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HomeMy WebLinkAboutPermit Building 1993-5-27 . RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Ollice: 726.3759 LOCATION OF PROPOSED WORK: } ~/"7 2. SPRINGFIELD ASSESSORS MAp. LOT. /'~ BLOCK, OWNER, ADDRESS. CITY: MMK' L-C:;4J// rT ,j 3/ 3,;<1. S:j, 71,/) ~~ ~, .43~, &,,) - " c. STATE' .\ DESCRIBE WORK, ~/ 5E?) /O//r/l) NEW"L{- REMODEL ADDITION 17M. , /5', J:. , DEMOLISH OTHER . JOB NUMBER_930~si 225 Fifth Sl,ool Springfield, Oregon 97477 .TAX LOT, ~ , 'or ~ r' SUBDIVISION, r~'.:.-L~~, - /;i!. PHONE, -7-11-- -t~?k~ ZIP,-!Z'Z!IJJ__ .. ,', ADDRESS JvfN~ /~1T /,3/3 ;es-r#.J PLUMBING, I??/~A MECHANICAL: ilNItfy.'hl'eE ELECTRICAL: LI/VA ,.s: I CONST. CONTRACTOR' (p!1.7~'" 5/~gS t2t2d7'1 ~ol EXPIRES I'HONE /G!h.'? 7--i7-~9,72 / 2,'tt/fl-'$_Z-i~~9$31 &1bl<1? 7~~L~/ f lo/i/9? 7Z'--=7.S?S CONTRACTOR'S NAME GENERAL: QUAD AREA: ~R.. ") E I . OF BLDGS: OCCY GROUP, fi 3 + M 3 . OF STORIES: WATER HEATER. E. - OFFICE USE - LAND USE, JIll I. I VAl ,\ FLOOD PLAIN: ZONING CODE: -.bbi!{ . OF BDRMS, 3 SECONDARY HEAT: -EP SQUARE FOOTAGE:_ To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.rn, will be made the same working day. inspections requested after 7:00 a.m. will be made the following work day. ~ Temporary Electric K;( Site Inspection - To be made ~ after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. l'\::7f Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are ~ erected but prior to concrete placement. [:] Underground Plumbing - PrIor .~ to filling trench. r\;('Underflo<ll;.J::lumUII~echanfC7D> ~ - Prior to~n ~or deCKing. c:::;;r Post and Beam - Prior to floor )6..J Insulation or decking. ~ Floor Insulation - Prior to ~decklng. ~ Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to fIlling ~ trench. r\7f Water Une - Prior to filling ~ trench. . OF UNITS, CONSTR, TYPE, HEAT SOURCE: _F E E RANGE: REQUIRED INSPECTIONS ~Rough Mechanical - PrIor to ~ cover. ~ Rough Electrical - PrIor to ~cover. 'fV7f Electrical Service - Must be. ~ approved to obtain permanent electrical power. R7l Fireplace - Prior to facing ~ materials and framIng Insp. . ~ Framing - Prior to cover. lV"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. ~ Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. ~Fence - When completed. rvr Final Plumbing - When all ~ plumbing work is complete. ~ Final Electrical - When all electrical work is complete. ~ Final Mechanical - Wilen all mechanical work Is complete. r'i7't Final Building - When all ~ required inspection5 have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sel-Up - When all blocking is complete: o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking..sct-up, and plumbing inspections have been approved and ttle homo is connected tv the service panel. O Final - After all requilcd ino::"....,..tlnno:: ::Ir.... ~nnrnv..d :.nrl . , . Lot faces ..N~ Lot Type Setbacks ,* PROPOSED WORK IN THE ~ __ Interior I P.L HSE GAR ACC I HI ORICAL DISTRICT, OR ON Lot sq. Ilg, IN I THE HISTORICAL REGISTER? ~~ ~ Corner 20 Lot coverage Is I If yes, this application must be signed J/~ /5 and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance. Total hclght 3<2 Cul.(je-sac \ ~/~ I APPROVED. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shali. in all respects. conform to the Ordinance 'adopted by:,ihe 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'~o'rdlnances. Plan Check Fee: -2 ''/::PC. '7' ~ ,: 1"b ~ . ,./.:s6'C '/. ..,'~ /'" Date Paid' BUILDING PERMIT ITEM SO. FT. Main 2.~O '4~- ..". ':..,' . X $/SO. FT. -5? ~O'_ 4/0 VALUE L2~'$JI,() !) -Lt2i9.o,bd Garage Carport 'lbit:Ij;;"t!fi0~II{)~c." , ---- -- Toto' V'al,ue, .. ' ;( PI 0 /(611 L BUilding Permit F C Ff!!C. StalC Surcharge R~ . ~I --~ ~ /JI#:J Al't(lfUJ SYSTEMS DEVELOPMENT CHARGE (SDC) -,.3 .......... Receipt Number: Total Fee -2#/63 ~t~ ....... "'.,\.... " (B) . Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. P~UTV1B,ING PE~M.IT ADDrrlONAL' COMMENTS ,J , ITEM , \ ~ " . , FEE ., . , , " . . ... . \." '-- " ~h. '~~~"??:507T . ""-\ ' , Fixlures ." ~ .,,;,i .... .,.. Acsidenlial Bath(s) \ .~~~-------.- , , Storm jSeVJer ::. LltJCtf1vJIA-{~ FT. _______ Sanitary Sewer Water , MOI)iIC Hor:ne Plumbing Permit Slale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Mcchanic;d Permit LW dfiW~ i5A ~ By slgnature,l'state and agree, that I have carefully exal1)ined the completed application and do hereby certify that all Informatlon hereon ;s 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 Springfleld, 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 tllat only contractors and employees who arc In COfJ1Pll"ance with GAS 701.055 will be used on this project. Exhaust Hood Vent Fan N' Wood StO'JeJlnSer~JFireplace Unit Dryer Vent Issuance State Surcharge Total Permit (D) I further agreo to ensure that all required Inspections are requested at the pro~er time, that each address Is readable from the ~treqt. that the permit card Is"located at the front of the property, and the approved set of plans will remain on the Slt~ ~.t~",du~onstructlon. J..' ~gnature /' fr /-~~/if Dato ~/',;;)'i-7'3 MISCELLANEOUS PERMITS Mobile Home Stale Issuance State Surcharge Sidewalk It CUlbcul ft Demolition VALIDATION' L-~ .J_ 1- :::..~-,- , RECEIPT NUMBER ',' DATE PAID TOTAL AMOUNT OUE (excluding electrical) (A, B, C, D. and E Combined) - , _.n __""""_____ AMOUNT RECElvon RECEIVED BY I