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HomeMy WebLinkAboutPermit Building 1995-1-19 G In J1~o1P) TAX LOT: rti' nW RESIDENTIAL PERMIT APPLICATION - SPRINGFIELD Inspections: 726,3769 Office: 726.3759 ASSESSORS MAP: LOT: BLOCK' OWNER: (1~(1. ~wmo~ J ,1:)1/SO.7T!( Ln . .' iie) . STATE: \!)10 \\(')v\ DESCRIBE WORK' Y \ 1\ 1 t\~ ) 1_ ~ f\Q ('(\0 f'Tt:, NEW REMOD'~' ADDITION DEMOLISH OTHER CITY: CONTRACTO~NAME _.-Jl,l-j, ADDRESS GENERA" J (t, fY l' }Uf'TfJ1J) J'\ ') -- PLUMBING: tl<, CONST, CpNTRACTOR . MECHANICAl' ELECTRICAL' -- JOB NUMBER l14j6&Fl_ 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION: PHONE::J{lh- rM/ ZIP: Q14lPJ EXPIRES PHONE - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS' ,. OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording, AI/Inspections requested before 7:00 a.m. wIll be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day, REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms, o Underslab Plumbing/Electrical I Mechanical - Prior to cover. '- o Footing - After trenche a excavated, o Masonry - SteJlo~"tl :beams, grouting. \...- \ o Foundation - Aft~r forms erected but prior to con e placement. '~' o Underground Plu bl rlor to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking, o Wood Stovo - After Installation, D Post and Beam - Prior to floor Insulation or decking. D Insert - After fireplace approval and Installation of unit. D Floor Insulation - Prior to 'decking, o Curbcut & Approach - After forms are erected bllt prior to placement of concrete, o Sanitary Sewer - Prior to filling trench. O Storm Sower - Prior to filling trench. I ' O Water Line - Prior to filling trench, o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place, o Fence - When completed, o Rough Plumbl~g ,- Prior to cover. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing wc;>rk Is complet.e, D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete, o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer, o 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, Se t bac ks I :L. 'HSE 1 GAR I ACC i I S I I I I Iw I I, I I lLLLLJ Lot faces Lot Tyrtl Interior Lot sq: flg, ' Lot coverage Corner Topography Total height Panhandle Cul-de.sac BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, ~ VALUE Main Garage . Carport Total Value 0J~ '} , Building Permit Fee , !>6l,50 Stale Surcharge -r '390 ~j. Total Fee (A) 3 CS D~ SYSTEMS DEVELOPMENT CHARGE (SDC) J75 (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/ Fireplace Unll Dryer Vent Mechanical Permit Issuance State Surcharge Total 'Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcul It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and' E' Combined) '. .. ;.;.,... '\~ .~: ~S THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? If yes. this application must be signed and approved by the Historical Coordinator prior to permit Issuance. .' APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 sald ordinances. Plan Check Fee' ./ 'V Date Paid: ~% Receipt Number'-~~ ' Received By: /' Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS . By signature, I stale 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 01 the City of Springfield. and the Laws of the State 01 Oregon pertaining to the work described herein. and that NO OCCUPANCY will be made of any structure without permission of Ihe Building Safety Division. I furthe'r 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 set of plans will remain on the s a all times during con~truc~n, A /J /7 Slgnat ~ /"" I - Date ,/9/ /99-" VALIDATION: \ RECEIPT NUMBER \ I Q9~ . DATE PAID /- /4-ClC:\ AMOUNT RECl~ ,--'3:=)~11 RECEIVED BY ~ IIJ^----