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HomeMy WebLinkAboutPermit Building 1999-3-16 RESIDENTIAL peRMIT AI!!PLlCATION Inspections: 726-3769 Office: 726-3759 . -. SPR... ...,-JELD ~t@ /4~ ZI--/1 LOCATION OF PROPOSED WORI'" q 71 /r02-tJJ~</ ASSESSORS MAP' LOT' BLOCK: . OWNER' ADDRESS' CITY: kr/'<--I + S/1-!a.- Q7Cf ( eo.-hJv. ~IJ/l~ t,., ,/ / . j / DESCRIBE WORK' ~~ NEW REMODEL \..JrJ -t-fM <::'07\ \ or- STAT':' . U/.Uje. 2;2. I ADDITION DEMOLISH OTHER ~ . . JOB NUMBER.1fti ) 'f7 225 Fifth Street' Springfield, Oregon 97477 TAX LOT' (l?1 f) b SUBDIVISION' .. '. PHONE:..2iJ - (T2/0 PJ .~.::l,9J-:~? 82- Cf-:J- I.{ ?9J- ZIP' CONST. CONTRACTOR # ~JnT!f'\~_ EXPIRES -11 ~N . .~i~ CONTRACTOR:SNAME . ADDRESS -1\1 1 t:N IIUI'l:9r~g<?~ law reqUIres you to GENERAunllnw rlll,:ac:. ~~ho ()!o~l"\n r IHli.;' PLUMBI~.tification Center. Those rules are set forth In t,,,n "''''-UU I-UU I U mrougn UANl:I::><!-UU1- MECHA~J'49(L:Yolrm;:l~1 ,,",h,t~ln ,..~oc:-,.."f th'a.!OlloC' h~, cr. C calling the center. (Note: the telephone ELE RI AI. . '. mJllIUta IVI 1I1~ ur~yulI uumy l'''OlITlCatlOn 1."..t;:tIW:H I:) ,.ouu-""t:::-,e:::"q,q). QUAD AREA' # OF BLDGS' OCCY GROUP' # OF SlORIES: WATER HEATER' -~.... ..--. Tl!:~ IJJ-nu''''''''.I-J/ I I , ,_. , -....." >,'.'''LL CM'IHt: IF THE WORK r. . J..,f)O/7r':',.... I u".......__ ___ . .. _ --- -..~~" ,n''',.,tHivllliSi'-iOT .H:;rV~i:'" ..." '" ~. _ .., ",. - .. q, ~"nl'h.JUI~CU r-UH ^~". ..."V - _ OFFICE USE _ 'v,,,...,,, r-CMIUl'. LAND USE: # OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANG':' FLOOD PLAIN' ZONING CODE: # OF BDRMS' SECONDARY HEAT: 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. REQUIRED INSPECTIONS D Temporary Electric o Site Inapectlon - To be mado after excavation. but prior to setting forms. m~deralab Plumblng/Electrlcall '/-- _ --7Chan,cal - Prior to cover. 'i ~ootlng - ~!J~ryencl].es,are 17 excavated. V4LA) ~ D Masonry - Steel location, bond .beams, grouting. D Foundation - After forms are erected. but prior to.concrete placemo,!t. D Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and 8eam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking. . o Sanitary Sewer - Prior to filling trench. . D Storm Sewer - Prior to filling trench. . D..Wlltsr Line - Prior to filling trench. D Rough Plumbing - Prior to cover. D Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent olectrlcal power. D Fireplace - PrIor to facing materIals and framIng Insp. @amlng - Prior to cover. D Wall/Cefllng Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. o Insert - After fireplace approvlll and Installation of unit. D Curbcut &. Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - Alter excavation Is compietc. forms and sub.base material In place. D Fence - VVhen completed. o Street Trees - When all.'requlr.ed trees are planted. D Final Plumbing - When all plumbing work Is complete. . . o FInal Electrical - When. all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. ~. F al BUilding - When all D qulred Inspections have been approved end building Is completed. DOther MOBilE HOME INSPECTIONS D Blocking and Set-Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking. sel-up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are'approved and porches, skirting, decks, and venting have been Installed. r ~ Lot faces Lot ~ype. Lot sQ. Itg. Interior Lot coverage Corner Topography Panhandle " Total height Cul-de-sac ." i:;'; .\,;~\:: ;~ THE.PROPOSED WORK IN THE'_ . "'HISTORICAL DISTRICT, Oft ON ~ THE HISTORICAL REGISTER? Setbacks I PL. HSE I GAR ACC' ~--- If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. S I I ~T I I I BUILDING VALd'E, PLAN CHECK AND BUILDING PERMIT APPROVE"" 1 BUILDING PERMIT' ITEM SO. FT. " X $/SO. FT. = VALUE This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City.of Springfield. Including the Dovelopment 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. !t:"Z-) Main " Garage Carport Plan Check Fee' /(Jil ..c Date Paid: Total Value 2L.?<J Receipt Number' Building Permit Fee J.!i..\,7l' Received By: State Surcharge Total Fee (A) 2.2 ()U Plans Reviewed By Date 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 N' Residential Bath(s) FT. Sanitary S~wer Water FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Totai Charge (C) MECHANICAL PERMIT Furnaco By signature, I state and agree, that I have carefully examined the completed application and do hereby'certlfy 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 01 the City of Springfield, and the Laws of the State of Oregon perlalnlng to the work described herein. and that NO OCCUPANCY will be made of any structure without perrn.'sslon 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. Exhaust Hood N' Vent Fan Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge 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 III remain on the site at ;J0'mes d~ ~onstrucllon. Slgnatur~,.s7~( A-~- Date 3j / )'/9 CJ; Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition VALIDATION: 0 RECEIPT NUMBER ,~~\ t"') DATE PAID 3, \ ~o .40\ AMOUNT RECEIVED N.~. ~ ~ RECEIVED BY \ ~, . ........... \- Slate Surcharge 4JZ~ Tolal Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) .