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HomeMy WebLinkAboutPermit Building 1993-5-17 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726-:1759 LOC/,TlOr,! OF PROPOSED WORK' ASSESSORS MAP: -/i8 ~ /'. LOT: , NEW_. REMODEL SPRINGFIELD Witti) ...j/J ~ ?. r~ ~ "2- JOB NUMBER 93ij(?f:::"S 225 Fifth Street Springfield, Oregon 97477 JAY~ .~ ~ '< TAX LOT: ~ t::) / BLOC~' SUBDIVISION: PHON E: 7-;/7-7~~O OWNER - J.{'l~ ~~I ADDRESS, ;';,~07/ . ~i:;5!_::{dl'~ 'R.JJ CITY: __<3:.I);=t> , STATE: --~ ' DESCRIBE WORK --57#>4'~C AV J / !7tPJt J ADDITION. V r - ZIP: c'9747"_ m .?f,&J/~blJe6 DEMOLISH OTHER CON rRACTOR'S NAME ADDRESS GENERAL:_.----O-W All'S4_ CONST, CONTRACTOR' PLUMBING: " MECHANICAl' ELECTRIC.' ' ' OUAD AREA . OF BLDGS: OCC'! G8QUP: . OF STOR1,l"S:_ " '~ WATER HEATER: __ '. "'. - OFFICE USE ,.;... LAND USF' . 01= UNITS: ~ CONSTR. TYPF' EXPIRES PHONE HEAT SOURCE: RANGI=' FLOOD PLAIN' ZONING CODE:_ . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an in-sp~.~ti-an, you must ~call 726-3769. T"his is a 24 hour recordIng. All inspections requested before 7:00 a.m. will be mad;-] the s.Jmc' workii1g .day, Inspections rCQuestec;Lafter 7:00 a.m. wilt be made the following work day. o Tcmpormy Electric D Site Inspection - To be made alter .:!xGUValion, but prior to setting forms. CI Underslab Plumbing I Electricall Mechanical - Prior to cover. l><::1' Footing - After trenches are -.;;.xcavated. o Masonry - Steel location, bond beams, grouting. , )Q1 Foundntion - Afler forms ale r""""",creCII:d !Jut prior 10 concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical _ Pnor 10 insulation or decking. K/1' Post and Beam - Prior to floor ~insul;ltion or decking. o Floor Insulation - Prior to decking. o Sanit:uy Sewer - Prior 10 filling lrcnell. o Storm Sewer - Prior to filling Irenen. o Water Line - Prior to filling trencn. Cl Rough Plumbing -- Prior to cover. \. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ~ 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 cover. ~DrYWal1 - Prior to taping. o Wood Stove - After Installation. D Insert - After fireplace approval and installation of unit. o Curbcul & Approach - After . _.. forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After .;xcavation is complete. forms and sub-base materi;:: 1f1 place. o Fence - When completed. o Stroet Trees - When all required trees are planted. .( - o Final Plumbing - When all plumbing work is complete. "QrFinal Electrical - When all ~Iectrical work is complete. o Final Mechanical - When all mechanical work is complete. 1':71 Final Building - When all ~ required inspections have been approved and building is completed. DO'hcr MOBILE HOME INSPECTIONS o Blocking and Set. Up - When all b!ocklng is complete. o Plumbing Connections - When home has been conn~cted to water and sewer. o Electrical Connection - When blocking. set-up. and plumbing inspections have been approved and the home. is connected to t~e ser'..ice panel. .0 Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. . . Lot coverage Lot Type Setbacks Interior I P,L. HSE'GAR'ACCI IN Corner Is I Panhandle Iw I Cul-de.sac IE I IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEf1? Lot faces Lot sq, Itg. Topography Total height If yes, this application must be signed and approved by the Historical Coordinator wior to permit issuance. APPROVED: , \ BUILDING PERMIT ITEM SQ. FT, X $/SQ, FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ~6 1f37 7", C;; This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance ado pled by the City of Springfield, including the Qevelopmcnl Code, regulating the construction and use of _ buildIngs, and may be suspended or revoked al any lime upon violation of any provisions of said ordinances. \ .LI~ Main Garage Carport Plan Check Fee: :2 <;'"<93 Date Paid: Total Value Building Permit Fee .?~~ J/13 ~ Receipt Number:__ Total Fee (A) 31oQp3 Slate Surcharge SYSTEMS DEVELOPMENT CHARGE (SDC) (B) J-{/A. Systems Development Charge is due On all undeveloped properties within the City limits which arc being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Residential Bath(s) N' 5~~_~ ~A~~A~_ Fixtures Sanitary Sewer FT. FT, sepA!?A T E; E L F7"'-7R-LCAL- 1'<'5'p4-LR po:.,,~ 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 certi ty that all Information hereon is true and correct, and' further certffy that any and all work performed shall be done in accordance with the Ordinanc~s of the City ot Springfield, and the Laws of the Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made or any structure without permission of the Building Safety Division. I further certl ty that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood StovcflnscrtlFirepJace Unit Dryer Vent MechanIcal Permi t Issuance State Surcharge Total Permit (D) I further agree to enSUle that all required inspcction~ 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 . ~~::u:~~;C~;:;;:::; . Date :s - / 7 - '5 ] MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge VALIDATiON: TOTAL AMOUNT DUE (excluding electrical) fo5.-F-~ ~-62-5 DATE PAID ~7- J' 7 AMOUNT RECEIVED_---'-- 4 ~5~~ d"~ RECEIPT NUMBER Total Miscellaneous Permits (E)