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HomeMy WebLinkAboutPermit Building 1992-4-8 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 ASSESSORS MAP: LOT: . SPRINGFIELD . JOB NUMBER 92c:P38./_ BLOCK' 225 Fifth Street Springfield, Oregon 97477 TAX LOc <::)060> .tC> SUBDIVISION: OWNER:_~~ ~~<:L IF''f:r'' PHONE:_7t/.t;-O..si?.:s ~. ADDRESS If/55 4Yr./Yp.E~ ?-"'? - .~ .:.."" . . , ~_. .. r~ CITY: ;5Pt.-Z:> STATE: _.&:'~; ZIP: q?"I? ~ . . DESCRIBE WORKfri > .~~'?~ ~"'5;::' fX;;; NEW REMODEL' ,ADDITION X DEMOLISH OTHER -- .... ,=N~ CONTRACTOR'S NAME' " - . - ,_ ,ADDRESS , C:ONTRACTOR N G EN'ErlAL: ,t::?tnr/>!~(":L:r-. .:'-- _'''-:--~:'''- :~---.--~--~-;:.~..-" ,-- ---.-.--- - .... - --... . ~ '... . to.... ~ . PLUMBING: MECHANICAl' ELECTRICAL: OUAD AREA: ~(\\l) '. N OF BLDGS' (\ ~'CCY GROUP: 'e..::,:>. N OF' STORIES: ~~' , , WATER I:iEATER:' , . ' . "', : '" " - OFFICE USE - _.I.,AND USE: l ~ I I '/I OF 'UNITS: . \ CONSTR,TYPE:~ , , ' HEAT ~OURCE: 'LE"'JR:'T W'~ RAN~E: .r:' ".,;'. . ~. ..' ". '. \ .~ EXPIRES PHONE FLOOD PLAIN' ZONING CODE: L()J7 ) N OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: ~E!1 S 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. o Wood Stove ~ After Installatlo~. I o Post and Beam - .Prlor to floor I insul,aI!Of1 or:,!ecki;,g~.. 0 Insert - After flrepla~e approval '~>~;..~.::" \ /"'; .. _-': ..........., ~nd InstallatIon of unIt. 'rv1' Floor Insul~lion - Prior to ." \ ~decking" __') . .......~ . 0 Curbcut & Approach - Atter ~ fonTIs are erected but prior to placernent of concrete. . , ! o Temporary Electric D Site Inspection - To be rnade after excavation. t)ut prior 10 setting lorms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Stecl location. bond beams. grouting. o Foundation - Artcr forms are erected but prior to concrete placement. o Underground Plumbing"":" Prior to filting trench. o Underlloor Plumbing/ Mechanical _ Prior to Insulation or decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to tilling trench. '\.-. " "-.'- .~~ ., . D- ~alor Lino - Prior to f1.f1Ir~U~ trench. " ..... . . ~"\ "'"0 . o Rough Plumbing....:.. Prior to cover. " '. REQUIRED INSPECTIONS o Rough Mech~nlcal - Prior to cover. "tV( Rough Eleclrictll - Prior to ~ cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ramlng - Prior to cover. ~Wall/Ceiling Insulation - Prior to J.6.t. cover. ~ Drywall - Prior to taping. o Sidewalk & Driveway - After excavation is complete, forms and sub~bas~ malerial in place. o Fence -- When completed. ~ , , o Street Trees -:- W~en'all.rcquired trees are planted. . ,;,'. : o Final Plumbing - When all 'plumblng worl< is complete. ~ Final Eleclrical - Wilen all ~Iectrlcal work is complete. o Final Mechanical - When all mechanical work Is complete. "1V1Final Building - When all ~requlred inspections havc becn approved and building is completed. o Other J551sn; UvS/J(t/Cp. u- l),(1/~ Tn 8&L.cl,<)/,(;G' Fie""""'/~ . MOBILE HOME INSPECTIONS o Blocking and ~ct.Up - When all blocking is complete. o Plumbing Connections - Wilen home has bcen connected 10 water and sewer. o EleclricnJ Connection - Wilen blocking, set.up. Lmd plumbing inspections havc been approved and tllC home is connected 10 the service pnncl. o Final - After all required inspections are approved and porches, skirting. decks, and venting have been installed. Lot faces Lol TYPO. Interior , .....,. .-.. Lol s~, Ilg, . '\ ,_" l Lot coverage Corner Topography Panllandle Total tlcight 23-' Cul.d9:sac ~ ' . .....~ ~ " . BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, Main " '. . . ' , '.' '. Garage t Carport 4pO ~ ~~9b " Total Value S'uilding Permi I Fee Stale Surcharoc Total Fcc (A) ._ SctlJaGI~s __ f P,L. HSE GAR ACC I .S THE PHOPOSED WOHK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? ,~- --...., -,-- -.-, , S W. . " ,E VALUE "J'.'1 ~t;?-::r:>, _2152t:l ~/.Q, 7.& Z~0.2i3 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~ PLUMBING PERMIT ITEM Fixtures Residential Balh(s) NO Sanitary Sewer FT Waler FT, Storm Sewer FT, Mobile Home Plumbing Permit Stale Surcllarge Tolal Charne (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood SlovellnsertlFireplacc Unit. Dryer Venl " " Mecllflnici!1 Permit '.. Issuance . I' '... .,.,-"j, " State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Horne State Issuance State Surcharge Sidewalk II Curbcut It Dcrnoll lion State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE . . ...... 7.?t.:;,.2. '0 If ye~:. this npplicalion lTlu:.t lJl~ :;ioned and approved by the Historical Coordinator prior to permit issuance. "o-,! I "'1:' .. :~ . , , A'p'!:~,O~ED' .J ,.. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This penni! is granted on tile express condi lion 1I1atlhe said construction sh~II, in'al(rcspects, conform to.tlie Ordinance .. adopled by the .Cily, 01 Springfield, Inc1udlng the ; I Developmen't Code. regu"lat'ing the. construction and use of J; buildings, and may be suspended, or revoked al any time I upon violation of any provisions of said orOinan:ces. Plan ,Check Fee: -,-L7't!:). o~ '.'" _V~~2..' ~ "":_-f'~'12 SysteIJ1S Dcvcloplluml Cl1aruc is due on all undeveloped properties within tile City limits which arc being improved. ADDITIONAL COMMENTS -t?AII/-_!!..1 ~f3 t-Ec7J!Z-Lt;:ttL-fil&/lU;C,/f?E122 M(cfl /JB! /?! IT .IJ;? ""r J?~ ~E..r#- " By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true <1nd corrccl, and I furlher certify that any and all work performed shall be done in accoreJancc with the Ordinances of the City of Springfield, and the Laws of the State of Ore~Jon pertaining to the worl~ described herein, and' thaI "NO OCCUPANCY will be made of any structure ,<<ithoul permission of IIle Building Safely Division. I further certify that only contractors and employees who are In compliance with QRS 701.055 will be used on this project. ' I further agr,ee to ensure that all required inspections are requested at the proper lime, that each address is readable I from the street, that thc permit card Is locatcd at the front of the property. and the approved set of plans will remain V the sHe a lilTICS,dUrlng construction. ~gnature ~ ~ DatL ~/~~ ~. VALIDATION: RECEIPT NUM~l -:-~- _ iz.s;,1;,-. a ,...- DATE PAID ~___~ ...,. '-f P3. 1,2- AMOUNT RECEIVED 2h~ 1'3 ~,. RECEIVED BY /-?-- . "/- i---:--'''"----"