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Home My WebLink AboutPermit Building 1995-7-5 U4P RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office' 726.3759 ..,.. -:-;-:.......;:~=:_- ---' LOCATION OF PROPOSED WO& 'S.~~("Aq '~~#1. :~SSESSORS MAP: /7-02 - / f:y -=::--2.... ,'. ---.'- : <:OT, 20 I , ' .; j) . OWNER yo...".., "- CITY: -7 CONTRACTOR'S NAME GEN~~A~ ~axJ;- ~~U"A~tzr.y-' PLUMBING: . MECHANICAL' ~~ ELECTRleAL' JOB NUMBER ~~C}~7ZJ ---~-~... - ------ BLOCK 1RcL. STATE {/ "-~90-""" ,:;/ ~,4- I' ADDITION ~-'L..> -e. . DEMOLISH ./ TAX LOT SUBDIVISION' PHONE 7Y?-..5-Z v/ ~",~t7~ v ADDRESS ' ?O~ 3 Y;y-~""- Br,~~ 5cr'rj;,9NJ/ DEseRIBE WORK ~4k ?/ NEW ~ REMODEL '. ZIP' :9'?Y? ;7 OTHER ADDRESS J~~~ ('~~ b-r4'. ~?-r/02.. ,: eONST .. oCONTRACTOR n: 6 /~fbl PHONE ?'~9 -a~C;;;2.- REQUIRED INSPECTIONS rYI Rough Mechanical .L. 'Pr'lor to ~ cover ~) rn Rough Electrical - ~rl'or to cover Nl Electrical Service - Must b'e ~ approved to obtain permanent electrical power, - .. rvI Fireplace - Prior to facln'g " l-AJ materials and framing Insp Cf1 Framing - Prior to c~ver. rYl Wall/Celllng Insulation - Prior to ~ cove~ t GQ Drywall - Prior to t~~~n:_ " o Wood Stovo - After Installation rYllnsert - After fireplace a'pproval t..p-J and Installation of unit. r\T,eurbcut & Approach - After L 1(-': forms are erected but prior to placement of concrete 1'\2' Sidewalk & Driveway - After L-r-f' excavation Is complete. forms and sub-base material In place o Fence - When comPlet.ed, D Street Trees - When.~a!J requlrl,ld trees are planted, :.:. , _ EXPIRES /~p' v ( ~ rZ-N(l/ . - OFFICE USE - I QUAD AREA- LAND USE' UlJ FLOOD PLAIN I \. " . 1/ OF BLDGS' It OF UNITS' ZONING CODE, ~DJL OCCY GROUP, t0t/Yl CONSTR. TYPE: vN II OF BDRMS: 4- /I OF STORIES: 1/-" . ~'EA~ S~URCE: f lq SECONDARY HEAT 'fP WATER HEATER ~ RANO'E " e;".., SQUARE FOOTAGE M?1 -If \. To request an Inspection, you must call ?26.3769,'Thls Is a 24 hour recordl'ng All Inspections requested before 700 a m, will be made the same working day. Inspections requested after 7,00 a m will be made the following work day ~ , ,- Final Plum'11n0 - 'fVhen all P :..,-.-, )/"( '/\,-', ,':omplete CXI Tc>mporary Electric o Site Inspection - To be made after excavation, but prior to setting forms ' D Underslab Plumbing/ Electrical/ Mechanical - Prior to cover, r\71 Footing - After trenches are Lp.J excavated rvl Masonry - Steel locatIon. bond Lf".:l beams, grouting, !VI Foundation - After forms are LfY erected but prior to concrete placement o Underground Plumbing - Prior to filling trench rvl Underlloor Plumbing/Mechanical - ,.W - Prior to Insulation or decking riff Post and Beam - Prior to floor LpJ..,lnsulatlon or decking rVl Floor Insulation - Prior to ~ decking " ,r\n Sanitary Sewer - Prior to filling Lp.J trench l:lJ Storm, Sewer - Prior to filling trench r'v=1 Water 'Line - Prior to fll'llng ~ trench, \ \ . , r)l1 Rough Plumbing, 7' Prlo~ to L.:.pJ cover, ~. , , . Q Final Electrical - When all electrical work Is complete ~ Final Mechanical -,When all mechanical work Is ,complete , , I . I 'I rY'1 Final Building - When' all ~ required Ins~ections hrive been approved and building I\S completed , o Other HOLD JHTlL . PAt2-TlrtoH Cbf.1PLCrED , . 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 Electrical eonnection - When blocking, set,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,lnstalled Lot faces N Lot TYPL Lot sq ftg V' Interior I P,l, IN Lot coverage Corner Is Topography Panhandle Total height c!lLc1t()' Cul-de-sac Iw r ['10') l E -~ '- - BUILDING PERMIT \ ' Setbacks HSE GAR ACC ITEM SO FT, X $/SO FT VALUE Main /9~~ .c: 6 :J.. .. -.1.1/) I-:l ~ Garage 1r; 2- / 4/f) . b)"ld Carport Total Value BUilding Permit Fee State Surcharge ~.5b ~ I '-\.tL4. Total Fee (A) /'/~/Jf 1 41 \. ~ s"l,"1.Q S08.'1~ SYSTEMS DEVELOPMENT CHARGE (SDC) lX7 (0 (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) 3. NO Sanitary Sewer FT FT, FT Water Storm Sewer Mobile Home Plumbing Permit State Surcharge ~.b~ *-S .78 ,-, Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan l.f NO Wood Stove/Insert/Fireplace Unit Dryer Vent ~~~ Mechanical Permit Issuance State SurCharge ~ .\'6 -\- I.:l.~ Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition Slate Surcharge Total Miscellaneous Permits (E) FEE \~ s..5:Q l C1.lt.&:Q \ S. '"i\. ~O(. <Jl b.~ ~.SQ l~.~ \ 5. ~ Uo ,,!. - d.-. ~ 4~.~ \ O. t;Q ~.~ SS.'1 \ ~ 11 ~.~...,:s TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) I "- I IS THE PROPOSED WORK tN THE. HISTORICAL DISTRICT, OR ON THE HISTORleAL REGISTER? If 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, confprm to the Ordinance adopted by tho City 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, ~.31 412/9 S- Receipt Number '/~ej z tJ ~ Plan Check, Fee Date Paid: Received By ?~1. ' , ~1~~Vlewed BY' ( IsJ~ I ~ate Systems Development Charge Is due on all undeveloped properties within t1w City limits which are being Improved ADDITIONAL COMMENTS PJM7///<!4) (jlk'~~Jf7'5"-C?Z -Z7 . {, (::0 n fL.E.T~ PA-RTIT/ ON ) I ..t- .~ ~r~~_~ J'>!l \U-' ...~_ ~ ~ ~ """-- ~~~ Lr / By slgnatur~, 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, and that NO OCCUPANCY will be made of any structure without permissIon of Ihe Building Safety Division I further certify that only contractors and employees who are In compliance with ORS 701055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper lime, that each address Is readable from the street, that the permit card Is located at the front of the property the approved set of plans will remain on the sit t all I mes during construction ----- ~ur ~ ~~~ Date 74-~~ VALIDATION' RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY /~/I / 7/0:/5' F ;32.