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HomeMy WebLinkAboutPermit Building 1993-2-11 RESIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Oflice: 726.3759 LOCATION OF PROPOSED WORK: / iD / I ASSESSORS MAP" i-? n7::J7..J:?7...-'7-- "2 I if5 ')L.f 22 LOT NEW REMODEL SPRINGFIELD . L~",cli. #/03,(::,3 . JOB NUMBER_q.~OO \()/ 225 Fifth Street Springfield, Oregon 97477 BLOCK' q . TAX LOT: CeU u-") SUBDiVISiON: 'fi;'" ~ 1";"5 1tt:P-t?S (Ida 7I.) STATF' ot(. OWNER' DO>1 tf ~r;e s,.,.,:+i... ADDRESS: J h / f L4-c..v n .... ~ c1~ CITY ~f'''''''1 nrJ!,~ I c( ok! DESCRIBE WORI" 14 f X 2l?' k aon, ....... d73a..TI fJd(Li, ~ n ADDITION X CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR · GENERAL: u",h" I4nd~clV\ s<lf 'p'sl_ (,,4317 PLUMBING: ~ r,l'S j-) I)), 7;.chl1Uw>J,.:#17nH;J}'fIj:iftiJf-7?~ ~ II MECHANICA' . ELECTRICAL: ~)I!U.) e's DEMOLISH OTHER E J~,'c,.. </2 ~22Jmcf IWIZ/~.J-/,';;""" :r.,c.. . <; 7478' J OUAD AREA:g" ~ '0 . .\' . . OF .BLDGS: OCCY GRO~P' \:\ ~ I . OF STORIES: WATER HEATER: , - OFFICE USE - LAND USE \ \ \ \ , CO.NSTR. TYPE: V (\..J . ;';~AT SOURCE: -li/~ PHONF' 7'-/7-3(",10 . OF UNITS: RANG'" ZIP: Lfil./77 ~ !J.f. /1~ 60 PHONE 7 ~/fo-1(,53~ 747-'i?1(,,2 EXPiRES '1j/8/Q;3. f'5/~3 77ct72. ~9-'l ~1t;;-3q</2 FLOOD PLAIN: ZONiNG CODE: Lf)f2- . OF BDRMS' SECONDARY HEAT: S~UARE FOOTAGE: ~JJA~ \ 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 mmlo the same working day, Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to selting forms. o Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. r"5?f Footing - After trenches are ~xcavated. o Masonry - Steel location, bond beams, grouting. 'K:"A Foundation - After forms arc ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ~ Underlleor Plumbing/Mechanical _ Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. 1V1 Sanitary Sewer - Prior to filling ~ trench. o Storm Sewer - Prior to filling 1P3nch. o Water Line - Prior to filling trench. "f'::/( Rough Plumbing - Prior to ~cover. REQUIRED INSPECTIONS K/'f Rough Mechanical - Prior to ~ cover. "1Vf Rough Electrical - Prior to ~covcr. '0 Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to lacing materials and framing Insp. ~ Framing - Prior to cover. rQ'1 Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erccled but prior 10 placement 01 concrete. o Sidewalk & Driveway - After ex..:avatior. is cOlTljJlete, forms and sub.base material in place. o Fence - When completed. o Street Tre~s - When all requirec trees a~e p!.mteu. . . ~ Final Plumbing - When all ~ plumbing work is complete. ~ Final Electrical - When all electrical work is complete. rVl Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all ~required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete. I i Plumbing 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 service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been installed. Lot faces J:L Lot Type . Lot sq. Itg. qZOD K Interior I P.L. IN Lot coverage Corner Is Topography Panhandle Total height ~ Cul-de-sac Iw IE ., .HE PROPOSED WORK IN THE HISTORICAL DISTRICT. OR O~ THE HISTORICAL REGISTER? If yes, this application ~ signed and approved by the Historical Coordinator prior to permit issuance, Setbacks HSE GAR Accl BUILDING PERMIT sa. FT. .39!l. XSl~~B[)=~ ITEM Main Garage Carport Total Value Building Permit Fee /5ft1:J.5Z) '793 ! 01042 State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) _ (B) - I )6.. p..; PLUMBING PERMIT ITEM FEE Fixtures 4 --#J.oo Residential Bath(s) N' Sanitary Sewer FT. .c. Sf") 2'5.00 v' Water FT. Storm Sewer FT. L. Sf) 25.0D Mobile Home Plumbing Permit t:?n.tJO State Surcharge ' 4:;;0 Total Charge (C) 4i.. 50 MECHANICAL PERMIT Furnace , Exhaust Hood Ven t Fan N' I -LIlIA) . Wood Stovellnsert/Fireplace Unit Dryer Vent Mechanical Permit /500 /O()O ,75 ?j:::;_ 7S Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge -~~~t:KT' Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D, and E Combined) 2U,~B APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permi! 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 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: _JV?:>. O? ~/2-o/~3 7'L~/) Receive y: 0 ~. /I J~ - -;/'~/W~ Plan '. Reviewed 8'y Date Paid; Receipt Number" ~j-)Z. . Date - Systems Development Charge is due on al/ undeveloped properties wittlin the City limits which are being improved. ADDITIONAL COMMENTS -/:Ir4~~ 7V 4;: Ja'~ -B)LCUl.th? /J{J!)& f)~42c -Jf26ep? /,r- _mtR~ t/ &iff). , 1 - By signatu're, 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 Slate of Oregon pertaining to the work described herein, and tllat NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify IIlal only contractors and employees who arc in compli.ancc with ORS 701.055 will be used on this project. I furl her agree to ensure that all required inspections arc 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 at all times during construction. Signaturn Cl.. a~ /;/ZS/t;3 I Datp , VALIDATION: RECEIPT NUMBER 140'J. :>\,,\0.":)" ). i'i;;,lo"il ffi DATE PAID AMOUNT RECElvon RECEIVED BY