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HomeMy WebLinkAboutPermit Building 1994-1-27 - RESIDENTIAL . PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 SPRINGFIELD WiL~ I",~#. ~ ASSESSORS MAP: (~~ LOCATION OF PROPOSED WORK:..2 1..tC. '7 J? ~?-::r'!;.-/? 75?>D ~.~#5.J11'//~V ADDRESS" ~/?7e- . -? p .JCC..Z:> _ r /' DESCRIBE WORK: ~_ ~y #2>),,;><7.:7~'~' ~/S7": NEW REMODEL ADDITION DEMOLISH OTHER LOT' OWNER: CITY' CONTRACTOR'S NAME GENERAL:,~~~;<? PLUMBING: MECHANICAl' ELECTRICAl' QUAD AREA: . OF BLDGS: OCCY GROUP: "SRnlll) ,\ . \<\?1 :l - '(-1] . OF STORIES: WATER HEATER: BLOCK' -5'v~CA~P , , STATE: ~./'? . JOB NUMBER 9' y~/;;:> 225 Fifth Street Springfield, Oregon 97477 TAX LOT: L:P2S--~ SUBDIVISION:~h ~....ct1::t- PHONE: /2~-&?::>92 ZIP' 97'77/ ~~.6.5v'.:--~ r " ,CONST. , CONTRACTOR' EXPI RES *~ '. . .,~~. ADDRESS '- OFFICE USE - LAND USE: \ \ I t " ',. OF UNITS' (. 'CONST~, TYPI" V N HEAT SOU~CE:~';O t: fl RANGE: (JI '> -( REQUIRED INSPECTIONS 19f' Rough Mechanical - .Prior to ~cover. .'K71" Rough El~ct!lcal -.- Prlo~ to ~ cover. _ FLOOD PLAIN' ZONING CODE: 1012..-- . OF BDRMS' SECONDARY HEAT: ~ SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recorqlng. 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. o Underslab Plumbing/Eleclrlcall Mechanical - Prior to cover. r\::;(Footing - After trenches are R excavated. o Masonry - Steer location, bond beams, grouting. rs7r Foundation - After forms are ~ erected-but prIor to concrete placeme~t. o Underground Plumbing - Prior to filling trench, ~ Underfloor Plumbing/Mechanical ~-.Prior to insulation or decking, o Post and Beam - Prior to floor Insulation or decking. " k7r Floor In~ulatlon - Prior to ~ decking: o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench.. . rc7f Rough Plumbi~g ..:. J>rlor to ~ cover. .". , ~Flnal Plumbing - When all plumbing work Is complete. ~ Final Electrical - When all . '. ". electrical work is complete. .. " ,,~_ _~ 'L~.,,"~. ..". . .~:.;.~,.,..,._, .)"''''\'.\:... '"'R:21 Electrical Service":"" Must be .... '<-. "tv' Final Mechanical ,- When all. ~ approved to obtain permanent ~ mechanical work IS complete. electrical power, W~~ ~ Final Building - When all ~ required Inspections have been approved and building is completed. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~Wall/Celling Insulation ~ Prior to ~cover. %DryWall - Prior to;aPlng. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. '0 Curbcut & Approach - After forms are erected but prior to placement of concrete. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Sidewalk & Driveway - After " excavation is complete, forms and sub,base material In place, o Fence - When completed. o Street Trees - When "all re.quired trees are planted. " OOth"r" " MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete, D Plumbing Connections - When home has been connected to water and sewer. o 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. , &?~:::..';::l> 3?7.o0 1'7. ~s 1iL;.,l3S SYSTEMS DEVELOPMENT CHARGE (SDC) /IC/3 Lot faces . lot Type ~'lnterior ': lot sq, ltg, Lot coverage Corner Topography Total height ~/ (Asr..j- ") "- BUILDING PERMIT ITEM SQ, FT, Panhandle Cul,de-sac Main 'IA.J:;"'3 X $/SQ, FT, ~-?_'" Garage AI:!^ .4< ~ ~ ... ",. . ./#f./~ ; Carport ~, 2fi!:. ~ ~ Total Val ue Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM Fixtures /r? Residential Bath(s) NO Sanitary Sewer FT. Water FT, FT, Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT r(,,e?, Furnace Exhaust Hood Vent Fan NO ~_ Wood Stove/lnsert/Flreplace Unit Dryer Vent &A-5L/4E ; 'f# Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State .Surcharge Sidewalk It Cu rbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Setbacks I P.L. 'HSE' GAR I ACC I IN Is Iw IE VALUE "f;~.€o! , 'S6:"5" /.:;t::) .:<'5'.AC5'. ~..,.- , . FEE / (Jt) ~O " ~ > ...\, , . ~4'0 / tJ,<5' H ~~ . .1, . ?;6i::> " ~.tn:l /7.# IO.PO' .Z35 .2.1. ~5" 51-7,70 ....J "" ;0 (".HE 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. - " APPROVE';" BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the expres.s,conditlon that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Sprln'gfleld. 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' ::z..,8 .OS:- Date Paid: I:' 'Y.9~ Receipt Number: //29<> Re~4-~-~ F'lal[s Rev'iewed 'By 1/7_'7/l!f- I Dpte Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS ~"'i';P~ _Ff'U:-q;t/&ff.. ~J;,h?/fr /.(' ~~_ /V/r1Jf 1. By signature, I st~te 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 the Building Safety Division.. I further certHy that only contrac~ors 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, and the approved set of plans will remain on the site at all times during construction. x,gna::;~eoJ. j~ ~ 'SUll L~~ Date L- ;::)',-014 VALIDATION: RECEIPT NUMBER J!4~3 ;/?-7/!4 '( ?~7: 70 ~~~- j DATE PAI[1 AMOUNT RECEIVE[1 RECEIVED BY