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HomeMy WebLinkAboutPermit Building 1994-6-20 RESIDENTIAL PERMIT APPLICATION Inspections: '726.3769 LOT'. . SPRINGFIELD . JOB NUMBER <9r~ ':F...." 225 Fifth Street Springfield, Oregon 97477 ~-:-!9i.L _t .- "",-. '-~;~r~~ , BLOCK' O~d\4J{Q . I. e:+1I'~ P:t- O~NER:-1V1 ld".Il",J . I..j ~ ADDRESS: J 7 ~J .s;.,,.. \ "'1t: ~ ld DESCRIBE WORK' rvJ <:Vn u. (!<L~J-"" y NEW IJ...- REMODEL ADDITION CITY: CONTRACTOR'S J;J;.~ GENERAL: (Q L PLUMBING' Vb S MECHANICAL: ~l.. ELECTRICA;' (( ()~ CON ST. CONTRACTOR . ~.::J.9YO l.f /80S '~.... .. ...e: STATE: ~f)-I/? J/.c.. .P DEMOLISH OTHER ADDRESS. . . .mou/>.. -/g..'.,,^- -Flu n.lo/~a . ~ m" I.NL +L vh. U(.fJ, QUAD ARE;~~ . OF BLDGS' OCCY GROUP: ~ . OF STORIES: \ WATER HEATER: _~ .!:p~ 1:1-1VV'9/:' '. TAX LOT: ZIP' 9'7'/?"J - OFFICE ~ - LAND USE: . \ \C;;CJ .. OF UNITS: _\ CONSTR. TYPE: ~t\J HEAT SOURCE: ;y~ r-A. RANGE: _p - ------ EXPIRES PHONE IV~I.J h1rY~12Lf ...4f15. -Q5S( " . 1,;~ /5<tQ G,.lS' ~ (flOS FLOOD PLAIN: ZONING CODE: lliu . OF BDRMS' ~ SECONDARY HEAT: g SQUARE FO.OTAGE: -lq.Gf~ 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. REQUIRED INSPECTIONS D Rough Mechanical"':' Prior to cover. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting rm 'Kf-, Undersl P um I / Electrlcell 'f':! Mechanical - Prlo . ~ootlng - After trenches are ~~xcavated. D Masonry - Steel location, bond .bel':'lITlS, grC"ut!n~. - __ .- ~ Foundation - After forms are l.2SI ~rected but prior to concrete praceme"nt. D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. IC7ISanltary Sewer - Prior to filling ~ trench. .Q1 Storm Sewer - Prior to filling ~ trench. . ,...,..,; Water Line - Prior to filling ~ trench. . , o Rough Plumblrg - Prior to cover. D Rough Electrical - Prior' to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall .,... Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and'sub.base material In place. D Fen~e. - When completed. D,Street Trees - When all required trees are planted. . D Final Plumbing - When all .plumblng W9rk Is complete.. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanl.cal work Is complete. D Final Building - When all required Inspections have been approved and building Is. . completed. ~.OJ~~~.EL~ " ~~PQ~(ltJLo.d ~ ~.~ MOBILE HOME INSPECTIONS ~BIOCklng and Set.Up - When all blocking IS complete. / ~ Plumbing Connections -. When home has been connected to water and sewer. .,1 ~ Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the' home Is connected to the service panel. ~ Final - After ell required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces .;,.-. ~~~pe A Interior Lot sq. ftg. Lot coverage Corner Topography Total height Panhandle Cul.de'sac BUILDING PERMIT ITEM sa. FT. ~ . .:r; ;1. ..;, ~. ,.;'~ th:,,':1i~'1"~ . :'" :'~"C ..:~~?i:'~:. Setbacks. HSE GAR ACC '\ I P.L. IN Is Iw IE X $/sa. FT. ~ VALUE </h e>~ <;- . Lo~ .c~.{) +/ ~ l ~.i~ W1.57 Main Garage Carport ., ~/p:- ,~~- Total Value Building Permll Fee State Surcharge Tolal Fee (A) " -.6.~ (B) SYSTEMS DEVELOPMENT CHARGE (SDC) f/jj'1)],36 rls0 c9.a5 -l- <. ~;& (C) f4 /. PLUMBING PERMIT ,. ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Perml t Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk t') ~ It Curbcut ~'U{ It Demolition FEE I) 2~:~' ~S.UJ .PI )~g) c;)n. '--S.~ -211S 4.:\s ~~.rc~arg . 1\ \ :}-Jj'! J '--' 0- L c:; C:K\.ll . Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrlcallcQ ./CfrQ,57 (A. B, C, 0, and E Combined) I I I :.S THE PROPOSED' WORK IN THE. . ....HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED: 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 Clty.of Springfield, Including the Development Code, regulating the constructIon and use of buildings, and may be suspended or rev9ked at any time upon violation of any provisions ofpid ordinances. Plan Check Fee: ~ / Date Paid: . \!.j/ Receipt Number: Received By: / Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL CgJ}'IMENTS . <;iJ~ ~_~.->n ~J'h # - I ~~\'. \~~\QQ M~~, \Cl.rtq l >'<0)(\ N"\o1J..y \_~_,- U\J\ ~ tK' ll\f't l'1e .f XQ1).1 ~ . ~ if)c"_f'. ) ~ ~ )~ fflJJ..1lYr) 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, ::Ind 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 app ved set of p~;'S7)aln on the sit. at all Imes ,\"rl g cons!p}iI/" ., Signature ::VJ Date VALIDATION: 1J.^,{l RECEIPT NUMBER \ .:.::Jt-"~\ DATE PAID (0 .9V .qi- AMOUNT RECe1C ~ {pr'Jh. q7 RECEIVED BY ell ri.J6 _ 'j