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HomeMy WebLinkAboutPermit Building 1994-8-12 ~'t ~~T I , RESIDENTIAL PERMIT APPLICATION 9S///7'? JOB NUMBER Inspections: '726-3769 Office: 726-3759 225 Fifth Street Springfield, Oregon 97477 L./"k.J~AL LOCATION OF PROPOSED WORK' '2""::J"<75 ASSESSORS MAP' /?~~-<?~/~ a/<c~ , TAX LOT: SUBDIVISION: I!. ~~ ;': LOT' BLOCf<" / ~# #'cS~ '6..#~E ~?~. r 7::?~- ~~...:::. OWNER: ADDRESS: CITY' PHONE: STATE:~~, 47 C/?? ZIP: L~'::'-~77"'? CJcY- /2 1% ::;:> yl" ,./"..t;:Z-.?=;>~./'"'"'"' , " DESCRIBE WORK: , DEMOLISH ADDITION NEW REMODEL OTHER CONST, CONTRACTOR' ADDRESS' EXPIRES PHONE 1 """ - OFFICE USE - QUAD AREA: f:j ,1\ ,AI 'IV LAND USE: .//i/ FLOOD PLAIN' . OF BLDGS' 'J . OF UNITS' ZONING CODE: /Zf )j /(l M VN " , OCCY GROUP: CONSTR. TYPE: . OF BDRMS: . OF STORIES: I HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: 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. ~III be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Rough Mechanical ...:., Prior to cover. ' o Final Plumbing - When all plumbing work Is complete. , , O Site Inspection - To be made after excavation, but prior to setting forms. o Roug'h,Electrlcal - Prior to cover. . D Final Electrical - When all electrical work Is complete. I o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Final Mechanical - When all mechanical work Is complete. o Electrical Service - Must be approved to obtain permanent electrical power, I'\7(Foollng - After trenches are ~excavated. . )o;;:;;('Flnal Building - When all ~Qulred Inspections have been approved and building Is completed, o Fireplace - Prior to facing materials and framing Insp. o Mesonry - Steel location, bond .beams, grouting. . o Foundation - After forms are erected.but- prior to 'concrete placement.. JRl. Fra~lng - Prlor:to cover. o Wail/Ceiling Ins..ilellon - Prior to cover: . o Other o Underground Plumbing - Prior to filling trench, o Drywall - pr',or to taping, MOBILE HOME INSPECTIONS o Underlloor Plumbing/Mechanical -,Prior to Insulation or decking, o Wood Stove - A,fter I~sta"atlon. o Blocking and Sat,Up - When all blocking Is complete. o Post and Beam - Prior to floor Insul~t!on or decking. o Floor Insulation - Prior to decking, o Insert - After "ieplace epprovel and Installation 01 unit. o PlumbIng Connections - When home has been connected to water and sewer, , 0 Curbcut & Approach - After forms are erected but prior to placement of concret,e. o Sanitary Sewer - Prior to IIIlIng trench. o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the ho'me Is connected to the service panel. o Sidewalk & Driveway - After excavation Is complete. forms and.sub.base material ,In place. . , " ~ o Storm Sewer - Prior to filling trench. . o Fence. - When ~o~'Pleted. O Water Line - Prior to IIIlIng trench. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. I' o Rough Plumbing - Prior to cover. o ,Street Trees - When all required trees are planted: 4. . " ~ , Lot faces Lot~ype' I LOI sq, ltg, Interior Lot coverage Corner Topography Total height Panhandle Cul,de.sac .. r,' ,',."", I' ~~,.'.",'" "'~ \ ' . '.>,p ,'I.:".,. ,,':q'~'}>'!I'.i,;"J"l>>1'1:ll"~':.~, {:'{~.{ \ '\:,~l;. ". " "::" ;;'i.:.t~.;',.",:.. "( tTHEPROPOSED WO~KIN THE.. '-"HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcatlon,'!!ust be signed and approved by the Historical , Coordinator prior to permit Issuance, .:.: '. ' .. Setbacks. .. i p.L. HSE GAR ACe' I N Is Iw IE BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, ~ VAWE rv,1aln Garage " /2x-2.4 ..LC2/0 2"'i't;9 <j ,~,$'"O - ;''1~ I~' - -4-,' 5''9 , SYSTEMS DEVELOPMENT CHARGE (SDC) Carport Tolal Value Building Permit Fee State Surcharge '3'~, ~4J , (A) Total Fee ~ (B) PLUMBING PERMIT ITEM Fixtures Resld,entlal Balh(s) Sanitary Sewer N' FT, Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It D~Z;;; Cel. ,._"-/CW 'P-.WOP Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE QS'.o3 ~g.S-~ ..J/J~ /2.. APPROVEP' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition thatlhe said construction 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 time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number: Recel~~: Pla~~~~ ~(/;, peL -;r-"cAte 1 Systems Development Charge Is due on all undeveloped - properties within llie City limits which are being Improved, ADDITIONAL COMMENTS '. By signature, I stale 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 t~at NO OCCUPANCY will be made of any struclure without permission of Ihe Building Salety 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, an he approved et 0 plans will remain on the site at al mes durin ruction. a~ 7~/,r 2A--l (, / T VALIDATION: RECEIPT NUMBER DATE PAIr> /13/2- c;a,. //"/-/,;>1- E /d. <!:j,1 2. 4~ AMOUNT RECEIVEP RECEIVED BY _