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Home My WebLink AboutPermit Demolition 1992-12-2 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 ASSESSORS MAP n LOT SPRINGFIELD czjfy..eLr BLOCK ~ 0..vvL ADDRESS t7lD [) '7-E, )M\..t'\..t/r'\<1,? )1\/1 II ~V{ILVL k1e- OWNER CITY ::t:l2? ~ D12 " JOB NUMBER QZI04-?;> STATE 225 Fifth Street Springfield, Oregon 97477 TAX LOT 4700 SUBDIVISION PHONE 7 <f; ~l - 2- '1 &;~7 ZIP 0I7Ztp7 DESCRIBE WORK \. /~CJ\-t.tJ'f\ S ~, \2 Q.D~d 0 A\()7_____ DEMOLISH X NEW REMODEL CONTRACTOR'S NAME ryeJf IIO'/W?C; GENERAL PLUMBING MECHANICAL ELECTRICAL QUAD AREA . OF BLDGS OCCY GROUP . OF STORIES WATER HEATER ADDITION OTHER ADDRESS CONST CONTRACTOR' PHONE REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover ~_ D Rough Electrical - Prror to cover D Electrical SerVice - Must be approved to obtaIn permanent electrical power D fireplace - PrIor to facing materials and framing Insp D Framing - Prior to cover D Wail/Ceiling Insulation - Prior to cover o Drywall - Prior to taping D Wood Stove - After InstallatIon D Insert - After fireplace approval and InstallatIon of unit D Curbcut & Approach - After forms are erected but prior to placement of concrete ?~ J 1.0 1'7J P ~4.D Ivl?,?'iJ /OJ? EXPIRES FLOOD PLAIN ZONING CODE . OF BDRMS SECONDARY HEAT SQUARE FOOTAGE To request an Inspection, you must call 7263769 ThIs Is a 24 hour recording All Inspections requested before 700 a m wilt be made the same working day, Inspections requested after 700 a m will be made the follOWIng work day o Temporary Electric o Site Inspection - To be made after excavation, but prJor to setting forms D Underslab Plumblng/Electrical/ Mechanlcal - Prior to cover D Footing - After trenches are excavated D Masonry - Steel location, bond beams, grouting o Foundation - After forms are erected but prior to concrete placement o Underground Plumbing - Prror to filling trench D Underlloor Plumblng/Mechanlcal - Prior to Insulation or decking D Post and Beam - Prior to floor Insulation or decking D Floor Insulation - Prior to decking o Samtary Sewer - Prror to filling trench D Storm Sewer - Prior to f1l1lng trench o Water Line - Prior to filling trench D Rough Plumbing - Prror to cover - OFFICE USE - LAND USE . OF UNITS CONSTR TYPE HEAT SOURCE RANGF o Sidewalk & DrlvewdY - After excavation is complete, forms and sub base materIal In place D Fence - When completed o Street Trees - When all required trees are planted M Fmal Plumbing - When all ~ plumbing work is complete D Final Electrical - When all electrical work IS complete o Final Mechamcal - When all mechanical work is complete ~ Final BUilding - When all reqUired inspectIOns have been approved and bUIldIng IS completed DOther MOBILE HOME INSPECTIONS D Blocking and Set Up - When all blocking Is complete o Plumbing Connections - When home has been connected to water and sewer o Electncal Conneclton - When blocking, set up, and plumbing Inspections have been approved and the home is connected to the service panel o Fmal - After all reqUired Inspections are approved and porches, skirting decks, and venting have been Installed , ~li j .\ " Lot faces Lot TYPL Lot sq ftg Intenor Lot coverage Corner Topography Total height Panhandle CuI de sac BUILDING PERMIT ITEM 50 FT X $/50 FT Main Garage Carport Total Val ve BUilding Permit Fee State Surcharge Total Fee (A) ',. ",,:}J \ ~i"" ~j\- '/\ " r;.t }.#\"~ ,j I '.7 '\)~1i~,(J\l l.{ll A-\~ '\ .. .. '" "I e.. Setbacks I PL HSE GAR ACC I I N I I S I Iw I I E I VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s} NQ 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 StovellnsertlFlreplace Unit; 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) (A, B, C, D, and E Combined) FEE I~ 00 10 1'1.,0 ,~ 00 ,qo 19J qo 1J4 00 j - , _ ,S 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 APPROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 Fee Date Paid Receipt Number Received By Plans Reviewed By ,~ Date Systems Development Charge Is due on all undeveloped properties within the City limits WhlCtl are being Improved ADDITIONAL COMMENTS 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 OAS 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 15 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 SlgnaIU~A" Z ff~// l~-Z-,t?)v Datf> VALIDATION RECEIPT NUMBER (p0 '0'1) DATE PAIf' I :rI ;;-J tij l_ AMOUNT REc?iC;;~ ~~ RECEIVED BY - . k1-1r1 iJ t/