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Home My WebLink AboutPermit Building 1995-7-6 -;-8. SPRINGFIELD RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Dllice: 726-3759 LOCATIO~ OF PROPOSED WORK: -d.54) ASSESSO~S MAP' \1)~lXJ LOT: _P.o.a\ -a:;.- BLOCK' OWNER: _LA-JJ?~ -y ! ADDRESS:' 2<70::;-C. - CITY' r-7f/': c 7>A--t JA/~L/..(;-7 / .v I ?r A-/c::dt) 2 / L~ ~tI ~ STAT'" C; ,;=_ /Pe-\" DESCRIBE WORK: NEW ....--- REMODEL ADDITION DEMOLISH OTHER . 1.----' . Cft-.:Jridt\ -- JOB NUMBER "/' ' '" .........-..... I.'~ . '/" _ ./,~:;f'~"1.J~ 225 Filth Street Springfield, Oregon 97477 :-)J'f"\ ve ' TAX LOT' Ccn. C':I:\ SUBDIVISION' (. ...f,l,.~.. 13 - !'O'1"t 2- PHONE: 0~~ -/('/-/1 ZIP: 9?fa../ CDNTRACT~SN~ME GENERAL:~~\.k SlO PLUMBING: l7el~i^~ 6)[l,'ef.. MECHANICAl' HaJ\l1e1~ ~l\Uf... ELECTRICAL: ~ - CONST. CONTRACTOR .. C 'l'; -Z::Yto \t\)'\\I'J..S CfY'rll %\-Gto EXP!RES ~ I~S 54S'!7!S- $'),'7Q,qS \~ \~'3\.Cf\ ,<\h \ \~ /"\ ~ol77;q:; {JA3. \b1h:l ~ .- . --..... ADDRESS lul illJ\. 0ll2Q... QUAD AREA: 5R.\\J\..0 - OFFICE USE - LAND USE: \\ \ \ . OF BLDGS: \ . OF UNITS: \ OCCY GROUP: ~~tv\ CONSTR. TYPE: vf$ . OF STORIES: 'F\ HEAT SOURCE: ~ '..WATER HEATER' G RANGE: _ <f ../ PHONE FLOOD PLAIN' ZONING CODE: Ll.JL---" . OF BDRMS: -.:3 \\ SECONDARY HEAT: _ \= \J SQUARE FOOTAGE: 3~~ '::> , , , \ .r -:-. 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 I . made the same working day, Inspections requested after 7:00 8.rn. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric ~ Rough Mechanical - Prior to, q cover.:z. ~ e:.l-. F'.'p'T D SlIe Inspection - To be made after excavation, but prIor to setting forms. . l"s7r Rough Electrical - Prior to ~cover. D Under.lab Plumblng/Electrlca" Mechanical - Prior to cover. ~ Electrical Service - Must be ~ approved to obtain permanent electrical power. , l':7'f Footing - After trenches are ~excavated. D Fireplace - Prior to facIng materials and framing Insp, D'MaSOnry - Steel location, bond beams, grouting, MFoundatlon - After forms are ~erected.but prior to concrete placement. ~Framlng - Prior to cover. FV1f Wail/Ceiling Insulation - Prior to ~ cover. D Underground Plumbing - Prior ~Drywall _ Prior to taPln.g. to filling trench. ~ ~ UnderlloOr'Plumbln~echanlc.c:> ~ _ Prlor't-04nsulatlon""Or decking, D Wood Stovo - After Installallon, 'r;;::;:rPost and Beam - Prior to floor ~ Insulation or decking. D Insert - After fireplace approvel and Installallon of unit. K:/f Floor Insulation .-. Prior to )O...l deck:ng. , f""\:tf Sanitary Sewer - Prior to tllllng ~trench, ~Curbcut & Approach - After ~ forms are erected but prior to placement of concrete., rV1' Sidewalk & Driveway - After ~ excavation Is compiete, forms and sub-base material In place, ~Storm Sewer - Prior to filling ~trench. ~: r\;1Water Line - Prior to filling ~ trench. ~ Rough PlumbIng - P~ior.to ~ cover. ' D Fence - When completed.. ~treet Trees - When all requIred ~~t-rees are planted, / ~ Final Plumbing - When all ~Plumblng wc;>rk is complet.e. r f"lC;;o1 Final Electrical - When all ~ electrical work Is complete, r\:?r Final Mechanical - When all ~ mechanical work is complete. f""v( FInal Building - When all ~ required Inspections have been approved and building is completed. DOthor MOBILE HOME INSPECTIONS D Blocking and Set-Up - When all blocking is complete. D PJumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set-up, and plumbIng Inspecllons have been approved and the home Is connected to the service panel. .' D Final - After alt required ins'pectlons are approved and porches, skirting, decks, and venting have b~en Installed. ~ot TY. ,'. , ., i:.r ',: : ~ l" ~i> \1~~;' , . THE PROPOSED WORK IN TH~ . , Setbacks ' ,./ I . I P.L HSE GAR Accl HtSTORICAL DISTRICT, OR ON _ ntenor I THE HISTORICAL REGISTER? Corner N -to II yes, this application must be signed S ~ I and approved by the Historical Panhandle Iw I Coordinator prior to permit Issuance, /9 _- ,Cul-de-sac IE , ';;1 " I APPROVEP' ' ~ Lot faces ~ I~o Lot sq. ftg. ~ot coverage $S. ft Topography .t::. 2. ~D '0'" """~S' BUILDING PERMIT ITEM SO. FT. ? e; c.../ . , 792- X $ISO. FT. '~b~ /4/,eJ Main Garage Carport /YRJa<; It-, 4~7 ~/D Total Value Building Permit Fee Slate Surcharge 2.,:(I'f 17.'-S Total Fee (A) VALUE IfllYll? " /IIC7 13~~r . /i" g '71-9 5~'?S 47.Df,t .?2,C:;;31 SYSTEMS DEVELOPMENT CHARGE (SDC) . ~ . NM PLUMBING PERMIT " '"'- r ' .' r' ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Slate Surcharge '7.'-3+ s.7i (C) '\\ Tolal Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' :2, Wood StovellnsertlFlreplace Unlt(:?) Dryer Vent Mechanical Permit Issuance State Surcharge ,;z...p:;$ +- /. Se, Total Permit (0) MISCELL_~NEOUS PERMITS Mobile .Home State Issuance State Surcharge Sidewalk //,;;~ ft . ::2-1'0 It Curbcul Demolition State Surchargo iAv!-. ~ . ~;7(' , Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE /7'2.. F'" 15.4/ 2n7," In .6e) ~.So 9t:>o 3??eo ~ CKl S?50 /0,8<) 1-.~/ ~.71 ~ s:P-P /3. 'Jo ~~/!J(? /2.fJ4-~3 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permil is granted on the expr8'SS condition that the said construction shall, In all respects, conform 10 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, 3; i!!> ;z.,. :s cD ::::I::i::umber ~XO /.t/>r:..-. Plan Check Fee: Received By: -Bl>'1 A. Plans Reviewed Ely ~4,.4s- 7Mte Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS PA77i .z s~~ EZ/Ja,lZ'/I7~ /~'!7.d' IS ~(lr. r!f.1A'51'I . '. , r _ , .\ J. 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 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 thai only contractors and employees. who are In compliance with ORS 701.055 will be used on this project. I further agreo.to ensure that all required InspecUons are requested at the proper time: that each address Is readable from the streel, that the permli card Is located at the front of the prope g:nd the approved set of plans will remain on the site c~ a t1mequr 9 construction. X- ./ Signature _ AA '-"'" _ '" ~p A....J Date 7 -(,,~c:: VALIDATION: DATE PAID /.&:</2. 7 --c;;~ 9S- J17;z,,0"3 /:::/~ RECEIPT NUMBER AMOUNT RECEIVED RECEIVED BY .