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HomeMy WebLinkAboutPermit Building 1995-7-24 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: ASSESSORS MAP: /f&C32- 02 c '/-"'ALD 'E. FRI6H OWNER' T'CJr'l i2Qo He~\1.._~-r ADDRESS: _________._.__ ~?AJ -.,.._._-~-- LOT CITY: /2.- BLOCK: STATE: 6K . JOB NUMBER /,'5../.2. 2- tJ 225 Filth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' Di3/erv . PHONE:_7'{.LI-lisJIQ ZIP: Q7"1] f) DESCRIBE WORK: kOLltOrJAL ~tU< ON I-\au~ NEW ,/ I,EMODEL ___ ADDITION DEMOLISH _. OTHER PHONE GENERAL: CONTRACTOR'S NAME ADDRESS ~-~~.:....S?Slt,J,4(j) € . r:::e J tI-I CON ST. CONTRACTOR' PLUMBING' MECHANICAl' ELECTRICAl: EXPIRES QUAD AREA: . QF BLDGS: OCCY GROUP:__ . OF STORIES: WATER HEATER: _ - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: _ FLOOD PLAIN: ZONING CODE:_ . 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 a.m. will be made the same working day, Inspoctions requested otter 7:00 a.m. will be ma~e tho (ollowlng work day, o Tompornry Electric O Slto Inspection - To be mado atler excavation, but prIor to selling forms. o UnderslHb Plumblngl Eloctrlcal! Mechanical - Prior to cover. o Footing - After trenches are' excavated. o Masonry - Steel rocatlon, bond beams, groullng. o Foundation - Atter forms are erected but prior to concrete placemon t. o Undorground Plumbing - Prior to tllllnQ trench. o Underlloor Plumblngl Mechanlcul - Prior to Insulation or decl(lng. / , o Post and Beam..; - Prior to floor InsulatIon or dccl(lng. o Floor lns'ulation - Prior to decking , o Sanitary Sewer - PrIor to "fllrlng trench. o Storm Sewer - Prior to filling trench. o Water LIne - Prior to filling trench. o Rough Plumbing - PrIor 10 coyer. ~ REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. . o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ram.lng - Prior to Cover. o Wail/Ceiling Insulation - Prior to coYer. o Drywall - PrIor 10 taping. o Wood Stovo - After InstallatIon. o Insert - After fireplace apprOYlSl and Installation of unit. . o Curbcut & Approach - Aller (arms Bre erected but prior to \ placemont of concrete. o Sidewalk & Driveway - After excavation Is complete, torms and sub.base material In place. o Fonce - When completed. o Stroot Troos - When all required trees Bre planted. o Final Plumbing - When all plumbing worll Is complete. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. ~Inal BUilding - When all requIred Inspections have been proved and building Is completod. DOthor MOBILE HOME INSPECTIONS o Blocking and Sot.Up - When all blOcking Is complele. o PlumbIng Connections - When .home has been connected to waler and sewer. o Electrical Connection - When blocking, sel.up, and plumbing Inspections have been approyed and the home Is connected to the service panel. o Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Setback. I P.L. I HSE GAR 1 N I Is 1 Iw I I '1 1 lLLLL~ Lot facos LOI TYP. Interior Lot sq. ftg. Lot coverage Corner Topography Total height Panhandle Cul.de.sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. = VALUE Main Garage " Carport .-'\ 8.<72X>/~At. i0Te,l kc-.c ~.,i",o /' 0 Tolal Value Building Permll Fee Stale Surcharge /, ') 3 +1/(, _. 3p-. F~ 3oe; 1/J1 Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Resldenl/al Bath(s) N' SanItary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit Slate Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood StovellnserllFlroplace Unll Dryer Vent Mechanical Permit Issuance Stale Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II Curbcut ft Demolll/on Slate Surcharge Jfl.!.ri,.,) ~iVl&l h'3i7 , ,. 2...r:-o) f;-tP, ?'2- ~~.6,2.. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C, D, and E Combined) l.::. ,. . ACC I I I '.IS THE PROPOSED WORI< IN THE "HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this applical/on musl be signed and approved by Ihe Hlslorlcal Coordinator prior 10 permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . , This permit is granted on lha cxp'rcss'COl1ditlon Ihallho said construction shall, in all respects, confonn to (he Ordinance adopted by the City of Springfield, including Ihe Development Code, regulating the cOt')50tructlon and use of buildings, and m.'lY be suspended or rovoked at any time upon vlolatlon of any provisions of saId, ordlnancos. '1..'\ . Plan Check Fcc: Dale Paid: Receipt Numbcl':___.___ ',' Received By: " -l--'''~7- Plans Revlewed"By--.----.--- Dale, Systems Developmenl Charge Is due on all undeveloped properties wllhln lhe City Hrnlts which me baing improved. ADDITIONAL COMMENTS By slgnature,l slate and agree, Ihall have corelully examined the completed appllcallon and dO hereby ccrl/ly that all InformatIon horeon IS true and correct, and I further certify thai any and all work performed shall be done In accord once with the Ordinances 01 the City of Springfield, and the Laws 01 the State of Oregon perlalnlng to the work described heroin, and thai NO OCCUPANCY will be made 01 any structure without permiSSion of the Bulldl110 Safely Division. I further certlfy that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Dale i1,--;;; 'I- f.s VALIDATION: RECEIPT NUMBER Is .:1/8 DATE PAID __ -Y2 f/1,.;- , /_1 <;;2 AMOUNT RECEIVED ---(k2- '" RECEIVED BY ;I?~~:.