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HomeMy WebLinkAboutPermit Building 1992-12-11 OWNER: ~ {fa ADDRESS': ,~;~ l 0 ff\ 'q.( W1 ~ 1tJ\ 001-, S flll'"",~ F/~' 'rP RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 ASSESSORS MAP' LOT: 7 CITY: . SPRINGFIELD :2' BLOCK' /n,1eA/ STATE: Owe 'Y)~ NEW 1/ AII'LJ III O."."L / IJ ~ 0 tJ fi DESCRIBE WORK' REMODEL ADDITION DEMOLISH OTHER L/c;6 . JOB NUMBER -.9;) I (p /9 225 Fifth Slreet Springfield, Oregon 97477 , . " ;. j " :t : . ~.. ." -~--:-r(c.., o TAX LOT: ~()O SUBDIVISION.-?117 fit t..iAJ ,A/ bJ 111 tel -j-J),Ad PHONF' 7l/6 - 5399 ZIP' c;7 It 7 A '- CONST. CONTRACTOR' CONTRACTOR'S NAME ADDRESS GENER".L~?fIJ: , 'NSCf~~:::, ,!1j?~J( y~ , f"PLUMBlffl: 'h~ <:]. " &L, ~ ' ( ~':t;.NICAL: -fl:12 tv-k P.a 1:30LLE..1?9'" E/Ju"",,- J , I r- L " /I -. J.1 ELECTRICAL:...bY./1-' j J':;: ie. "0 ~O;( fJ FtuYt!J'ut / . EXPIRES ? fUL!L9 :::JLflu?, r. ~~",,,11 ~if~ <f t)1"'~<;> PHONE /~/I. 5"2.~- 1t ~() t..jLjl'J ;b.::ljq:; ij. 10j " ~;;(,'-Q-' c:; \..0:>' lIe;-:. 7/llj '/ ~(,-78?.J - OFFICE USE - QUAD AREA: ~ R ~c::.(I~' -I LAND USE: II \ I FLOOD PLAIN: l1)0 . OF BLDGS' \ . OF UNITS' \ ZONING CODE: OCCY GROUP: ~~ aM CONSTR. TYPE: V/'J . OF BDRMS' ~ . OF STORIES' 1 HEAT SOURCE: 1-7 SECONDARY HEAT: WATER HEATER: 'I RANGE: t... SQUARE FOOTAGE: lkl:l 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. ~TempOrary Electric o Site Inspection - To be made after excavatlon, but prior to settlng forms. o Underslab Plumblng/Eleclrical/ Mechanical - Prior 10 cover. F::/r Fooling - After trenches are ~excavated. o Masonry - Steel location, bond ,beams. grouting. 1"Vf Foundation - After forms are ~rected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. I':7f Underflo& Plumbln~chanlc.i) .J,O.I - Prior to"",;;;:ouh:1lI0n tn-decklng. 'f':71 Post and Beam - Prior to floor ~ Insulation or deckln,g. 1':71 Floor Insulation - Prior to 100.\. decking. ~ Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to '"ling ~ trench. ~ Water Line - ~rlor to flIllng ~ trench. ~ Rough Plumbing - Prior to ~cover. REQUIRED INSPECTIONS r'Y'1 Rough Mechanical - .Prlor to ~over. ~ Rough Electrical - Prior to ~ cover. '0'1 Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. I"Qf Wail/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stove - After I~stallatlon. o Insert - After fireplace approvlll , and Installation of unit. f';;/I' Curbcut & Approach - After ~ forms are erected but prior to placement 0' concrete. ~ Sidewalk & Driveway - After ~ excavation Is complete, forms and sub.base materIal In place. o Fence - When completed. ~Street Trees - ~hen ;11 requIred ~trccs aro plantod. . . . 1'V'1 Final Plumbing - When all ~ plumbing wC;Hk Is complete. rvf Final Eleclrlcal - When all ~lectrical work Is complete. 15<1 Final Mechanical - When all - ~"echanlcal work Is complete. ~ Final Building - When all ~requlred 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 - Wt1en 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 Inspectlons are approved and porches, skirtIng, docl<s, nnd venting have been lnsl<tllcd, Lot faces (p@ Lot Type. Setbacks . THE PROPOSED WORK IN THE Lot sq, fig, ~nterlor I P.L. HSE GAR ACC I '-"HISTORICAL DISTRICT, OR.~ IN /S' I THE HISTORICAL REGISTE Lot coverage .Mo Corner If yes, this application must be signed "::'2.P4 Is 23' I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance. ~ W' Total height Cul.de,sac. IE I APPROVED' I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable MISCELLANEOUS PERMITS from the street, that the permit card Is located at the front -/o.,:"~::o : :0',',0 .c-."""~h7~_/'7D- - of the propert." and the approved set of plans will remain State Issuance 0n :::u:~e:t ,~~z,~uril1T~f'\?tructlon. State Surcharge ~ 'U- Sidewalk ?~n It ~.()O -~ Oat" _/7, . ~o BUILDING PERMIT ITEM SO, FT, IOL-fD CAB, X $/SQ, FT, t:,L,.::1 \4 ' to = VAL~EMA ~~j " 1lt]c9Jp Main Garage Carport Total Value ~1~ /0.7t!J 35tJ .7~ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) r--- (6) PLUMBING PERMIT ITEM FEE Fixtures Residential 6ath(s) N' 2- Sanitary Sewer FT Water FT Storm Sewer FT, Mobile Home -.L( ~,I)-(J Plumbing Permit State Surcharge Total Charge S:;~ /tflf!>~() (C) MECHANICAL PERMIT b-, '? <) 4,5"0 q,CtP Furnace Exhaust Hood Vent Fan N' ~ Wood Stovellnsert/Fireplace Unit Dryer Vent ~p/O Mechanical Permit :/.2 ,So /D,OO ~/"3 ,~ ~ '-3 Issuance State Surcharge Total Permit (D) Curbcut 24 It Demolition State Surcharge A1!Mj I$0Cr.J J , . Total Miscellaneous Permits (E) /Ce f5'O / /3.~ ~fJ.:5 S~~ TOTAL AMOUNT DUE (excluding electrical) (A, 6, C, D. and E Combined) BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the 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 violation of ~Orovisio~,o~ald ordinances. Plan Check Fee~,\ f ')~'\( )/..1J\....- Date Paid: ~ ~@...2.E)~, - Receipt Number: .cPo~ ~'q2_ Systems Development Charge is due on all undeveloped properties within the City limits whIch are being Improved. ADDITIONAL COMMENTS ~Cvw-.o _ Q~ '5/1 .tV, S;S:DJ 0/ /O.,t/<:J ill tv\ \ - i - - By signature, I state and agree, that J 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 01 Springlleld. and the Laws of the State of Oregon pertaining to the work described herein. and that NO OCCUPANCY will be made 01 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 project. VALIDATION: rrl1 RECEIPT NUIJ1~ER f]l A;-J \ DATE PAID !rJ -II q/J..---' / 6~'6. ~ '~ , I