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HomeMy WebLinkAboutPermit Building 1999-1-11 (2) '- . ... 'I. , ~,_-_ A-.- RESIDENTIAL PERMIT APPLICATION /,Il~'" Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ~r[ J /<;rt)').()7.- 7-3 ASSESSORS MAP' LOT' OWNER' /!1fL 4c~ E!"IAJ ADDRE~"" ';;72-'7 mt:fnu CITY' S,tJlZ/#i h8// DESCRIBE WORt<. hA/'( /. NEW REMODEL CONTRACTOR'S NAME Fe1JUvH I ( /~ SPRINGFIELD BLOCK: 1I~<;\c IrJ € W- STATE: ;J 12 e r r-7r">-.. &.€ ...,..,t;")J'T ADDITION DEMOLISH OTHER - -' I I . JOB NUMBER qfO O? 1- - 4- 225 Fifth Street Springfield. Oregon 97477 TAX LOT' dI'10() SUBDIVISION: PHON~' '11S-- C.1z,} ZIP: ~?Cf'7 ,5 ADDRESS t:- -,:tJ(IR-iS CONST. CONTRACTOR' EXPIRES ,~ PHONE FLOOD PLAIN: t-lU'l'\\' -. ZONING l'\eEfE~\'I\: _,,~ N01\lit:.. s"('l~'dr:e"'r'\ r-P,w.\' \5 \W . S I''(:.",w.\' ,,\n'C.?s..~"\I"G \'u'" ,\'1\ "'\2.'2.0 \lSECO~OI'iR;(,CREAT: 0'\'\\)1' /"'II'>. \S "." ' . r>:C",,\ct:\) SQUARE FOOTAGE: ('(\W\I-I\;;' _ , o~l'\\t IV, ,_' ~~~.n\Jr"'" To request an Inspection, you must call 726-3769. This Is a 24 hour recordlng~e.:"1nspectlons requested before 7:00 a,m, will be made the same working day. Inspections requested after 7:00 a,ffi. will be made the following work day, GENERA' . PLUMBIN(>' MECHANICAl' ELECTRICAl' 'QUAD AREA' . OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER' D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location.. bond beams, grouting. . D Foundation - After forms are erected but prior .to concrete placement, D Underground Plumbing - Prior to filling trench, D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and. Beam - Prior to floor Insulation or decking. ~Vl loor Insulation - Prior to decKlng,'.J ~ , c.~~G A.v\.- D Sanitary Sewer - Prior to filling trench. ' D Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbi~g - Prior to cover, - OFFICE USE - LAND USE: _ . OF UNITS' CONSTA. TYPE: HEAT SOURCE: RANGE: _ ~UIRED INSPECTIONS , ~. ~h Mechanical - Prior to ver, ~~/.~~ Electrical - Prior to ~~r. , D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. ail/Ceiling Insulatlor:' - Prior to ver, wall - Prior to taping, D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. 'D Curbcut & Approach - After forms are erected but prior to placemont of concrete, D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place, D Fence - "\then cOf'lpleted. D Street Trees - When all reQuired trees are planted: al Building - When all r ulred Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS D Blocking end Set-Up - When all blocKing Is complete, D PlumbIng Connections - 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. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. /f.DO 0 /IC? ro ~o '.'1'1. ./ Jj 1. J f SYSTEMS DEVELOPMENT CHARGE (SDC) Lot 'aotl ~t~. Lot sq. ltg, Interior Lot coverage Corne r Panhandle i Topography Total height Cul.de.sac BUILDING PERJt1JIT "I ITEM sa, FT. ';; .,t X s/so. FT. = Main Garage Carport F7A1fs j. /?A/rQo.6Vr Total Val ue Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT, FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent ()CAt-7 (,<..o",/:, I4je~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge et:uoTA?~,/ Total Miscellaneous Permlls (E) PL. J'L__" S I ~T VALUE '. FEE 1).00 10, c)u <{>:'. 7)' 2 C. Z-tJ 12 ( 1. r' /- "lJ- TOTAL AMOUNT DUE (excluding electrical)..-'" -'- (A. B, C, D. and E Combined) 2' ~ J. ro it,.: ~ /\~ ~, I . " .., ,.'\ .~IS THE PROPOSED WORK tN 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. Setbaoks HSEIGAR Accl I I I I BUILDING W\LUE, PLAN CHECK AND BUILDING PERMIT APPROVED' This permit Is granted on the express condition 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. 7(.~; Plan Check Fee' Date Paid: Receipt Numbe'" Rec;;!JBtJ~ ,/lf7 I Date Plans Reviewed By Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS , ~tY~ 6:ac.r,~~,'71S 4~J (), II; ELt:'l-rlJ.<... ' J ClllGk, /5 FJ/ld JN~M,y#T Note: Building Inspector may require additional plans information, andlor fees for the comp:etion of this project 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 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 certify that only contractors 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 at of plans will remain ;n the Site~at all1 H~ dur'JO: nstrucHon, Signature fiJ~ (1/? t <- I Date ;/1(.97 VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED ~ ;?. 5'"/9 1/11/5''7 . I 2~E..r-o ,&ff~ RECEIVED BY