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HomeMy WebLinkAboutPermit Building 1994-7-6 "~ . ,Co -. ,", \, ~' '" I RESIDENTIAL PERMIT APPLICATION Inspections: '726.3769 OHlce: 726.3759 LO'!: OWNER: DfrN TUCCI , , ADDRESS: CITY' . BLOCK: STAT'" ' DESCRIBE WORK: NEW REMODEL .K.L ctf'J f? ADDITION .: r,tC UJ0e.)'. ('--201) , , DEMOLISH OTHER . JOB NUMBER 79'6~~ 225 Fifth Street Springfield, Oregon 97477 TAX LO'!: SUBDIVISION' rP~(x) , PHON'" ZIP' (r-f' b~:: ~c.-.::--'r CONTRACTOR'S NAME n ADDRESS' . , GENERA" c...:v r 0 p.., . e(J\A...A'+aA~. r <f~J /J. f, iT"tt1vh- . CONST, '..CONTRACTOR . ~ I c;,i;;,~ PHONE C(Nr'lJt. :? (7 .PLUMBING' MECHANICAl' ELECTRICA' ' EXPIRES ;-/9- 9tZ. - 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, All Inspections requesled belore 7:00 a,m, will be made the same working day, Inspections req.uested after 7:00 a,m, will be made the following work day, REQUIRED INSPECTIONS o Te~porary Electric O Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover, o Footing - After trenches are excavated. . o Masonry - Steel location, bond beama, groutl ng, o Foundation - After forms are erected.but prior to'concrete praceme~t. o Underground Plumbing - Prior to filling trench, O Underlloor Plumbing/Mechanical -,Prior to Insulation or decking, O Post and Beam - Prior to floor Insulation or decking, O. Floor Insulallon - Prior to decking, O. Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to tilling trench. . . , , O Water Line - Prior tOJllllng trench. \:J> ", ...'" ~ ~ .' o Rough PI~mblng :- 'Prior to cover. '~', , ..1 .:.,. o Rough Mechanical -.:. Prior to cover. ~Roug"h' Electrical - Prlor"to ~ cover. o Electrical Service - Must be approved to obtain permanent electrical power, o FIreplace - Prior to facing materials and framing Insp. P Framing - prior' to cover, ~Wall/Celllng InSUlation - Prior to L6...J. cover. ~ DryW~1I - Prior to taping. o Wood Stove - After Installation, o Insort - After fireplace approval and Installetlon of unit. o Curbcut & Approach - After ~forms are erected but prior to placement of concrete. " o Sidewalk & Driveway - After excavation Is completo, forms and" sub.base materIal In place. o Fen~e" - When ~ompleted. o .Street Trees - When. all'requlr~d trees are planted. ~ o Final Plumbing - When all plumbing work Is complete, . , k:;;r Final Electrical - When all ~ electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. ~ FInal BuildIng - When all ~requlred Inspections have been approved and building Is completed, OOthor MOBILE HOME INSPECTIONS o Blo~klng 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. Lot faces , L~t'~ype . .'LOLSq, ltg, Interior , Lot coverage Corner . Topography Total height Panhandle Cul,de,sac BUILDING PERMIT ITEM SO. FT. X $/SO, FT, Main Garage Carport ,nA"e:- A~,If1/? Total Value Building Permit Fee State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) , . '. ,,', ~ '~s THE PROPOSED WORK IN THE.. ....HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this appllcallon must be signed and approved by the Historical , Coordinator prior to permit Issuance, \',~ :.:~' :.' ,;;";l""li.:" ,j ~~.~ i~~_~,&t.;:.~.~:;i~' ':, Setbacks. I' P,L. HSE GAR ACe' I IN Is Iw IE VALUE " <.s-dP 0 - ( 2/ ~.)o - /C) , ) 0 -'-. (pI' 22,2..,7J'" (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT , /". Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace UnU~/ Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits . (E) TOTAL AMOUNT DUE (excluding electrical) :;2:<:,? 2$"" (A, B, C. D, and E Combined) APPROVED- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construcllon shall, In all respects, conform to the Ordinance adopted by the City, 01 Springfield, Including the Development Code, regulating the construcllon arid use 01 buildings, and may be suspended or revoked at any time upon vlolallon of any provisions of said ordinances, Plan Check Fee: Date Paid: Recel pt Number' Received By: ..vIA- Plans Revlewed'By Date Systems Development Charge Is due on all undeveloped properlles within the City limits which are being Improved, ADDITIONAL COMMENTS ., By signature, I state and agree, that I have carefully examined the completed application and do hereby cerllfy that all Information hereon Is true and correct, an9 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 ot Oregon pertaining to the work described herein, and that NO OCCUPANCY will, be made of any . "-./ structure wltho'!t permission of the Building Satety Division, I further cerllfy that only contractors and employees who are In compliance with ORS 701,055 will be used on this project. .' I further ~g!ee;t<? ensure that all required Inspections are requested at the proper lime; that each address Is readable from the street, that the per"';lt card Is located at the front of the property, and the approved set of plans will remain ,x::~g~o({Ct1 10~.~e-) Datp /' /-Y7-Jv'7"r- /' / / VALIDATION: RECEIPT NUMBER DATE PAIr> AMOUNT RECEIVEr> RECEIVED BY /3 7?S'" ~/I-r! 2..1 2. 7.r ~,