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Home My WebLink AboutPermit Building 1991-5-28 , RESIDENTIAL PERMIT Ai'PLlCATION Inspections: 726-3769 Office: 726-3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: :2/4'5 ASSESSORS MAP: /;J.P,3 . z:s ./:2 &.~--.:>_?-> _~V~ LOT: BLOCK' OWNER:."...,.Zl6'~ .~ 7?~ ADDRESS: :::</'/5 / .R'./?;>.......--..>-> -SPr&D CITY: ...4v~ _ STAT~' 07:;. . JOB NUMBER ~/~5-A:S.c::.. 225 Fifth Street Springfield, Oregon 97477 TAX LOT: L)';~C> SUBDIVISION' PHONE: "7~- ~C> ZIP' ~;?~?7 DESCRIBE WORK: ,,-IP/? ~7W/~ NEW REMODEL ADDiTION rY -n r-n' :~.,X;? ~ <t?.c-/./,..,..<!"~ DEMOLISH OTHER ~ '?5, / :,r ,-. ..:- CONST. CONTRACTOR'S NAME _' . - ADDRESS c:t A h CONTRACTORr.# . EXPIRES PHONE GENERAL:.jD!IV!h!<;l-qA-<r.~~ gqr)tT\ -....J\\O~l} Y~Jl\Q_) q0':)'~ PLUMBING' . . 0 (rf)(ytS 5/aJQZ/ . ..- - -, , , MECHANICAl .' ELECrRI~AL: ~/""er?f QUAD AREA: Q~ ~~ '\ OCCY GROUP' ~ \ # OF BLDGS: # OF STORIES: WATER HEATER' - OFFICE USE - \ \ \ \ \ CONSTR. TYPE: V N LAND USE: # OF UNITS: HEAT SOURCE: RANGF' FLOOD PLAIN' ZONING CODE: LDP---- # OF BDRMS: SECONDARY HEAT: "- SQUARE FOOTAGE: ~ To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00~.m. be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS - D Temporary Electric D Rough Mechanical - Prior to D Final Plumbing - When all cover. plumbing work is complete. D Site Inspection - To be made after excavation, but prior to setting forms. o Under.lab Plumbing/ Electricall Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. rv1" Foundation - After forms are ~ erected but prior-to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. ~ Post and Beam - Prior to floor ~ Insulation or decking. 'K7f Floor Insulation - PrIor to ~decklng. D Sanitary Sewer - Prtor to filling trench. D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. '1VfRough Electrical - Prior to ~ cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. f':/r Wall/Ceiling Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. . '. D Wood Stove - After installation. D Insert - After fireplace approval and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. D Fence - Whefl completed. D Street Trees - When all req'ulred . trees are planted. ." . ~ Final Electrical - When- all ~ erectrl_~al work is complete. D Final Mechanical - When all mechanical work Is complete. , ..r-=7l' Final Building - When all ,/ ~ required inspections have.been. approved and building is / completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When, all blocking is complete. D Plumbing Connectio.ns - 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 Type . L .......- Lot faces Setbacks 4IITHE PROPOSED WORK IN THE Lot sq. ftg. Interior I P.L. HSE GAR ACC I STORICAL DISTRICT, OR ON . IN I THE HISTORICAL REGISTER? Lot coverage Corner Is I If yes, this application must be signed and approved by Ihe Historical Topography Panhandle Iw I Coordinator prior to permit issuance. Total height Cul-de.sac IE I APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Building Permit Fee J.L{n :5 t!) ,5.S3 1'2-'2..3 3 This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopled 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. . ",=,ian Gheck Fee: ~ '7'=3' Date Paid: 5-/3-'7/ Receipt Number' ~a:::s-/ ReCeive~y: /A~ '/#~~dJU! _ PI.m.(Revi ewed' By c; - 2fB-9'1 Date Main Garage Carport $;D "':?/?'I ~7.? /:5211'</.~ Total Val ue State Surchar.Qe Total Fee ,(A) SYSTEMS DEVELOPMENT CHARGE (SDC) N/A (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures / Residential Bath(s) N' Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plu.Tblng Permit 'State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' / / By signature, 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 ~ith 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 certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent MechanIcal Permit Issuance State Surcharge Total Permit (D) 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 s' at jPoe~~~tlon. ,? s/2R'/7i / MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and. E Combined) /2'2. .33 VALIDATION: a01 v"--' ") RECEIPT NUMBER ' 0 _' eJ--./ DATE PAIP C:O.:Z5-~ -01 - AMOUNT RECEI.,Eq! \,/14. &~ RECEIVED BY ~l~ ../ . ,~ State Surcharge Total Miscellaneous Permits (E) / /~ ..~.:-.. . . Permit No: C\' 1m ~--::J _rA Address:&L4~ dr;mIJrr ^-- . ISSUedbY~())'LJ '. Date: tJ!Z~!ql _FOR OFFICE USE ONLY " STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS . ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4); requires residential building permit applicants' who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued..Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 2B: 1. ~ f I 0.0. ",;d. ;o~" .11' ''''10< '0 'h. ,0m,'Wd ",,,',". 2. A. My genera! contractor is L)J} \I f\ lS ~l'f\ \(Tlr\u? , Contractor registration number t()~) . ~ I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. L-J I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and (10 hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above Information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side, of ". for~. ~j~ !JP~/9/ Signature' Elf Permit Applicant Date I . ,- CONSTRUCTION CONTRACTORS BOARD 0244J 1/90 . lfnlll: COPY TO ISSUING AGENCY PERMIT FILE I"w' COPY TO APPLICANT ~I ~ ~l