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Home My WebLink AboutPermit Building 1992-12-29 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 726 3759 SPRINGFIELD I. ~ c JOB NUMBER 92/7~o 225 FIfth Street Spnngfleld, Oregon 97477 /I//H/A/ - . ~ / ~~:;-...",.\~~,............fti;:l'l :>/ /h'.~'L:i ~\7~Jl..J.-,': ~Q<d#l ,. / -. -- ~~-~;~- TAX L'Crr -45c:rO / ASSESSORS MAP LOT ///02- 1.')' \,.. ,,"' ---- LOCATION OF PROPOSED WORK ....,....~."' ?? OWNER 1#/1/) J7 /?~~ ~ r.?pp ~ ?'i! ADDRESS CITY A/a/.../I'Y""h.a::.. DESCRIBE WORK NEW REMODEL CONTRACTOR'S NAME GENERAL ~ nPL?' ....-0- -, PLUMBING /4/1/1 L7;O.t:~ . -:?""d MECHANICAL ELECTRICAL QUAD AREA . OF BLDGS OCCY GROUP . OF STORIES WATER HEATER ";?~ ~ ~ SUBDIVISION PHON" -',;;3' - ;?f~ -.,1/'33- BLOCK j ft'/f'A"y / p'A L?P,?,L ,J~/VA/"Ev h- #2? STATE .#-v n: /-#/1/ ADDITION DEMOLISH .- t OTHER ZIP G 7 :?./ '7 / - - CONST ADDRESS CONTRACTOR' EXPIRES I,-]/?P ..5E jd/V/f;--LA/hS # Ji ~ 5Jt?- .Jhf/'VZ,j~ ,d..N AA/LL..-:" /.9.... q7~,t;? REQUIRED INSPECTIONS o Rough Mechanical - PrIor to cover o Rough Electrical - Pnor to cover o Electrical Service - Must be approved to obtain permanent electrIcal power o Fireplace - Prior to facing materials and framing Insp o Framing - Prior to cover o Wail/Ceiling Insulation - PrIor to cover D Drywall - Prior to tapIng o Wood Stove - After Installation o Insert - After fireplace approvQI and Installation of unit o Curbcut & Approach - After forms are erected but prior to placement of concrote - OFFICE USE - LAND USE . OF UNITS CONSTR TYPE HEAT SOURCE RANGE PHONE 1 FLOOD PLAIN ZONING CODE . OF BDRMS SECONDARY HEAT SQUARE FOOTAGE To request an inspection, you must call 7263769 This It> a 24 hour recording All Inspections requested berore 700 am wltl be made the same working day, Inspections requested after 700 a m will be mdde the following work day D Temporary Electric o Site 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 D Foundation - After forms are erected but prior to concrete placement D Underground Plumbing - Prior to filling trench o Underlleor Plumbing/Mechanical - Prior to insulation or decking o Post and Beam - Prior to floor Insulation or decking o Floor Insulation - Prior to decking gsanitary Sewer - Prior to filling ~ ~rench ~ o Storm Sewer - Prior to filling trench o Water Line - Pnor to fIlling trench D Rough Plumbmg - Prior to cover o Sidewalk & Driveway - After excavation IS complete, forms and sub base material In place o Fence - When completed D Street Trees - When all required trees are planted o Fmal Plumbing - When all plumbIng work is complete o Final Electrical - When all electrical work IS complete D Fmal Mechanical - When all mechanical work IS complete ~ Fmal BUilding - When all ~~qulred Inspections have been approved and bUIldIng IS completed o Other MOBILE HOME INSPECTIONS o Blocking and Set Up - When all blocking Is complete o Plumbing ConnectIons - When home has been connected to water and sewer o Electncal 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 i.'":Th:~),~ _~ \ ~ ,f(~" I, ~ 1L.;~~'~ ~~ i Lot faces Lot Typ< Lot sq ftg Interror I PL IN Lot coverage Corner Is Topography Panhandle __Iw Total height CuI de~c . IE ~ BUILDING PERMIT ITEM sa FT x $/sa FT Main Garage Carport ~n" __ . _ r Total Value BUilding Permit Fee State Surcharge Total Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential 8ath(s) N' SanItary Sewer FT Water FT Storm Sewer FT Mobile Home ,-rwh? ~ PlumbIng PermIt State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total PermIt (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft DemolitIon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electncal) (A, B. C, D, and E Combined) VALUE /8.00 /:;0 jij,'70 FEE } ~ C)V .7. J~, 7J- ~~0.s- Setbacks HSE GAR ACC IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, thiS application must be Signed and approved by the HistorIcal Coordinator prior to permit Issuance ............. .-- --~ . ~-- -...;S) APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ThiS permIt IS gran led on the express conditIOn that the saId construction shall, In all respects, conform to the Ordinance adopted by the CIty of Sprlngfleld, Including the Development Code, regulating the construction and use of bUIldings, and may be suspended or revoked at any tIme u pan VIolation of any proVISions of saId ordinances Plan Check Fee Date PaId Receipt Number Received By Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties Within the CIty limIts which are being Improved ADDITIONAL COMMENTS -.If? ~ A / j'v.:; ~ 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 Ordlnancf:!s of the CIty of SprlngfJeld, and the Laws of the Stale of Oregon pertaining to the work deSCribed herein, and that NO OCCUPANCY WIll be made of any stlucture wIthout permission of the Building Safety DIVisIon I further certify that only contractors and employees who are In complIance With ORS 701055 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 at all tImes dunng construction >,natu~ :!f4~/ Datp VALIDATION 7'/33, 12/2"'Y)':/ AMOUNT RECElvm ".:;: 4- (7 S- ~>~~IL< -( RECEIPT NUMBER DATE PAID ReCEIVED BY ,