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HomeMy WebLinkAboutPermit House Move 1998-7-9 OWNER: J!6..>&..-6 < /~tJ", I ( ADOREr>' . ::2-{ 'd<5: . / Il{tif{ o!~ CITY: )/7f/l~e/cL' -/) . (J V 4)_ /I,.~. DESCRIBE WORK:~' ~ NEW REMODEL - ADDIT,:d RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' / 1 0 ~ LOT: CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl' ELECTRICAl' QUAD AREA: . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER' .- SPRINGFIELD I '_'.n, . JOB N~MBER_9~ t:) t;~ 225 Filth Street Springfield, Oregon 97477 TAX LOT' 06 n ~ )") SU8DIVISION' PHON".7 Y't - C/66D ZIP: cJ 71/7 '7 (tftu.~ 7'"> A.,I!- .4?A2h...,)) ~. '/ // ~r ~f O'V'- DEMOLISH OTHER , BLOCK: r STATE: _iY? _ ADDRESS CONST. CONTRACTOR' EXPIRES .,., PHONE - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' ~ }1' FLOOD PLAIN' ZONING CODE:_ . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. wIll be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling treneh. D UnderfJoor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to deeKlng. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. D Waler Lln~ "7 Prior to filling trench, , . D Rough Plumbing -' Prior to cover. ~ REQUIRED INSPECTIONS D Rough Mechanical - PrIor to cover, D Rough Electrical - Prior 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. D Drywall - Prior to taping. D Wood Slovo - After Installation. D Insert - After fireplace approvel and Installation of unit. D Curbcul & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base materIal In place. D Fence - When, COiYlpleted. ' D Street Trees - When all:n~q~lred trees are planted. . ,_ . D Final Plumbing - When all plumbing w9rk Is complet,e. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. &ther ...1:::bu2/.1 12 ~ JI/_ MOBilE HOME INSPECTIONS D Blocking and Set.Up - When all bloeKlng Is eomplete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home is connected to the service panel. D Final - After all required I nspectlons are approved and porchos, skirting, decks, and venting have been Installed. j. L~t ~yp_ " Lot faces Lot sq. Itg. Interior Lot coverage Corner Topography Panhandle " Total height Cul-de-sac I P.L. N S W E BUILDING PERMIT "1 '" .t " ITEM SO. FT. X $/SO. FT. VALUE Main Garage " Carport \ Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplaee Unit Dryer Vent Mechanical Permit -. Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Sureharge Sidewalk It Curbcut It Demolition FEE State Surcharge f/ouvOl ~.~, ~/7ft 414V, ~ Total Miseellaneous Permlls (E) TOTAL AMOUNT DUE (exeluding electrleal) .~ (A. B, C, D, and E Combined) '".,. :',,' 'I !~:\:;;,:~\~L:~;~ 'S liHEPROPOSED WORK IN THE, ....HiSTORiCAL DISTRICT, OR ON THE HiSTORtCAL REGISTER? If yes. this applleatlon must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbaeks . HSEIGA~ I Acc'l I I APPROVED: '.- .'...., .,,:' 't BUILDING VALtJE, 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. I Plan Cheek Fee' Oate Paid: Reeelpt Number' Received By: Plans Reviewed By Date I Systems, Developmc0~ Charge Is due on all undeveloped properties within the 9ity limits which are being Improved. ADDITIONAL C()MMENTS By signature, I state and agree, that I have carefUlly examined the eompleted application and do hereby eerllfy 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 Ordinane~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 any structure without permission of 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 ,th approved set of plans will remain on the jat all es urln~n~(~n. . Slgnat '-Y1t1~ Date '7/sb-!- I VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED .5Jf")7J....~ 7~!~~ h' <t,k -:t;:Z--, RECEIVED BY