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HomeMy WebLinkAboutPermit Building 1991-4-23 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 - LOCATION'OF PROPOSED WORK: ~\ ,\ 9JOQ0'<::\ cp:) ASSESSORS MAP: .~, LOT. BLOCt<' ~OB NUMBER!lJ ()3f-5 OWNER: !JL~bJ4S-- ADDRE""~\() lO'rf\ ~ C'. CIT;: ~~O DESCRIBE WORK' _ <) , F _ 1). PHONE:t4l,.R'l04 o\j\a p t-~, ST~TE: ~Q~~ ZIP: ~141~ NEW N REMODEL ADDITION DEMOLISH OTHER CONST. q <::A - '3'lWl CONTRACTOR'S NAME ADDRESS CONTRACTOR # E')PIRES PHO~~ GENERAL: fJ.~':1. IA f..hn,., '::-r"'. qY9~ 4f.(->;./-;.d-V ,j;l.9~7 LD lID/l'.l I 7'17'77"V v 'Jh-H W'Y!J 1- .J ^-J . \ A. 51 \c-l'1!)....,o PLUMBING: ~ _' /,1--_.1.''7 1I~7:!.m{u;:' ~IaLl:'"'\\!./J.!J-lI""\'J7'tf7S'1'Y"/ MECHANICAl' e." .., . - -' 13';;& ~/u..lrl ~ ELECTRICAl. ...317tl tv",t- II! ~'-1.~ IS;\ 412t~~4C'3D3 "./" ,',' _OOFFICE USE - QUAD AREA: ::=\\C~~ LAND US'" \\ \ \ FLOOD PLAIN. # OF BLDGS: / # OF UNITS' \ ZONING CODE: LL) \L- OCCY GROUP: Q."6 -\ "-''-- CONSTR. TYPE: \JIV # OF BDRMS: .3 # OF STORIES: I HEAT SOURCE: w\-\ SECONDARY HEAT: '\ WATER HEATER: S RANGE: 7___ SQUARE FOOTAGE: \ tJ'\ ./ To request an inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspectlons 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. o Temporary Elactrlc D Site Inspection - To be made . . after excavation, but prior to settlng forms. D Underslab Plumbing/Electrical I Mechanical - Prior to cover. D Footing -After trenches are . excavated. D Masonry - Steel locatIon, bond beams, grouting. MFoundation - After forms are ~ erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. , r-v1 Underllodr Plumblr!9>Mechanical ~ - .Prior to'rmsUIi':HIOn or decking. K:71' Post and Beam -' Prior t~ floor ~nsulation or decking. . ~ Floor Insulation - Prior to ~ecklng, ~ Sanitary Sewer - Prior to filling ~rench. ~Storm Sewer - Prior to filling ~trench. l\/rWater Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS ;;;:;7f Rough Mechanical - Prior to ~cover. ~Rough Electrical - Prior to ~over. K:7f" Electrical Service - Must be ~pproved to obtain permanent electrical power, r, D Fireplace - Prior to facing materials and framing Insp. ~Fra~ing - Prior to cover. I'Cil'Wall/Celling Insulation - Prior to ~over. ~DryWall - Prior to taping. D Wood Sto~e - After Installation. D Insert - After fireplace approval and Installation of unit. K7f' CU;bcut & Approach - Aller ~orms are erected but prior to placement of concrete. ~Sidewalk &,Driveway - After ~excavation Is complete, forms .and sub-b~se material in place. D Fence":"" 'When completed. ~,reet Trees ~ Whim'all'required- ~ees are plant~d. 'lS([ Final Plumbing - When all plumbing work Is complete. .of Final Electrical - When all ~electrlcal work Is complet~. I'::A Final Mechanical - When all ~mechanlcal 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 connected 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,' skirting, decks, and ,venting have been installed. Setbqcks IHSE GAR1ACcI "2,() t I I I I Lot faces }iL LOtType. Lot sq. ltg, l#o 1 Interior I PL. Lot coverage ~ Corner IN Topography ~t Panhandle Is lw Total height Cul-de-sac IE CJI BUILDING PERMIT \ \44T 'L\1O X $/SQ. FT. ~ VALUE ~~nn 454-110. 14. \D 3lcAO ITEM Main Garage Carport ,~\D~lo I .,. ? ~q db J4.~ < 'S[)3' fS" SYSTEMS DEVELOPMENT CHARGE (SDC) (B) $.e:;.B1 Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N" ? Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) FEE /bO~ (P,~ /6~~ MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N" Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit /'11A,) 1~6-0 . /.o~ J 2.5 2t::. 2.5' Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ~ Z lt Curbcut ~ ft -L,q,30 ) ~ 'Ie> Demolition State Surcharge ,~Ck" ~ J~'7~5 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical)tl~l<) \ 5U1 (A, B,.C, 0, and E Combined) . 'IS TH E PROPOSED WORK IN THE HISTORICAL DiSTRICT, OR N-;;-'\Q THE HISTORICAL REGISTE ~ _} If yes, this applicati~n mu and approved b Historical Coordinator prior to permit issuance. 51 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT APPROVED' 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 an{ Rrovisions of said ordinances. Pian Check Fee: ......L~/l. 9->5 I \ Date Paid: Receipt Number: t I I Rec~A7UL.- p~~~ew-;d- g;r. ~6.'Zh I l~at.6 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 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 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. Signaturp Dat,o VALIDATiON: ""'l CJ.. RECEIPT NUMBER ,\ g~;:--x: ) DATE PAin 1--' Q...3 . 'ef . c.. AMOUNT RECEIVEDY"<~ - '~. i Q ~S. ~7 RECEIVED BY (~ lJ \( A _ /. .