .-. Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS ~~tffif'f .16\r10u.~) \9..f\~O~fY\tO)~ ,Curl) rd4-T'. ,....." ' /~.....--:,,--...-r.... y.kP'9.at:9~ ~ By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify thaI all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the OrdinancE;:s 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 wittlOut permission of the Building Safety Division. I further ecrU fy 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 c ap roved set of plans will remain on the site at all r url g constructio -...... ~ Date VALIDATION: RECEIPT NUMBER ~.(7n ,~-/~ -1] ~~Z <. DATE PAIf'l AMOUNT RECEIVED RECEIVED BY