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HomeMy WebLinkAboutPermit Building 1992-10-2 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Of lice: 726.3759 . SPRINGFIELD ASSESSORS MAP: LOT: 1703 m~-I) '=)T OWNER' VORct.; ~ '?I!", ,- \ \ ADDRESS:" '71-/ /:n/t1t0 5T- '"'W .P7J CITY' DESCRIBE WOR/'" , 1=>.",,\ A "::>E.I' €:.ILf"" If) "-..l I.J!)... '-'-- ADDITION DEMOLISH X 'M.o.. \.:J ~(t.J~~ (f?f".yo.N!}o.}E:.. Po...\,.\, o'~ NEW REMODEL '\S BLOCK' STATE: _/1)t!?, OTHER . 92./ S9,4- ~ . JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: 1-.:WrD SUBDIVISION' PHONE: 74'-"7 - .3, \.,:<, I Of) &~c:O - 7-112- 97+'7? ZIP: CONTRACTOR'S NAME GENERA" ~~0 \ \) ADDRESS ~ . ~\:,~,... (o..:s:,J.. CONST, CONTRACTOR · I ? 3'1 '2... EXPIRES '3- 27-93 PHONE 9~S-7qor PLUMBING' MECHANICAl' ELECTRICAl' .......'- - OFFICE USE - QUAD AREA: LAND USE: 0[1/ FLOOD PLAIN: << ~ . . OF BLDGS' . OF UNITS: ZONING CODE: .-- . .~'" OCCY GROUP' CONSTR, TYPE: . OF BDRMS' \'J~ . OF STORIES: HEAT SOURC'" SECONDARY HEAT' WATER HEATER' RANGE: SQUARE FOOTAGE: ," " t..,; I?:: , , " : ,,~ (,I.. .... :., .. H.. I' \ ",'. : ;! r~':: :';: i ~; " 'or r,: ~: ~ , it I:: I,: H , , ,." I. ~ " " ~f:; , " " " ,', ,: f:,;, 1'~' " ~:~ H I'" I:: +~ r~ ;::' L',' ',' t.:' '. l~~ r~ 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 mnde the same working day, Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Slto Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. 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 Insulation - Prior to decking, . o Sanitary Sewer - Prior to filling trench. o Storm Sower - Prior to filling trench. O Water Line - Prior 10 filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Electrical -. Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power, o Fireplace - Prior to facing materials and framing Insp. . flFramlng - Prior to cover. O' Wail/Ceiling Insulation - Prior to cover. ~DryWall - Prior to taping, o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - WhEUi 'all requ'lred" trees are planted. o Final Plumbing - When all plumbing work Is complele, o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. .' i::::71" Final Building - When all ~ulred Inspections have been epproved end building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbln'g 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'Flnal - After aff required .1.. ~J.nsr;)f~c!(o!t*;.~r~.:a'liR:royed ,ahd " porchesj,sklrUngi'decf(s, -"and .vent Ing ,nave.' been alnstalled: Ir/ I,'it 1'\ '\', " " ::.':: r:r " " l.t. ~ :~ ., I': I:' ~;: > l~ \,' " ,.., i'.' " ,':, ," lr~ ", ~ " ( (1, " tf; " I," I ~ , i> ,~ ~.:' " l- i',:, 1: , I; I: 1',1 r' r.~ ,:r. " r Lot,(,a~!'.~(,:~, ,,:~?t1Y.P~."'~i'" , "SetbackS', . "";'~".~'~,~h',\-"" ., ..,~," ':l~"~,:" '\~'-"l''''''H' "1,,-;01-.. ,.' f "l'f;.:' . " '1 "A~"'C':"~' '. .1 'Lotsq";ig' ',"..., ' '.' ",.,.',:"1'" : 'Irite~I~i'!" <"';<11- ' P.L:!', ,HSE, "AR, 'ACC Lot c~~~ra~e - ":"J~iner u :~:', :;N'. : '''": ':11 . . 1 "l.j .~.. ," '!~~"I . t. 'I' .,,1. ~l Topograp!'y 'p~nh~~dle ' I:' ..,' Total hslght _ Cul.de.sac IE , i 1,.\, . . ..' !:-\ BUILDING PERMIT, ITEM SQ,' FT,' .,X . ~ . ;". $/SQ, FT, = VALUE Main .' Garage Carport ,<!jC) D era / :)OGJ .?S' /5,7-' SYSTEMS,DEVELOP,MENT CHARGE (SDC) , , ' (B) " A/I4 Total Val ue Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT, FT, Water Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood SloveJlnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 'ft " I'j , " '. [i il Curbcut ft Demolition Slats Surcherge , Total Miscellaneous Permits (E) ',' . )575 TOTAL AMOUNT DUE (excluding electrlcel) (A, B, C, 0, and E Combined) IrA> THE PROPOSED WORK IN THE ~ISTORICAL DISTRICT; OR'ON\ " . -.. '-'-" '-' . THE HISTORICAL REGISTER? If yes.'thl'- a'ppllceti-';n must be signed; and approved by the Hlstorlcel Coordinator prior to permit Issuance. iii, " J APPROVED: ~' } ';BUllDING;:VALU E; :P.t:AN' CHECK ':AN.QBUILDINGPE~lVIp. . This permit Is g;anted on the express condition thatlhe said construcllon shall,ln'all respects, conform to the Ordinance adopted by the City of Springfield, InCluding the Development Code, regulallng the construcllon and use of buildings, and may be suspended or revokedet any lime upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number' Received By: ;tIA Plans Revlew6d'B~ Date Systems Development Charge Is due on all undevoloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS ~ /h7IJ1/)/r) ,R1k' pJ')dA7/'tJ1~_ I')~,-ye. r'YIJ7 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 Ordlnanc~s 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 eny structure wlthoul permission 01 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. I further agree to ensure that all required Inspections are requested at the proper time, 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 on the site f1"\ times during construction. ~natu,. N..... 0 ~ }J /.::? - ~ -'512. Oat"" VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED &'33/ /0-2 -72- ;c;.7r /~ RECEIVED BY