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HomeMy WebLinkAboutPermit Building 1997-6-17 . . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 JOB NUMBER 9?c?~~ 225 Fifth Street Springfield, Oregon 97477 LOCATION OF'PROPOSED WORK:! '6 (7 m./~ ji) ~., f n -c"3 - :?'$', -=3 -:2.. '3PrYlk~.Q(~cJl1lP CfW7? . TAX LOT: /~ .~~ SUBd'VI~;ON:NDRlhJ~lc"l~~lNi () i..L PHONE: Et/ - 7<[</ -<;,kl:'IJ f ""If-..- ASSESSORS MAp. LOT:!d-/~ BLOCK: -:-U , OWNER; r:J.w~vV I.A)\ II I 4.-.'\" . ADOR"''''. / a:l \ .. M1A-lO ~J r ~ f-.. C1TY:-5.~I<'; "l~ OESCRIBE WO"K: C IJ lMJev-t , ("Clfr NEW .. REMODEL L ADOITION rYf- z,P:_9')<r7i STATF' ga-~___~__51 WI 'Vlt ~ o-vVJ DEMOLISH OTHER CONST. CONTRACTOR' 6.'5 g cr '/ ADDRESS . 51>"1=10/ 1.:z.:<J)"w Fa,'YVI'ew d.,.. CONTRACTOR'S NAME . GENERA" G'lell\ b :)a.II(~ EXPIRES '1-fjf .;::. PHONE 7~i -t:J3,;L ~ PLUMBING: 'MECHANICAl. . rIleL- ' ELECTRICAL: -UJ f"f /117. II"" A ..t:-!PL. ~ K../\v~r CJ~dr;L 'j~a&)' HI tJ.JtJfI.~".J i t/{. O~ - OFFICE USE - QUAD AREA: . OF BLDGS. OCCY GROUp. . OF ~TORIES: WATER HEATER: LAND USE: FLOOO PLAIN: ZONING CODE: . OF UNITS. CONSTR. TYPE: HEAT SOURCE: RANGE: I . OF BORMS. SECONOARY HEAT. SQUARE FOOTAGE: . Tv reque::it an i1'~jJuc~lon. you must call {,;l6.3769. 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. REQUIRED INSPECTIONS o R~ugh Mechanical ~ Prior to cover. o Tem-porary Electric o Final Plumbing - When all plumbing w9rk Is complet.e. i"\::;(Rough Electrical - Prior to ~ cover. O SlIe Inspection - To be mado after excavation, but prior to setting forms. ~ Final Eloctrlcal - When all ~Iectrlcal work Is complete. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cC'ver. o Final Mechanical - When all " mechanical work Is complete. o Electrical Service - Must be approved to obtain permanent electrical power. " o Footing - Arter trenches are excavated. i'v>1' Final Building - When all ~equlred Inspections have been approved end building i. completed. o Fireplace - Prior to facing malerlals,nd framing Insp. o Masonry - Steel location, bond .beams, grouting. o Foundation - After forms are erected but prior to concrete placement. ~ Fra~lng - Prior to cover. 1's7r Wail/Ceiling Insulation - Prior to ~ cover. OOthar -- I o Underground Plumbing - Prior t'J !!!!!~2 :rench. ~ryWall - Pd", to t"oln~. MOBILE HOME INSPECTIONS O Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Wood Stovo - After Installation. o Blocking and Set.Up - When all bl~cklng Is compJet.o. o Post and Beam - Prior to floor Insulation or\decklng. "- O Floor Insulation - Prior to .. decking. ,., .. o Sanitary Sewer - Prior to III 11 ng trench. . o Insert - AHa, fireplace approval "',~ and Installation of unit. . , o Plumbing Connections - When home has been connected to water and sewer. . '0 Curbcul & Al'proach - After ~ forms are erected but prior to placement of concrete. o Electrical Connection - When blocking, set.up, and plumbing Inspecllons have been approved and the home Is connected to the service panel. O Sidewalk & Drlvewav - After excavation IS compiete, forms and sub-base material In place. o Storm S'Jwer - Prior to filling trench. o Fence - When completed. O Water LIne - Prior to filling trench. o Final - After ell required Inspections are approved and porch os, skirting, decks, and venting have been Installed. o Roug~ Plumbing - Prior to cover. o Street Trees - When all required" trees are planted. ... %:, \ :,f:f~,' i;~:',/i'!jl~~i!,~f,' '. ........ J ,.' . - ", ,', ...'.,!:Jf. ~.. ~ .... ,..",. < Setbacks. ,... . ( IS THEPROPOSEO WORK. iN THE. . I ;P.L. I HSE I GAR I ACe'! (.'.HISTORICAL OISTRICT, OR ON .': . 1 I I.' THE H1STORICAL,!"EGISTER? IN. .. " yes, this appllcatt',n must be signed S I I I. and approved .t;}" the Historical I . .. . Coordinator prlor'to 'permit Issuance. W _~_.. -L- _! r, . \. APPR()VEO:. BUILDING VAuJE, PLAN CHECK AND BUILDING PERMIT Leit faces Lot sq. fig. . .;; .... t. . Lot l\!pe ,'t' Inlerlor Lot coverage Corner \ -:.... ..Panhandle. Topography Total height - Cul.de.sac .1. ,. "I, .);,1 BUILDING PER~IT~\":"i! ", ITEM SO. FT. X S/SO. FT. D VALUE Main Garage " Careort ~ ~ ~- ..... Total Value Building Permit Fee 2-~i 'f- ;,7'0 . ~.o sr,., , 4.'S?! J;.,i. 0 3 SYSTEMS DEVELOPMENT CHARGE (SDC) J (B) - Stafe Surcharge Tolal Fee (A) PLUMBING PERMIT ITEM Fixtures FEE Residential Bath(s) N' Sanitary Sl'wer Water. FT. FT. Storm Sewer Mobile Home / Plumbing Permit Stale Surcharge TOlal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood .,- / Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical pe~ Issuance I Stale ~urcharge. _ . Total Permit (0)_ -r.r.-- MISCELLANEOUS PERMIT~;-' Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding ~lectrICal) (A B C O' and E Combined). .. . . I . . . Th1s.permlt is granted on the express COndition 1hat the said construction shaff, In all respects, conform to the Ordinance adopted by the City. of Springfield, InClUding the Development Code, regulating the const'UCtlon and use of buildings, and may be suspended or revoked at any time i upon violation of any prOVisions t;lf said orCi;:anc&s. Plan Check Fee: ~.:>'"3' ~/~-$'? :-1?h /. 7 'O,S'te Syst'ems Development Charge is 'due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS 5?"..A<~ p--~/r4/., 4'~/1 J.~ .,f,~V/4~ ~ .:f~;;~/~ ~/A..)6, I"'sr~/ *?'Q()h-v..IP/Q4_ .~J. By signature, I stato and agree, that I have carofuliy examined the completed sppllcst10n and do, hereby certify that all Information horeon Is true and correct, and I furlhor cartlfy 'hat sny and all work performed shall be done In accordance with the Ordlnancus of the City of Springfield, end tha Law. of Ihe State of Orogon pertaining to tho work descr1bad hera.1n, and that NO OCCUPANCY will be made of any' atructure wl1hout permission of the Building Safety Division, I further certify that only contractors and employoes who sre In complianCe wllh ORS 701.055 will be used on this .. proJect. .__ ~ . . I .urther agree 10 enDuro thai all roquirod In,poollon. or. requested at the proper lime; that eaoh address Is readable from the atreel, that the po,m1t card la located at the front of the property, and the approved set of plans wlli remain , on the slle at a1!l7s dUrlngt9710n. ~ature t!L ~~,- Oate d' -/7~r;7 VALIDATION: RECEIPT NUMBER '262t1Jg . A, -'""'.""7::> DATE PAID "" I ./ AMOUNT RECEIVED ~/. <::''3 RECEIVED BY q~