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HomeMy WebLinkAboutPermit Building 1991-4-23 :::RE:SS:~~~ rff~~~/~~ ~ CITY.' , \r<L..- . - \ - - , S.F, O. RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.~759 DESCRIBE WORK' NEW -.J. REMODEL . , SPRINGFIELD BLOCI<" DoT STATE: (UA ADDITION DEMOLISH OTHER . ~I()319 , JOB NUMBER PHONE:-=:t:/-i --f3i04 ZIP: Cfl4i?;( GENERA' ' CONTRACTOR'S NAME ADDRESS e/~u f..I.-n,,~ '/;mWIM $9"~ ... 1 L S - V ;/1,/7 z. /ru,;" CONST. CONTRACTOR' 3:l.9t17 4{olo(04. EXPIRES PHONE ~/fdql ?'h8'7t1t./ 0/1 ?;/qe 71./7S9N PLUMBING. MECHANICA' ' I!/J"> ... f? /;1 J ELECTRICAl' QUAD AREA: ~ Q. SQ., ~~ \ . OF BLDGS. OCCY GROUP: . OF STORIES: WATER HEATER: e~ a-/7JP tb4-~ 112 8 \35\ 4/24 13 'r'~/.3S3 - OFFICE USE - LAND USE: \ \ , \ \ CONSTR, TYPE: V'r\J HEAT SOURCE: __ tlI # RANGE: ~. . OF UNITS' FLOOD PLAIN: ZONING CODE: \.,\ ')1.) ~ . OF BDRMS: SECONDARY HEAT: F'\J SQUARE FOOTAGE: J.Lo8-L\ To request an Inspection, you must call 726-3769. ThIs 15 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. m Temporary EI~ctrlc .. D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond , beams, grouting. . _~ Foundation - After forms are ~erected but prior to concrete placeme~t. D Underground Plumbing - Prior to filling trench. ~ Underflo~lIechanical ~ - Prlor~f~;~'I;t'i~V;~~ decking. ~po~t and Beam ..:....: Prlo~ to floor ~ Insulation or decking. ~ Floor Insulation - Prior to ~ decking. ~Sanitary Sewer - Prior to fiiling ~ trench. .,. . ~torm Sewer - Prior to filling ~ trench. r"Q(Water Line - Prior to filling ~ trench. . ~ Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ~Rough Mechanical - Prior to ~ cover. ~Rough Electrical - Prior to. ~cover. rc;;<Electrical Service - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Im~p. ~ Framing - Prior to cover. 'IV'1 Wall/Ceiling Insulation - Prior to ~cover. ~DryWall - Prior to taping. ~ Wood Stove - -After Installation. ~U.to dCAt(. F,P. D Insert - After fireplace approval and Installation of unit. l"'2T Curbcut & Approach - After ~orms are erected but prior to placement of concrete. ~idewalk & Driveway - After excavation Is complete, forms " nd sub-base material In place. D Fe'nce - Whe~ completed. C ~)treet Trees"": When all required aes are planted. , ' . f"v'( Final Plumbing - When all ~ plumbing work Is complete. ~~Inal Electrical - When all eJectrj~al. work is co,;,plete. ~~Inal Mechanical - When all mechanical work Is complete. ~Final Building - When all ~ ~equlred inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been con nected to water and sewer. D Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel." D Final - After all required inspections are approved and ",' , . .porches:ski"rting, decks; and .' venting have 'been .Installed. ~ L~e. . Lot faces Setbacks IS THE PROPOSED WORK IN THE Lot sq. flg, ~ ~ Interior I PL. HSE GAR ACC I HISTORICAL DISTRiCT, o'R ONJW IN I THE HISTORICAL REGISTER? Lot coverage ~ Corner If yes, this application must be signed L~ Is IS' I and approved by the Historical Topography Panhandle Iw 5' I Coordinator prior to permit issuance. Total hei ght Cul-de-sac IE 'Cr I APPROVED' I I~ BUILDING PERMIT \\44 49D X $/SQ, FT. -~ ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' 2- Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home l~ofP Plumbing Permit State Surcharge a.OO I~B~ Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood 1-.SD ----6 ... jS.1JO --3, f,D N' '2 Vent Fan Wood Stove/lnse&ePlac~ Dryer Vent Mechanical Permit "? -9- '50 /nOO , - /.93 ~tf3 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ ft Curbcut ? / fl 17'.30 /.'~ . 'JO "\ Demolition ~e~l (X) Total Miscellaneous per~ (E) \<&-\ qO TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) L.5CID- '6\ 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 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~ said ordinances. Plan Check Fee: \9-q. C4l ) , Date Paid: Receipt Number: R~~ 'Plabs Rev"'ewe&'B~ ~;V~l 7~\'! Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certi fy 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 Oreg~on 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 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 the approved set of plans will remain on the site at all times during construction. Signature \ Date VALIDATION: {q (J A ~ RECEIPT NUMBER Tn, DATE PAin ~ I '7_ ~ ,C\ AMOUNT RECEIV~ . I ~ RE~EIVED BY C'\\}\n) \ .';'Jr; I