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HomeMy WebLinkAboutPermit Building 1995-6-26 RESIDENTIAL PERMIT APPLICATION f .~\,) ~ Inspections: 726-3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK' Z!;(;,(p , /? -z:J"?-<. 7"~c> ASSESSORS MAP: LOT t7+l-, BLOCt<.: .' JOB NUMBER qS().:L! I ~ 225 Fifth Street Springfield, Oregon 97477 0rc-.V"\ct V: S,}e- )).12- , TAX LOT: O'::::>"//b SUBDiVISION: GAA::<.lP\J\~ G:<;~~ PHONE: i'Z..<., -'2,81~ OWNER' ADDRESS: I"Y\\((="_ ~~ ,..1, L\ <;-t-- c:.~ CITY: STATE: ()'/L. ZIP: on.~1.1 DESCRIBE WORI,: NEW IlEMODEL PLUMBING' ~;.\ ~Lh ~<-" MECHANICAl' ELECTRICAL: ADDITION DEMOLISH OTHER CONST. CONTRACTOR' 1'--1, Il.o-\-l-- c,,+r - OFFICE USE _ ADDRESS GENERAL: J.iQ~ ,.. ~~\Ilo\e,,-':;;' "3"l.Bi ~,.l, bl\Ay....~il1q . '.\'-..- "';;1 Co. J /=1......\-..,,;,. OUAD AREA: _ . OF BLDGS: OCCY GROUP: _____ . OF STORIES: WATER HEATEn: -.'------.---.-- LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: _ EXPIRES Co 2... CiZ7 PHONE :-J'-tkCC::l.o,'i >'4:'-\-\ '\'\") l'-\\~'L Co <;::.';;3,-2. <;'L( '\ FLOOD PLAIN' ZONING CODE: _ . OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE: _ To request an inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons reouested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 B.m, wIll be made the fOllowIng work day, o Tcmpor<JrY Electric o Site Inspection - To be mado after excavation, but prIor to setting forms. o Underslab Plumbing I Electricall Mechanical - Prior to cover. rYl Footing - After trenches are ~ excavated. o Masonry - Steel locatlon, bond beams, grouting. ~ Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to fllllnQ trench. o Underlloor Plumbing/Mechanical - Prior 10 Insulation or decking. rv;l Post and Bea~ - Prior to floor ~ lnsulatlon or decl(lng. f\ril Floor Insulation. - Prior to '-">,! decking. o Sanitary Sewer - Prior 10 filling trench, o Storm Sewer - Prior to filling trench, o Water L1no - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to Cover, rYl Rough Electrical - Prior to ~ covor. , o Electrical Service - Must be approved to obtain permanent electrical power. o FIreplace - Prior to facing materials and framing Insp, CAl Fram,lng - Prior to cover. rvJ Wail/Ceiling Insulation - Prior to o cover. [1SJ Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approv~1 and Installation of unit. o Curbcut & Approach - After forms are erected blll prior to placement of concrule. o Sidewalk & Driveway - After excavation Is compicto. forms and sub.base material In place, o Fence - When completed, o Streol Troes - When all required trees are planted. o Final Plumbing - When all plumbing wc;>rl< Is complel.e, rvJ Final Electrical - When all ~ electrical work Is complete, o Final Mechanical - When all mechanIcal work Is complete, M 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 waler and sewer, o Electrical Connoctlon - 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 porchos, skirting, decks, and ventlng have been Installed. Lot faces Lot Type. LOI sq. Itg. InterIor Lot coverage Corner Topography Total height Panhandle Cul.de.sac '.' . . IS THE PROPOSED WORK IN THE .. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Se I bac ks I P.L. HSE GAR ACC IN Is Iw IE BUILDING PERMIT ITEM SO. FT. X $/SO. FT. = VALUE Main \cm t;;Co,Q,() s:...h~.r) " Garage Carport Total Value Building Permit Fee State Surcharge ~,~~ I.to "1 Total Fee (A) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical PermIt Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition ~I~:~~ ~ 'l TOlal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 13, C, 0, and E Combined) FEE .tf5 (l 3.b. 13.. <;, V.-\ So 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 01 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 Fcc: Date Paid: Receipt Numbcr:.__..___ Received By: ~~"R ________ PI~ Reviewed By ~, Systems Development Charge Is duc on all undeveloped properties within the City limits whicll arc being Improved. ADDITIONAL COMMENTS ,By signature, I statc and agree, that I have carofully examined the completed application and do hereby certHy 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 01 Springfield, and the Laws of the Stale of Oregon pertaIning to the work described heroin, and that NO OCCUPANCY will be mad. 01 any structure without permission or 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 tt1<:1t <lit roqulred Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is locoted at the front of the property, find the approved set of plans will remain on the site at all limes during construction. n - V Signature VA AA-- <; 1. AJ,.,t Datp (n-"Uo ---"I ( VALIDATION: RECEIPT NUMBER /A' 6/ '3 DATE PAID' h - :a;;:-95" AMOUNT RECEIVED ___ '\ 1..If~ /?-~"$.. >. RECEIVED BY ./ ~:- -01.- " ...... ~ I .~