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HomeMy WebLinkAboutPermit Building 1992-4-27 LOCATION OF PROPOSED WORK: \47 J - 1-/l~\I \1 n:=s~ fl?:>~ 2- RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Olfice: 726-3759 ASSESSORS MAP: LOT' '7 OWNER' RIC.~ + L11o-10A 14- L (.. VV\ E::'N LO SPRI~6F\E:L.O ADDRESS; CITY: . SPRINGFIELD f/ I -''In D BLOCI<" meY~ LeOP STATF' OR DESCRIBE WORK' NEW REMODEL X A-D'O ' Bll::1')'PGoYV"'l / e kt"'},f ADDITION DEMOLISH OTHER . JOB NUMBER CY2!)5/6 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION: ()()){'{) MENLO PA-RK PHONE: 14("" - fr;B" I ZIP' ""Tl4" * '" EXPIRES 'I. PHONE ",gc, 'O2.4~ ";4d.- -'\O~'8 CONTRACTOR'S NAME ADDRESS GE~jERA~:'~'D1'\'V\l) 2.AQ,:~Yc...~' 13\ PLUMBING: PM("p..e;~lve- PUJvYlE!.ll..'/f., '('(It. C. Lu. V-f.. CONST, 'CONTRACTOR N ~f.t;'l.J... D:.f- q '2.. MECHANICA' ' ELECTRICA' ' r3IU;S ~-rP-1 c.. OUAD AREA: [) R. t\'J~ R,--~ l . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER' ~ ' - OFFICE USE - ",LAND USE: \ \ \ \ - N OF UNITS: I CONSTR. TypE:-.1l.../lJ HEAT SOURCE:...c.~ d'), F vJ RANG'" =--~. ..... ~ -.- -~- 21%51 4-/l.S/&f'L(jg]- t:~ FLOOD PLAIN: - ZONING CODED )~) N OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: ~PJ To request an inspection, you must call 726-3769, This Is a 24 hour recording. All Inspections requested before 7:00 B.m, will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day, . ~,. 0 Curbcut & Approach - Arter , , , ... forms are erected but prior to Sanitary Sewer _ Prior to filling placement of concrete, trench. o Temporary Electric D Site Inspection - To be made after excavation, but prlor"to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover, ~ Footing - After trenches are )61. excavated. o Masonry - Steel location, bond beams, grouting. ~Foundation - After forms are ~erected but prior to concrete placement. o Underground Plumbing - Prior to fitling trench. ~ Underlloor Plumbing/Mechanical ~ _ Prior to insulation or decking, ~ Post and Beam - Prior to floor ~insulatlon or decking. . M Floor Insulation - Pri'or to- ~decking, o o Storm Sewer - Prior to filling trenctl, D Water Line - PrIor to filling trench, -dBOU9h Plumb'in~ - P~ior to ~cove~ - . . . REQUIRED INSPECTIONS K:7f Rough Mechanical -... Prior to ~cove~ . ~ 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, ~ Framing - Prior to cover. ~Wal1/Ceiling Insulation - Prior to p cover, ~ Drywall - Prior to tap~ng. o Wood Stove - After Installation, o Insert - After fireplace approval and Installation of unit. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place, , , .0 Fence - When completed: . o Street Trees - When,.allcrequired trees are planted. -.... (:'. - "'t9f Final Plumbing - When all ~ plumbing worl( is complete, ~ Final Electrical - When all ~electrical work is complete. "'fC7f Final Mechanical - When all ~mechanical work is complete, l':?f Final Building - When all ~requlred inspections'have been approved and building is _ . completed, OOlhcr MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking is complete. D Plumbing Connections - When home has been connected to water and sewer, o Elcctrical 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, Lot faces Lot Type. Interior Lot sq, ltg, Lot coverage Corner Topography Total height Panhandle ~ Cul-de-sac BUILDING PERMIT ITEM SQ, FT., Main d.~fI', A12d X $/SQ, FT. 2..9.70 Garage Carport Total Value Building Permit Fee Slate Surcllargc Total Fcc (A) .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, Setb"cks I P.L. I HSE GAR I ACC I I N I I S I Iw I L~~_LJ VALUE 17'7~c;, /12.2:>'.'f>0 W.-I3 13-1. '1.1 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) U6A PLUMBING PERMIT ITEM Fixtures :s Residential Bath{s) NO Sanitary Sewer FT, Water FT., FT., Storm Sewer Mobile Home Plumbing Permit Stale SUlchargo Total Charnc (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' -< Wood Stovellnsert/Fireplacc Unit Dryer Vent Mechanical Permit /11 t';() Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut fl Demolition State Surcharge l..+J,;2 I'n. I:'~~) Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE "3CJ,dO /:;;0 _3./,. ~-O /. -0'0 ,') . 1& dO 7.s- 2k.7S' -/In.O(!) ~/e APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition thatlhe 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: _.l33. "5.3 ~'3_-7&2 Receipt Number: -4L:Z~ Received By: ~~--"- J~~ ' Plan~ -'Reviewed By Date Paid: 4//~//L '( Da~ Systems Development Charge is due on all ur:Jdeveloped properties within the City limits which are being improved, ADDITIONAL COMMENTS PATH #.1 By signature, I state and agree, Ihat 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 certHy 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 at all times during construction, ~gnature r / Da!~ 4-\ ,'" VALIDATION: /I r/f-S?t RECEIPT NUMBER ~ - - DATE PAID --4,7....7 - y~ J AMOUNT RECsdEI] . <_:l)2...., \ ex ' RECEIVED B/_ '7fT. /'f--..^- "