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HomeMy WebLinkAboutPermit Building 1995-5-2 OWNER: '\f\ ~ Y Q J \ ~r<\ \) \(\ ADDRW:~A~f\, l,..f) Fj<>\n CITY: ~\\I \\~~\)N . \ , \"\ DESCRIBE WORI<' ~. \="'. '[JQ lln.2 iL0 9-.> NEW \/ REMODEL r.; RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 X"ASSESSORS MAP' '<'LOT: \ \.."'" V,,:+- \"'2- :- o \..r'\ BLOCK' STATE: U \)~ '--.J ' ADDITION ..; OTHER 3 - S8,f" .e--" DEMOLISH .',- -. .q5)t\~ JOB NUMBER 225 Fifth Street PHON E: :J!{ ~ rr PR?'~ ZIP: ~CUJ CON ST. CONTRACTOR'S NAME \\ ADDRESS CONTRACTOR' EXPIRES PHONE GENERAl1:~;'\'''{ A ~'\~ ,').qfll~f\\\n'Y\.. 1rA.CV1).. ") 1.8,q~ ~bilin1- PLUMBIN;\X~\.\~~\n~ q .~ <\~ l.? -1a:2D.q~ MECHANICAL:M\3c.~ ~-.l9_eil r4Dc!N) r9.jtlo qYJ.&ttJ<K ELECTRICAL:, ~S ::)fr\..~- ~\i('l > QlJt:O \,L~q\n lQ88)l5\q' , I ? t QUAD AREA: .0Qt\ 1.0 . OF BLDGS: l OCCY GROUP: 't),,"?)\ f\J\ rl. . OF STORIES: -' 0- WATER HEATER: - OFFICE USE - LAND USE: \ \. \ \ . OF UNITS: \ CONSTR:, TYPE: ~ l\) ~EAT ~O~RCE: ~C'1. RANGE: - C:t FLOOD PLAIN: ZONING CODE: J.Jj.L 4r r r . OF BDRMS: SECONDARY HEAT:-.E() SQUARE FOOTAGE: ~ ~ :;:l.,C;:A. 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, Inspections requested after 7:00 a.m. will be made the following work day, H. , ~emporary Electric D Site Inspoctlon - To be made after excavation, but prior to setting forms. o Underslab Plumblngl Electrlcall . Mechanical - Prior to cover, 1'071 Footing - After trenches are .l:6J.. excavated, . o Masonry - Steel location, bond beams, grouting. ~ Foundation - After torms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. ' ~Underllo~/j(\9charJ~ ~ Prior \'0 ll\::>uIClllon or decking. rvf Post and Boam - Prior to floor ~Insulatlon or deckIng, , ~ Floor Insulation:'" 'Prlor'to ~decklng. _ 'f':7f Sanitary Sewer - Prior to tltUng )L) trench. ~ Storm Sewer - Prior to fltllng ~ trench. ~Water Line - Prior 10 filling ~ trench, :-of'Rough Plumbing - Prior 10 ~ cover, REQUIRED INSPECTIONS l"\::7( Rough Mechanical - PrIor to ~ cover. 4r-.-s F.;<I. (:vrRough Electrical - Prior to ~ cover, ivf Electrical Service - Must be 9 approved to obtain permanent electrical power. o Flreptace - Prior to facing materials and framing Insp. L8( FramIng - Prior to cover, ~Wall/C'elllng Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Stovo - After Installallon, o Insert - After fireplace a'pproval and Installation of unit. " 'f'::/( Curbcut &: Approach - After ~ forms are erected but prior to placement of concrete. l"5<f'Sldewalk & Driveway - After JL-1'excavatlon Is com pie to, forms and sub-base materlal'ln place. o Fence - When comPlet~d. , , "0 ~treet Trees - When all required ~rees are planted,' . '-... ' t ... ..... . I" '.", I"V'1' Final Plumbing - When all ~plumblng worl< Is complete. ~ Final Electrical - When all ~ electrical work Is complete, ~ Final Mechanical - When all ~echanlcal work Is complete, ~ Final Building - When all ~equlred Inspections have been approved and building Is compleled. o Othor ~o l)C'\J~V\c.~ ._;I\f''''A.~.f-r"c..tulrll.. v"h" a.(J..~~ ,P<( 4'kS" /-I,()E.. 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 Inspectlons 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. x ~~s;.i12 = ~ \4.10" \ \ pi" 2L7 :f1 122"53 ( Total Value If0~ Building Permit Feea"" u 5.3fJ7'!' , ~' ~'n' +-Ift;:~ A 3 /0 \ - . -~ State Surcharge ),. ~ T . ~ U.- 5~/,~r t::.e..'\ c&\ (Ai '---^-.h. . LOPMENT CHARGE (SDC) "-.-.-- ~~ Lot faces ~ Lot TY. Lot SQ. fig. .;;!.~ _ interior 'Lot coverage ~ ~orner TOPOgraPhY~' \_ Panhandle ~, Total helght--~ ~ _ _ Cul-de-sac , - .---.. --fCj'f~ ' . ' . BUILDING PERMiT" cQ6l0 Rtn ITEM Main Garage Carport 1/1 'J,Ft./JtJt$) -:?2.1 Total Fee SYSTEMS DEV ~ PLUMBING PERMIT ITEM Fixtures , N' -3 Resldenllal Bath(s) SanItary Sewer FT. FT. FT. Water Storm Sewer Mobll~ Home Plumbing Permit Slalo Surcharge +~Po Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No-3 Wood Stovellnserfrep~~)nlt Dryer Vent . ..- . .~~S:~~ Issuance State' Surchar~e . Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk . '2,a '::)1 Curbcut 4-'2.- ft Demollllon /~ 1E Co. 0Q?71C. ~:-~~,.:.:",-:..-sa ~.J ~CW An t, TOlal Miscellaneous Permits (E) Setbacks i:L I;~IGARIACC Is I I/~ I Iw I I I I ~j I FEE \ltl:t:b Jg,qED 15~ c9CJJ.QO: W.OD '\-~ G.CO L\ . c::o .2> .QU ri .~il <41. EO tn.CO A) .,-~Lo 4- l'. 73I1z. ,,~f?-/E llo.5'O 32S~ /'7.sr V.7~O ~~V,~ . TOTAL AMOUNT DUE (excluding electrIcal) G _~. ;.:. r lA, B, C, 0, and'Ecomblned)a'7?3'3.39/~,~$ '. :;' . \' ., ,'~ . '.i:~ \ ~ . IS THE PROPOSED WORK tN THE. "'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " 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 petmllls granted on the express condition thatlhe said construction shall, In all respects, conform to the Ordinance adopted by the City ,of Springfield, Including the Development Code, regulating ttie construction and use of buildings, and may be suspended or revoked at any lime upon violation of any provisions of said ordinances. 5' Plan Check Fee: ,~~,,)\. , 3 50'~ 9" Y). 1'\. S - s j' Z. Date Paid: "_ L \ } - /7. S"r Recefpt Number: . },l ollo.ct.-?)t($ , Re~~\If\..' 26;$S- Plans Revlewecf'l:ly A'~e Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS 6 ~~ 0 . ~ ~rU 0_'""0 \)L o PM7I 1. o '~-'1 .EL~/ #J =#"1/ . , ~~ f- a -=5h:?A;t?_~ ~,./~~.;~// IS ~ / o IJU/ SFt;~ - ~ ----v=- - .' I No O(1~AfJ~ 4147( /~Ao//~~.~ .. ~eQ1,n5~ I! Y-,dPA wtJ),(~. " By signature, I ~tale and agree, that I have carefully examined the completed application and do hereby cerllfy 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 Ihe City of Springfield, and Ihe 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 Safely Division. I further certify that only contractors and employees who are In compliance wllh ORS 701.055 will be used on this project. I further agree to ensure thai all re9ulred Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the Iront of the properly. and the approved set of plans will remain ;;n the site ay,1I ~Imes d~constructlon. Signature V J\.r).... (- \V~ c;!2fCiC:- Date v VALIDATION: RECEIPT NUMBER /72;'7 DATE PAID S':>.. ::2 ~? /~ AMOUNT RECEIVED /'2.(,/9. '"< ~ ~9"'''''''''-- ;' RECEIVED BY