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HomeMy WebLinkAboutPermit Building 1995-3-28 RESIDENTIAL PERMIT APPLICATION Inspections: '726,3769 Ollice: 726,3759 . SPRINGFIELD ~r~/~~ J.' .;. ..- LOCATION OF PROPOSED WORK: L4~ ASSESSORS MAP: JBQ2.f2Z? :2---' LOT: 2. /' BLOCK' OWNER' ,,-r;,/'~......I'f J4t?A-'1-4 &L'/ ADDRESS' /11 i?1Y .~51 to'~~,..e,(L- DESCRIBE WORI<' ~: ,\=,', \J QJ:)\'r\ 0 XI\' 0 NEW -A- REMODEL CITY: ADDITION f?; STATE: '- /J~, ---- :..:. DEMOUSI:I ' : 'OTHER Sf'Z7/..J . JOB NUMBER 9~~ -S- ~ 225 Fifth Street Springfield. Oregon 97477 - (~rr) TAX LOT' SUBDIVISION: ~,:#.... &',)'./",,-: , /.;1 ,dd..l:,I,.'~ PHON'" ZIP'" ?' / .,., 2'- '- CONTRACTOR'S NAME ADDRESS' , GENERA" Af~. '" 4hs. ~~~ ~~' PLUMBING: 4~,;'",,_.'.' /L"""'~;";, MECHANICAL: ~de~ .. ~ ~4&. / ' ELECTRICAl' 4.. A-- /-2 <".c.~.'c CONST, ' . 'CONTRACTOR - C; '5CJ6 t) . 'J,,'J{)I) LP .76lP %. 2- lo9JrLq , "EXPIRES PHONE Pt 7q?-r;r/~,:") l.67lD!~C) ,c,gg, /Y-:J( r4~qt.;-lt;, n .3 I q /q.s o/U-277/ QUAD AREA:/-L\~Sf,--' \ OCCY GROUP: 9--.-2,~ IV\. - OF STORIES: _~- WATER HEATER: ~'(1 r - OF BLDGS: , :.:.. OFFICE USE - 1\\ , "J" CONSTR.'TYPE: V - OF BDRMS:-0 'HE~T SOU~CE: 8~-~~~ECONDARY HEAT: R'ANGF' LC~~ ,"."..;qi'b SQUARE FOOTAGE: LAND USE: -,OF UNITS: FLOOD PLAIN: ZO~ING CODE: U1{U ~ L\-\\'L, To request an inspection, you must call 726,3769, This ia a 24 hour recording. All Inspections requested belore 7:00 a,m, will be made the same working day, Inspections r~quested ~fter 7:00 8.m. ~1I1 be made the following work day. , REQUIRED INSPECTIONS [t] Temporary Electric rv1 Site Inspection - To be made L....C:J after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. [Xl Footing - Altar trenches are excavated. rY1 Masonry - Steel location, bond L.p:J .beams, grouting, ri9 Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. IYl Post and Beam - Prior to floor ~ Insulation or decking, m Floor Insulation - Prior to T decking, . " rYI Sanllary Sewer - Prior to filling r trench. rv1 Storm Sewer - Prior to fllll,n9 ~ trench. ' ,~. , Cf1 Water Line -,'pri~!~'?, ,iilll~9 trench, .... - '. .' ., P'lI Ro~gh Plumbing'....: Prior to' ~ cove~ , rvI Rough Mech~nJcal ~ P~lor to L...pJ cover. ", 1"11- Rough' Electrical - Prlor'to L.......P cover. ~ Electrical Service - Musi'be '-P approved to obtain permanent electrical power. fV1 Fireplace - Prior to facing Lf-l materials and framing Insp. ~ Framing - P,rlor to~ c~:)Ver, rY1 Wallle'elllng Insulation, - prior to '--f-::J cover.' , , ' qg Drywall - prl,or to iaPin9', D Wood Stove - After Installation, D Insert - After fireplace approval and Installation of unit, IY1 Curbcut & Approach -.After ~ forms are erected but prlc?r to placement of concret,e,. . IVI Sidewalk & Driveway - After I exc~vatlon Is complete. forms and sub.base materlal)n place. o F~nce, - When cO":1~le'te~. rYI ,Street Trees - Whim an 'required L,L.:1 trees are planted. ' .' . rn Final Plumbing - When all plumbing work Is complete. , , r-il Final Electrical - When all L...fI electrical work Is complete, ~ Final Mechanical - When all L.+-J mechanh::81 work Is complete, ~ Final Building - When all l.....p required Inspections have been approved and building ia completed. ' " ' ,; :,' DOlher MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete.' D Plumbing Connectlo,ns - When home has been con'nected to water and sewer, D Electrical Connection - When blocking, set-up. and plumbing Inspections have been approved and the home Is connected to the servlce'panel. . D Final - After all required ' Inspections are approved and porches, skirting, decks, and venting have been Installed. (- ,,~;, . lot faces ~ lot sq, ftg, e M.L ~ot coverage' S.~ Topography Tolal height ~") BUILDING PERMIT ITEM SQ, FT, lOI lyp;A ,......,.Inl~ Corner Panhandle Cul,de'aac x $/SQ, FT, ~ ..)~..J. d /1, I'() " Main ~."o ~~ Garage Carport /1/'Y1Y /'7"'72. 2~ !" Total Value Building Permit Fee Slale Surcharge ~~.~"+1~ TOlal Fee (A) . . ~ ,:~ I' , \ ..~ I , '~ '~t J ,,, ,', ,", ~,\" 1.'...'. ~. ti, '; ..W ",'f~ '",r.,\ t' "'l<1/M,<I(#l " ~,,::_t;.i. '~,- \6.(" ^.S THEPROPOSED WORK IN TH~, HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, lhls appilcalion must be signed and approved by lhe Historical . Coordinator prior to permit Issuance, I 'p.L. IN Is I W lS:1S IE -', Setbacks ' 'HSE GAR'ACcl I I I I" fW VALUE /C/j ;>~ :$~E3 -Yf. 73~ ~~~ <OS LAS. .~;l ~ lO3..~ ~YSTEMS DEVELOPMENT CHA,JGE (SDC) , -" (B) 'ZG.'24~..l -W> PLUMBING PERMIT' ITEM Fixtures , Reaidenlial Bath(s) N' ~ Sanitary Sewer FT. Water FT. ; FT. i S~orm Sewer Mobile Home Plumbing Permit '1.."?' ... '!.~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' l{ Wood Slove/lnsertl Fireplace Unit Dryer Vent \l\.~'L ~~ ~d..':'u..oc i WI\t l.?Ci:","<: Mechanical Permit Issuance 3.01.+ 3'% State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk &J Y.. It It Curbcut Demolition ~~~u=~ TOlal Misceilaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D, and E Combined) FEE \'\~ ~ " ' . " lq~~ \, 5. 'i.L. ~07.CU- ".~ ~.~ l~.~ ~.~ ?:,.W- s.~ c...c').~ t D, \/l1. ~ .Il!.. IS.~ ~. <dl2. l c::,:tC .t.t~.u. 04bC.1.L ~OltlS ",',0:) APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condilion 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: ~2":j"3 / Date Paid: Receipt Number' ~C\IVed By: p~:tl;.lewed By ,d~,I1.~ ~ale Systems Development Charge Is due on all undevelopad properties within the City limits which are being Improved, ADDITIONAL COMMENTS -'5o~~~ h~// " ' .. . ...,. ~'H'\\DS.\QP. ~lA011"YlQD l <A-\-\) ~C:::;410 ,,\~~~~~~ \ql_,() By signature, I state and agree. that I have carefully examined the completed application and do hereby certify lhat ali Information hereon Is true and correct, and I further certify that any and ali work performed shali be done in accordance with the Ordlnanc~s 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 employeea who are In compliance with ORS 701,055 will be used on this project, I furth.er agree to ensure that all required Inspections are requested at the proper lime; that each addreas Is readabla from the street, that the permit card la located at the front of the property, and the approved set of plans will remain /.., on the site at, 7: all times d~rl~nst~ Signature d~'$- ~~- 'Lz'/" r'" ~{;;,- Datp' :7 L 'b/i'4 / / VAliDATION: RECEIPT NUMBER -4G "7 ~ :s-<>g.~ ~;,l.C~.. y~?:(-, ~/~-' DATE PAIP AMOUNT RECEIVED RECEIVED BY