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HomeMy WebLinkAboutPermit Building 1992-9-25 III'T " RESIDENTIAL PERMIT APPLICATION Inspeclions: 726.3760 Office: 72G.37G9 I.OCATION OF PROPOSED WORK: -+jJ~-:3 ASSESSORS MAP: -L~/')2 Q$ . - LOT: BLOCK: OWNER' ~f\AO""'D ~ ADDRESS" 41 & ~ IJlcSl::>C12- (2.D CITY: ~i-x,I=I~r--..; ~ '. SPRINGFIELD ~L/C:;,8"') '. ' . - JO~ NUMBER 92- /22. S 225 Fffth Street Springfield, Oregon 97477 ~I::,{\+,~t-.I O/Z- ' TAX LOT: _/JI?~<;'6Q SUBDIVISION' 1?0 PHONE: --2% - ~t.I (/(P ZIP: q/lj/~ DESCRIBE WORK: ~ IZ.' ~':;1..'t' "&.-Qr~,lQ'\',:"'-)I..'r(jV'---'; t=I(!7Tp,;rr - ,~"12AA;~ ,7,:; "" d= ~p ~,.,.v, L<-- ~DDITION ~_ DEMOLISH OTHER NEW REMODEL STATF' O"e.. CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAL: ~~~ W~~ (.~( .,.",..... II 'lfl4~<(11-?L '1>FjA 562.57 PLUMBING' ~o~ -P~bl:"~ MECHANICAl' ,.::.Jk ELECTRICAl' "3"': I "';"-"'Z .. ELEZ:nz. lL- OUAD AREA: ~~ ?('-""---' N OF IlI.DC:3:,_ \n--i:-- --~.; OCCY GROUI. - - -~-d-------" \ . , N OF STORIES: WATER HEATER: - OFFICE USE - LAND USE--\.1 \ \ . ; ~F UNITS:____L-;-+_ CONSTR. TY~E: J/JV H'EAT SOURCE:_.eHJ RANG~' EXPIRES -"3 PHONE 7'1(, -0 7t. ~ ?~<; -55/7 FLOOD PLAIN: J ZO~ING CODE' ill . OF BDRMS: SECONDARY HEAT: ) SQUARE FOOTAGE: $'r:: . To request an Inspection, you must call 726.3769. ThIs Is Ii 24 hour recordIng. Alllnspcctlons requested before 7:00 a.m. will be made the same working day. Inspecttons requested after 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, bLlt prior to selling (orllls. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. ./" Ld" ~ooting - After trenches are cxcavalCcL I~ Masonry - Sleol locallofl, bond beallls, oroutlng. ~oundatlon - Aftcr (orms me erected but prior to concrcte placement. o Underground Plumbing - Prior to tilling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. ~st and Beam - Prior to floor Insulation or decking. ~r Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. O Storm Sewer - Prior to filling trench. o ?O Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS '1 0 Final Plumbing - When all ~ plumbIng work Is camp/ct.c. ~ectrlc.1 - When all electrical work is complete. o Rough Mechanical - Prior to cover. ~U9h Electrical - PriQr t~ cover. ~cctrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Imlno - Prior to cover. ~l1fCCiling Insulation - Prior to cover. ~ywall - Prior to taping. . , D Wood Stove - After Installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - Alter excavation Is complete, forms and sub-base material In placc. o Fence - When completed. I , o Streot Trees - When all reQulre'd trees are planted. i '" , .... o Final Mechanical - When all mechanical work Is complete. ~Iding - Wilen .11 required Inspections have been approved and building Is completed. o Other 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. o Electric~1 Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. i. o Final - After all rCQulred Inspections are approved and porches, skirting, decks, and venting have been installed. Lot facos Lot TYP.' 11nterior Setb"lcks P.L. HSE GAR ACC I ..!:!..-.. 1~____ .IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? Lot sq, ttg. Lot coverage Corner ~ Topography Total height Panhandle .2-___ .::!:L- __ __- If yes, this application must be signed and approved by tlle Hislorical Coordinator prior to permil issuance. _S-_ '22.._ _'-__ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is gran led on the express condi lion that tile said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including lhe Development Code, regulating the construction and use of bulldinos, and may be suspended or revoked nl ,my lime upon violation of any provisions of said ordinances. ~ .:.;L'<'> "fCi" J Plan Check Fee: -=:.:;./--e-~. ~ ~, l~ 000 Date Paid: __5/2,/'9 2..__ f Receipt Number (..-(")72- / Z2.. )-0 ~ &, : :; ~ Receiv~,. _. -')...- ~ \ r)Cl (.7:> .......\ ~ -~~, , '" c.>. - ....1 ns Reviewed By Cul.de-sac BUILDING PERMIT ITEM sa. FT. X $/SO. FT. VALUE Main 7.2>f3, &/<2>5 Garage Carport /jJ,:=;"o.JiF( 10/4 Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) N/A PLUMBING PERMIT ITEM FEE X'>.cp Fixtures ~\(') .CO Residential Bath(s) N' Sanitary Sewer FT. Water FT, FT. Storm Sewer Mobile Home Plumbing Permit ?i).CO \. $D ~1~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnscrtJFlreplace Unit Dryer Vent Mechanical Perml t Issuance State Surcharge \J! bo. Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge ~ '\~. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleClrical~~. ~~- (A, B, C. D, and E Combined) ] APPROVED' Q..- Q~-G,Q... Date Systems Development Charge Is due on all undeveloped properties within tile City limits which are being Improved. ADDITIONAL COMMENTS .n~'sL~\-~,\"(> ~~~-~ _'" '<' \, ~<;O.__~~_O~- ~- . ,:.- \ \::::)~~_\S::- By signature, I state and agree, that I have carefully CX~lIT1ined the completed application and do hereby certify that all information tlcreon 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 Oreoon pcrtninlng to the worl( described Iwrcin, and that NO OCCUPANCY will "1m Illilcle 01 ilny :::tructure WiUlOUI ptmlli~;~;jon of the Building Safety Divi:.~ion. I further certify thaI only contraclor~; lJnd empluyees who are in compliance witll GRS 701.055 will be m;ec.l on tllis project. I furlher agree to ensure 1110.1 all required insp'Jctions arc requesled at 1110 proper time, lIlat each address Is readable from the stroet, that Ihe permit card is located al tile front of the property, and tile approved set of plLlns will remain :~g:::~-=rlng conslru~.I?L Datn 7-z...s--9L VALIDATiON: RECEIPT NUMBER L0~~~ DATE PAID ~-2 ~ AMOUNT RECEIVED -, \{t'J. ~> ----- RECEIVED llY C\.~~