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Home My WebLink AboutPermit Building 1991-7-30 "r .f " . " RESIDENTIAL PERMIT APPLICATION Inspections: 726:3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK. /792 / ?-6~-.z::;:'::<'~' M7'z?E# hVo/'. ~/"':::>R.N'':;.D~ ~#/?Z~ . 'SPri~/ DESCRIBE WORK: kn ::?<;(.x::<7 , .- ASS_ESSqRS MAP: LOT: OWNER: .' ADDRESS. CITY" BLOCK: ..l . .', ! STATF. b/':? _ ...- -) JOB NUMBER '7/06?-:;. 225 Filth Street Springfield; Oregon 97477 ;?7:> . . .... T..i\X LOT: /'2 , , . , ----.J SUBDIVISION: PHONF. 771;?- g.8~ ZIp. q?I/?? / % ?lJ5?:~ ~..6 ADDITION X. c; ;';.':';4 ~,= NEW REMODEL CONTRACTOR'S NAME' .'''': 1'?~~~~ GENERAl. ..PLUMBING: MECHANICAl.' ELECTRICAl. OUAD AREA- D~VJ. \ M . OF BLDGS. OCCY GROUP: . OF STORIES: WATER HEATER: DEMOLISH OTHER ADDRESS CONST. CONTRACTOR' PHONE o Rough Mechanical - Prior to cover. o Rough.Electrical -.Prlor to~ ~ . cover. D Electrical Service - Must be approved to obtain permanent electrIcal power. D Fireplace - Prior to facing . materials and framing Insp. ~ Framing"- Pr~or to cover~ D WalllCeiling Insulation - PrIor to cover. . D Drywall - Pri~r to taping. o W~od Stove -- After 'In;t~lIatlon. D Insert - After fireplace approval and Installation of unit. . D Curbcut & Approach - .Alter forms are erected but prior to placement of concrete. D Sidewalk &.-Driveway - After excavation is complete, forms and s,ub.base r:naterial in place. D Fence"';' 'When completed. D Street Trees --:- When all'requlred trees are plant.ed. . EXPIRES " FLOOD PLAIN: _ ZONING CODE: (,{)f/ ,/ - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS: CONSTR. TYPE: HEAT SOURCE: f V!\.J . OF BDRMS. SECONDARY HEAT: SOUARE FOOTAGE: 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 reque~ted after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab PlumblnglElectrlcal1 Mechanical - Prior to cover. ~ Footing - After trenches are ~ excavated. D Masonry - ~teer locatl.on, bond beams, grouting. ~ Foundation - After forms are ~ erected but prior to concrete pla~ement: o Underground Plumbing - Prior to filling trench. D Underfloor PlumbinglMechanical - Prior to insulation or decking. ',,- '~ ino:utl:t7~nB~~deckl~~10~ to floor D'l;loor Insulation - Prior to decking. "- 0, Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Water Lin~ - Prior to filling trench. D Rough Plumbing - Prior to cover. . RANGE: D Final Plumbing - When all plumbing work Is complete. D Final Electrlcal'- When all' electrical work is complete. D Final Mechanical - When all mechanical work Is complete. ffiC7f Final Building - When all )61 required inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up. and plumbing inspections have been approved and the home is connected to the service panel. D Final - After all required _inspections are approved and .' 'porch'es, skirting: decks, and' venting have, been ,Installed. ~. " " .: Lot faces ~ Lot TY. Setbacks . THE PROPOSED WORK IN THE I ~ C;IXJ ~nterior I P.L. HSE GAR ACC HISTORICAL DISTRICT, OR ON Lot sQ. ftg. IN , Iri THE HISTORICAL REGISTER? .J1 '}O Lot coverage Corner Is ):;' '!t?( If yes, this application must be sign~d and approved by the Historical Topography Panhandle 61-' Iw )'7' 10' Coordinator prior to permit issuance. Total height Cul-de.sac IE r ,1a>, APPROVED.. BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage .?, 7".8, L'I/tP 9/?h.~ This permit is granted on the'express condition that the said construction shall, in all respects, conform"to 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. Plan Check F~e: ~2_? ':3 t;:>~(?~/ Main Carport . Date Paid:. Total Value Total Fee (A) 'ffr9,,?CJ t/. 03 'iN,"?3 Receipt Number: :2~ =s'? / Re7?~k~- "Prans Reviewed' By .~h~/ i'Da7e -' Building Permit Fee State Surcharge SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Resideotlal Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state 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 that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required inspections are requested at the proper t1me,"that each address is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain :~gtsei.a\~eS01~ Da~r""'" 'I - '~D -0. \ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) J!t (A. B, C, D, and E Combined) ct'1-.'73 VALIDATION: [)~ RECEIPT NUMBAR ( )l . /J DATE PAID f I ,,-::<.[, , AMOUNT RE~/J ~ ~ .. ~ ~ I. RECEIVED BY\. /J7 j)[1. ./ State Surcharge 'l I ., ::..;. . .~ r - Permit No: q\ fJS/2!L-- ._ Or. Address: \ ( LU{ H ~, ('1.0 J~. .~_ Issued b~It0~) ~Q /) <':2J) .S' I FOR OFFICE USE ONLY - STATEMENT: .. INFORMATION NOTICE TO PROPERTY OWNERS . ABOUT CONSTRUCTION RESPONSIBILITIES . Note:.Oregon Law, ORS 701.055(4), requires residential. building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. . Fill in the.applicable blanks, and initial.box 1 and either box 2A or 2B: / 1.~ I own; reside in, or will reside in the completed structure. 2. A. L-.J Mygenera.1 contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. L.2::J I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and (10 hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above Information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. . ~ ~'-~ Signature of Permit ~t l-?:>o-q\ Date CONSTRUCTION CONTRACTORS BOARD 0244J 1/90 " ~ COPY TO ISSUING AGENCY PERMIT FILE . COPY TO APPLICANT <e.