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HomeMy WebLinkAboutPermit Building 1993-7-13 RESIDENTIAL PERMIT APPLICATION Inspeclion~: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: /~C;; 2- ASSESSORS MAP' LOT: . SPRINGFIELD BLOCK' OWNER: 7) /- Jl ~ j,ot'.. ADDRESS ~~/ j-/ /.A-,.t?A? ~/,rn._) CITY: _J=...wtC; (71 7.1f::. DESCRIBE WORK: 5<.~/D<. . NEW ~ REMODEL ADDITION CONTRACTOR'S NAME . ,,' t" '~ GENERAL: -1;) , .. ,=~. J.~'~ , /he rfiu ~.{'r PLUMBING: . '7 MECHANICA' ' ELECTRICAl' STATE: _~ dJPr-J::- _ DEMOLISH OTHER .- JOB NUMBER 9"2.~2..- 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' tPS'~ ~ PHONE: he, 85"1 7;:;<1- ZIP' 9'71'7J? . CONST, ADDRESS CONTRACTOR · ~ td~A'/~~:~ S-.r;".z.'7' REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D 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. ~ Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to co'/er. o D."ywall - Prior to ~ap:ng. o Wood Stove - After lns!ailation. D Insert':"" After fireplace approval ard installation of un!!. D Curbcut &. Approach - Alter , form:-> arc crcctlJd but prior to pl8.CClllcnt of con~rete. o Sidew~lll< & Drivcw.JY .-. ^f~cr E:l(cavalion is com~lel~, forms anel sub-!...asc lIln.terla: in pla:;e. , . LI FerH.:e - ....'Vhen CfJmr.1e:t.'d. - OFFICE USE - EXPIRES PHONE /1/zr J' ~~g-I?5-1. QUAD AREA' LAND USE: Iii} FLOOD PLAIN: . OF BLDGS: . OF UNITS: ZONING CODE: OCCY GROUP' CONSTR. TYPE: \ljJ . OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: ,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. o Temporary Electric' I D Site Inspection - To be made after excavation, but prior to setting forms. o Und!?rslab Plumbing/ Electricall Mechanical - Prior to cover. ~ Footing - After trenches are ~cxcavated. o Masonry - Steel location, bond bearns, groutinu. . o Foundation - After forms arc erected but prior to concrete placement. o Underground Plumbing""': Prior to filling trench. o Underfloor Plumbing/Mechanical _ Prior to insulation or decking. o Post and Bc~m - Prior to floor insulation or decking. . ~ o Floor Insulation - Priorto decking.' -: o Sanitary Sewer,- Prior to filling trench. o Storm Sewer ~ ,Plior to lilling trench. o Water Line -:- Prior to fi!ling trench. o Rough Plumbing - Prior to cover. o SlrcJ:!t TrC'cs - V\'hun all rcq'Jired tr'l\J$ am prllrtcC!. o Final Plumbing - When all plumbing work Is complet.e. D Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanical work is complete. f""i:7'f Final Building - When all ~required inspections have been approved and building Is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking Is complete. o Plumbing Connections - When - home has been connected to water and sewer, 11 Electrical Connection - When ___J blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. o Final - After all required inspections are approved and pcrchcc, sldrting, decks, and venttna i18ve been installed. Lot faces ,. Lot Type Setbacks Interior I P.L HSE GAR ACfJ IN I Corner ! Is I Panhandle I W I Cul-de.sac '. ~--1 E . IS THE PROPOSED WORK IN THE , HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed I and approved by' the Historical Coordinator prior to permit issuance. Lot sq, ltg, Lot coverage Topography Total height APPROVED: BUILDING PERMIT ITEM SQ. FT X $/SQ, FT, VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 1)f'c..I<- ~~z,5"' 5t>P ---&1'-'5 This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the Ci ty of Springfield, including the Development Code, regulating the construc.tion and use of buildings, and may be sl!spe'nded or .revoked at any time upon violation of any provisions of said ordinances. , , J"7 2-3 Plan Check Fee: _ " . Main Garage Carport Date Paid: Total Value Building Permit Fee ?9-.,OJ> /10 .!2.-CJ .-10 Receipt Number' Total Fee (A) R~ceived~ PI n Reviewed By ~~ State Surcharge SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due" on all undeveloped propertiez within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Balh(s) N' Sani tary Sewer FT FT, Water Storm Sewer FT Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thaI all Jnformation 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 t~at NO OCCUPANCY.will be made of any structure without permission of the B.uilding Safety Division. J further certify that only cornractors and employees who arc in compliance with GRS 701.05:5 will be used on this project. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I furtllCr agree to cnsu~e that all re.quired inspectio,ns 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 prop~nd the approved set of plans will remain I Date7//~9'3' - - , / MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge ,~~/;:w VAll DATION: 1"7,23 RECEIPT NUMBER q~~r:.. '7/1'3/5' 3 --#~ , , Total Miscellaneous Permits (E) DATE PAir> TOTAL AMOUNT DUE (excluding electrlcai) (A, B, C, D, and E Combined) -#.~ AMour,IT RECEIVED RECEiVED BY