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HomeMy WebLinkAboutPermit Building 1995-8-21 ::r oh", ~lk-,,' J A-11....J- / \ ' <J ADDRESS: Q 1. 9>/ LO""-o,,-",J A-v~ S f'ccl. RESIDENTIAL PERMIT APPLICATION Inspections: 725.3769 Ollice: 726.3759 LOT' OWNER: _ CITY' DESCRIBE WORI<: .__JJ'('~/ NEW REMODa CONTRACTOR'S NAME --.-<; , /-":l,. - _4 ,~ . 1 . SPRINGFIELD BLOCK: r, 1>1 .JbJ.ll' _ STATE: o~. -\I'M I.. \J ADDITION ~^~-~<"<'- DEMOLISH OTHER . JOB NUMBER ....i 9s- CJ 9' 7:S 225 Filth Street Springfield, Oregon 97477 SUBDIVISION: PHONE: 7'+'1- 9iSi ZIP: Q7'-1JI ". . ADDRESS A/oif-c - .: :J ,q i;>, [,0"'-0'.,1 ,To"" A" J-. ..,,'" mal'" "La V~ '0\ ( $ r;.", 7/1_-"'~ EJ,..,.f,,',(" CON ST. . CONTRACTOR' -. EXPIRES PHONE /782'1 6l.~.q(, 7:JQ-73)c" 'lJ,'tl- ~ ~ :' ~':fA(_) \W-C\<:".1'"1. ~ 'D'lSUJ \().V\..~l?)~, GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: QUAD AREA:. 5QJ\10 . OF BLDGS:, {, ~ OCCY GROUP: ~~+ V\ . OF STORIES: _..-d WATER HEATER: tfL- - OFFICE UilE - . LAND USE: \ , II . OF UNITS: . \ ' CONSTR. TYPE:_!lJJ HEAT SqURCE: _I=E... .. RANGE: t; J FLOOD PLAIN: r. - ZONING cODE:J)!Jl- . OF BDRMS: ,j - ''-0 SECONDARY HEAT:.....r:r:. SQUARE FOOTAGE: ~15...-- To request an Inspection. you must call 726.3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a,m. will be made the sanle working day, Inspections requested after 7;00 a.m, will be made the followIng work day. %Ternpornry Electric o Site Inspection - To be made after excavallon, but prior to setting forms. o UnderslHb Plumblngl ElectricalJ Mechanical - Prior to cover. ~FOOtlng - After trenches are excavated, o Masonry - Steel location, bond beamsl groullng. C8J' Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior 10 fllllnQ trench. l'v( Underlloo;-F,umoing)l'(l"cchanlcal/ ~ PrIor tb frisulallon ot aeCI{lng. ~ Post and Bca~ - Prior to floor ~nsulatlon or decking, ~ Floor In~ulation - Prior to ~ decking. iVf'Sanltary Sewer - Prior to rllling ~ trench. ~Slorm Sewer - Prior to filling ~trench. .----..'_. .... I rs?T Water L1no - Prlor 10 tilling - l ~ trench..' . ~Rough Plumbiri'.o...- Prior, t<-' ~over. , - ..~ ". REQUIRED INSPECTIONS ~Rough Mechanical - Prior to , ~ cover. .2. ZI!'ICD ~. /i",,4, s ~ Rough Elect'r~cal - Prior to ~ cover. , '1V'i' Electrical Service - Must be p\approved to obtain p-ermanenl electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Fram,lng - prl~r. to cover. . I"V'l"wall/C'elllng Insulation':" Prior to ~over. \.. ~rYWall - Prior to laplng. o Wood Slo'vo -. Afler InstallatIon. o Insert - Alte,r fireplace approval , and Installation of unit. 1'8( Curbcut & Approach -.:.. Atter forms are erected but prior to placemont of concrote. "'K:71 Sidewalk & Driveway - After ~ excavation Is compioto, forms and sub-base material In place. o Fence - When com~l.eted, " , ~troot Tro, os - When al'.requlred. ~ees are'planted. ' ~ Final Plumbing - When all ~plumblng w~)(l{ Is complet.e. 1";.?1' Final Electrical - When all ~electrlcal work Is complete. 'I':/!' Final Mechalllcal - When all ~mechanlcal work Is complete. i"i71' Final Building - When all ~requlred Inspections have been approved and buildIng Is completed. ~Olh.r ~ GJ,. '~.l7c... 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 Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the servlce'panel. o Flnal'- Afler all required InspectIons are approved and porchOSI sklrtlngl decksl and venting have been Installed. Lot faces ~ Lo~e Lot sq. fig. ?,P)~ __Ierlor Lot cov'erage /1LiI ~ V Corner Topography < .2 ,'?o J _ Panhandle rTotal height ~~. _ yul.de.sac IL , .l,,^,-~ ~~. ~~.-X ') . "- '-/....,VJ11L BUILDING PERMIT ITEM SO. FT. X $/so. FT. ~ Main ?.::;'~ ~7~ , IJ'-,.. S'tf; ~ Garage Carport Total Value Building Permit Fee Slale Surcharge ;z. 7. '3 'l' + /(P.<1 3 Total Fee PLUMBING PERMIT ITEM Fixtures Residential Balh(s) '2, N' Sanitary Sewer FT. Water FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge 'T.t;. ~ + j"'. 7 f> Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan --I N' Wood Slove/lnsert/Flreplace Unit 2... Dryer Vent Mechanical Permit Issuance 2.'''.1 /." 7 State Surcharge ~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk ~'f~ fI curbcut 6.(' II Demolition Stale Surcharge LAn&- ('A, :s;.?"~. Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) IA. B, C, D. and E Combined) ..' ~~. .....; . , ACCI I I Iw I I I lE.. J/3 '-LJ Setb lcks I PL. I HSE GAR I N I /S I/o " VALUE /iO Sav 95/7 IS THE PROPOSED WORK IN THE .. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " yes, this application must be signed and approved by the Historical Coordinator prior to pennll Issuance. APPROVED: I~ ci7 ~~7.7S f3.~~ SJ/ ~7 SYSTEMS DEVELOPMENT CHARGE.(SDC) /ilIA (A) (B) FEE /'l2 FO 15."1'/ '2.EJ '7, 'TI b~~ ~. ~4:) /2 ~IO =se> ....,0 .s.~ :'S" '5, S".o /0,00 4..(5 ~9.9S c:4':~(O h,~.r 2,21') ~ ?, "12.. _~~ L2r:...? .02> BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition thaI the said construction shall, In all respects, confOrm to tl1e Ordinance adopled by Ihe Cily of Springfield. including the Development Code, regulating the construction and use of buildings, and m,lY I)c suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: __/~ $t::; ~1_. Date pald:_?~~5'~ Recelpl Number:__, --: 7~3 Recelved>>~ ~;"d By 7./U/U /' ~a1'e Systems Development Charge Is duo on all undoveloped properties wilhln tl1(! Clly limits which are being improved. ADDITIONAL COMMENTS . tA+T ~l\'SlN-d ~: \Qq~? ,IP~ / .~...u...m.= dLe;T.,A-,J'_;T /(' ./ ~J . By sIgnature, ISlalo 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 Ihe City 01 Sprlnglleld. and Ihe Laws of the Slale of Oregon pertaining 10 tho work described herein, and thai NO OCCUPANCY will be mado 01 any structure without permission or the Building Safety Division. I further cerllfy tllat only contractors and employees who are In compliance Wilt1 ORS 701.055 will be used on this project. I further acrae to €nsuro that all required Inspections are requested at the proper lime, that each address Is readable from tho street, thai the permit card Is located at the front of the property, ilnd Ihe approved set of plans will remain on lhe slt~urlng conSlructlon. ~nature '/...--.---- ~---..J Date;(,7 D I ..!{S .J T . VALIDATION: $7~a,. ...........,./'~-- ---. - -~ RECEIPT NUMBER DATE PAID 1ii? ~:;?,I;. 9-> AMOUNT ~ECEIVED -LP8 '~8, RECEIVED BY ~~~ ' ~'... ,"~..- tV