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HomeMy WebLinkAboutPermit Building 1995-4-24 ,Hu L 2Jr1r.1f .Ar J/~5b kH-Lr ~/?), " RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' //'0.5 ASSESSORS MAP' LOT' OWNER: ADDRESS' CITY' -. SPRINGFIELD ~~ K:eU1 f?/t//) , / / /~ <P-, (' - \ 4' // BLOCi<' r-KJ. 'V B//) STATE: ~ ,\, '- '. . 97"~~< ? JOB NUMBER 225 Fifth Slreet Springfield, Oregon 97477 TAX LOT: SUBDIVISION: ..-")/)/?J /? PHONE: 74(: -~~2.... ZIP' ')' :J?" '/ ? DESCRIBE WORK: ~A.JWti>r ) NEW REMODEL ~ ADDITION ~JJ;:& J</~////1...L./1( DEMOLISH OTHER ///) I' X 2..,) / L , / CONTRACTOR'S NAME GENERAl' PLUMBING' /0/} Jj 177/ MECHANICA' . ELECTRICAl' QUAD AREA: . OF BLDGS' OCCY GROUP' . OF STORIES: WATER HEATER' ADDRESS CON ST. CONTRACTOR' PHONE - OFFICE USE - LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANG.' EXPIRES ~~ ,~ FLOOD PLAIN: ZONING CODE:_ . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 72R-3769. Th!s !s 2. 24 heur recordIng. Aii 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. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlca" MechanIcal - Prior to cover. 'tvrFoollng - After trenches are ~excavated. o Masonry - Steel location, bond .beams. grouting, D<1 I~oundatlon - After forms are ~ erected but prior to concrete placement. D Underground PlumbIng - Prior to filling trench. D Underfloor PlumbIng/Mechanical -, PrIor to Insulation or decking. 0" Post and Beam - Prior to floor Insulation or decking. o Floor Insulation -- Prlor.to . decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Waler Line - Prlo, to filling trench. '. o Rough Plumbing - Prior. to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent eleClrlcal power, D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping, D Wood Stovo - After Installation. D Insert - After fireplace approvll.l and InstallatIon of unit. o CurbCUI & 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 Fence - When completed. D Streot Trees - When all required trees are planted. " D Final Plumbing - When all plumbing wc;>rk is complet.c. D Final Electrical - When all electrical work is complete. D Final Mechanical - When all mechanical work Is complete. 1"v1' Final Building - When all ~reQUlred Inspections have been approved and building Is completed. DOlhor MOBILE HOME INSPECTIONS o Blocking and Set-Up - Wilen all blocking is complete. D PJumbing 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 serv1ce panel. D Final - After all required Inspections are approved and porches, skIrting, decks, and venting have been Installed. Lot ~y. "" ":',., ,;:>;'ii':':..iH--::~r' Lot faces Setbacks Lol sq, ltg, Interior I PL. HSE GAR Accl IN I Lot coverage Corner Is I Topography Panhandle Iw I Total height Cul-de.sac " IE ' . .. I .,IS THE PROPOSED WORK IN THE. ....HiSTORiCAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator prior to permit Issuance. l APPROVEf" BUILDING PERMIT ITEM sa. FT, ,~01fp/J?t) j~~ 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 th~ Clty.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 any provisions "of said ordinances. X $/SO. FT. VALUE Main Garage " Carport ., -".- .. Plan Check Fee' , . .. Total Value Date Paid: Building Permit Fee Slale Surcharge 17 r -r..fs- I~~ /.2.<.> /(~:z...o Receipt Number' Total Fee (A) Recel~~~ Plans Ri1Ylewed By , \ ~/2dhr (D;t;/ . I SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE FIxtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Ven I Fan N' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I rurther certlty' that any and all work performed shall be done in accordan"><c"e with the Ord;nanc~s of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and empfoyees who are In compliance with ORS 701.055 will be used on'thls project. Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance Slate Surcharge Total Permit (D) I further agree to ensure that all required Inspections are requested at the proper time; that each address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all times during construction, . ~nature JJ,..f/.J{l, ~ ..g~_ , Date .11-:24 _ ,.., MISCELL,~NEOUS PERMITS Mobile ,Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition Slate Surcharge VALIDATION: RECEIPT NUMBER 1 "7/2.fb 1/2...$""/7--> , AMOUNT RECEIVEf' /(,:, 20 RECEIVED BY ~ DATE PAID Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) /h '2..,0