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HomeMy WebLinkAboutPermit Building 1992-6-25 . SPRINGFIELD . RESIDENTIAL 9Z0SS"'} PERMIT APPLICATION JOB NUMBER Inspections: 726.3769 225 Flflh Strool Olfice: 726.3759 Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: l/7 f0~~~ 121./ 7' 7C/"7 I ASSESSORS MAP: _/.&a'3 ~2.- .~ '3 ('9 ~ "7ar;> LOT: BLOCK' SUBDIVISION' OWNER_,~ fh/ ADDRESSoi~t,i- -kd4. ,UvJ 71 L.__ CITyJ#/ /l ~ , ,U!L2:~-- STAfE _t2r..e - DESCRIBE WORK: --P/11PfAt.~ C;!LSX'h A1.H \A(/ NEW .J~,~n M.tI~ NEW _~ REMODEL ADDITION DEMOliSH' ~;~ER -~a.:JT PHONE: 7Z!? ~u/ Zlp:_1-7V77 -- CON ST. CONTRACTorrs NAME ADDRESS CONTRACTOR' GENERAL _tf-aJ[)eN/~ISod-I-#1 ;IuN_"i;t.M6~fi] 'M'.-ff~~ , PLUMBING: _ ~ll:vnHI\jII..H"'1 . ELECTRICAL: .~~/~ 1l!:1:;> '" . OUAD ,AREA: _5....R_}./Ji/~ . OF BLDGS: ,._/ . OCCY GHOUl': ..__R ~ . OF STORIE::: ,_ -' WATER tIEAII',R: ~-\,E y... - OFFICE USE - UIND USE: --1! ~ () . OF UNITS' CONSTR. TYPE: __~;V HEAT SOURCE: --FJ;. tlANGE: .fE EXPIRES -o/'V'" ~ PHONE 16..~-lZ~Z. *, ~. 'r !~ - '" FLOOD PLAIN' ZONING CODE: ~})J? . OF BDRMS: SECONDARY HEAT:______ SOUARE FOOTAGE: _ 9W. .... To requc~t an inspection, you must call 726-3769. This Is a 24 hour recording. All inspections requested before 7:00 <un. will be made the ~;allH': workino day. ln~pcctions requested after 7:00 a.llI. will be made the following work day. " o Tcmpol':lry Electric. D Site Inspection - To be made alter excavation, t.ut plior to setlin.g iorms. o Undcrslab Plumbing/Electrical/ Mechallical - Plior to cover. ~ Footing'- After trenches are excavatuc1. o Masonry - Steel location, bond beams, urouting. o Foundation - Afler forms are erected IJut prior to concrete placenwnt. o Underground Plumbing - Prior to fillin~J trench. o Underllnor Plumbing/Mcch~tnical _ Plio! 10 insulation or decking. o Post and Beam -- Prior to floor in::>ulatiun or dccldng. o Floor IlIsulatlon - Prior to deckinfj. o SanitalY Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. O Water Line - Prior ~o filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. I D 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. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior 10 taping. o Wood Stove - After ins lallation. [J Insert - After fireplace approval ancl Installiltion of unit. I=:J Curbcul & Approach - After ... forms are eret;led but prior to placement of concrete. I~ Sidewalk & Driveway - Arter excavation is complete, forms and sub.base material in place. o Fence - When completed. o Street Trees - When all required trel.!S are planted. o Final Plumbing - When 311 plurllblng worl< is complete. D Final Electrical - Wilen all clectrical wOIK is COlllplcte. o Final Mechanical - Wilen all mechanical worl< is cOlllplete. o Final Building - Wilen all required inspections have been approved and building is completed. ~ Olllor ..{eMA-f$:..--.rd.T.7Z' ~aN.4efl!2L.- RE.TURNt!:D PRIOl 7b FINAl- ~~p~ MOBILE HOME INSPECTIONS t'Qr Blocking ilncl Sel.Up - Wilen ,L11 ~ blocking is cOlllplete. ~PIUmbing Connections - WlwlI home has been connected to water and sewer. ~ Electrical Connection - When ~ blocking, set-up. and plumbin{J inspections have been npprOVtHI and the home is connccted to the service panel. ~ Final - After all required ~inspectlons are approved and porches, skirting, decks, and venting have been Inslalled. Lot facos Lot Type. Lot sq. fig. Interior Lot coverage Corner Topography Panhandle Total height Cul.de.sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport I1U ~ Total Value Building Permi I Fee Slate Surcharge Total Fee (A) (Bl. PLUMBING PERMIT ITEM Fixtures Resldenllal Bath(s) N' Sanitary Sewor FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit Stale Surchargo Total Charge (e) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance Slate Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Stale Issuance Slate Surcharge Sidewalk It Curbcut It Demolition Slale Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, e, C, D, and E Combined) t/t::i8 . THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the HIstorical Coordinator prior to permit Issuance. Se I bac ks PL. HSE GAR ACC N S \W IE VALUE FEE ..15. 00 .75 /5.75 J05pO 2.O.DO ~,2~ J&f..:31e> APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildIngs, and may be suspended or revoked at any tfme upon violation of any provisions of said ordinances. //.315 4/22;12 Receipt Number: '/S-2/& ~ .Plan Check Fee: Dale Paid: Received By: Plans RevIewed By Onte ,1S.oO'J . J9?-5~ , IS \ 0;) c::- /7E ,~ 18,3 e SYSTEMS DEVELOPMENT CHARGE (SDC) N.f4. Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. , ADDITIONAL COMMENTS -~ -- ~. - - - I ~we:>t:LftLev. 1l' p.c 4de o 'OP!::F f=1 F"\/",,":/t')I.,) '''' A~ /J/T~~-p.o;. ') C'F ~~DQT--..;- /AJ/-oAA.Yb. 447.bO ' (t':e,l)11"< ("'UAel_ ~7VJ.JS *T 7Ufi IIJ.W, aJRL ~erd , ) . - /'.-oQNC!. Splt,P FnA/..' ADl\ caN.G- ~4t. eJll CJIT1f~ MA~A>,..$J:.1Bn~ J5 P~L1lJ'S~, By signature, I state and agree, that I have carefully examined the completed application and do hereby certHy that all InformatIon hereon Is true and correct, and I further certify that any and all work performed shall be done In accord.Jnco with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining 10 the work described herein, and lhal NO OCCUPANCY will be made 01 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 properly. and the approved set of plans will remain , on the site p)i";S during construction. ~gnature~':' r~ " Date ~,72-02. VALIDATION: RECEIPT NUMBER 5'27 ? c/2.~'j'L 2/)~ ,'Je ~- DATE PAID AMOUNT RECEIVEn RECEIVED BY