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Home My WebLink AboutPermit Building 1996-11-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: J 719 2. ASSESSORS MAP' LOT' . SPRINGFIELD I.k..", 5:S 3 S- ~A-/A') ~ J zrD BLOCK: OWNER' (' J4 R {'J / /'~ e;c,,(' /V~ ADDRESS,'~e ()O C---~ Jeef' CITY: ~dc.-P~~ II /' DESCRIBE WORK' .!J.P~ NEW REMODEL STATE:~~~ ~/~~~ ADDITION DEMOLISH . JOB NUMBER 7'6/1/~ 225 Filth Street Sprlnglleld, Oregon 97477 1F/7 Z- TAX LOT: SUBDIVISION: /)/ ??rD PHONE: ,1~:3 - S-/S? ZIP' t;7 ;7 P""o l? OTHER ~~k.~~g~ CONST, CONTRACTOR' tp 66 9'5"Y CONTRACTOR'S NAME ,. A9DRESS GENERAL: ~~/$ /$r~/Y~.A PLUMBING' ' pt(,/31 /7~;J. ~/:..~ MECHANICAl' E /I?'.e?I ~ ~+ ,S;Tu.c. ~ .~~.-- E~~.) ./ ELECTRICAL: EXPIRES ',;, PHONE .5'-../9:. ~ ;?~79~S- 'I ) J ,?I - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: _ 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 (ollowlng work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electricall 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 trench, D. Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking, " D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to flltlng trench. . D Waler LIne - Prior to filling trench. . o Rough Plumbing - Prior to cover. D Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Colling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. . o Curbcut & Approach - After forms are ofOclcd blll prior to placement of concreto. o Sidewalk & Drlvewav - After excavation is complctc. forms and sub.base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. _ o Final Plumbing - When all plumbing w9rl< Is complet.e. o Final Electrical - When all electrical work 15 complete. D Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building is completed. DOthor MOBILE HOME INSPECTIONS ~Blocking and Set.Up - When all ~ blocking Is complete. ~Iumbing Connections - When ~home Ilas been connected to water and sewer. ~Electrical Connection - When P-blocklng, set-up, and plumbIng inspections have been approved and the home Is connected to the service panel. )?fFinal - After all required . Inspections are approved and porches, skirting, decks, and venting have been installed. Lot faces . Lot Type . Lot sq, ftg, Interior Lot coverage Corner Topography Total height Panhandle' Cul.de-sac BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT, MaIn Garage Carport Tolal Value Building Permi t Fee State Surcharge Total Fee (AJ .' . '.~ " ~::, -:-h \~;; \:)' . Setbacks I P.L I HSE I GAR I ACC I IN I S I Iw I I I I lLLL.l~ VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanitary S!3wer Water FT. Storm Sewer FT, FT. Mobile Home Plumbing Permit State Surcharge ,7J"t-. <1-.J (C) TOlal Charge MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood SlovellnsertfFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Tota' Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ;;:2-5' -r3.fr ft Curbcut ft Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE ;,e:;-po /.2./0 ...L0.2...t> //?,c;oo 2/)&.0 s.fO j5~~ , !r"J-M IS THE PROPOSED WORK IN THE, .....HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance, APPROVEf" 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 which 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 certlry that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree 10 ensuro thai all required Inspections are reQuested at the proper time, that each address is readable from Ihe street, that the permit card Is located at the front of the property. and the approved set of plans will remain on the site II tlm s d n con uctlon A Signature Date VALIDATION: RECEIPT NUMBER DATE PAIr> 2370lf 11- tj-q ~ / 9z, e;D AMOUNT RECEIVED RECEIVED BY _ ._. ~ . <c ... . ' N 'IlV' (~ IS BQ'~~~ '" '" '- .... '" 1 1 )l., ;:0;- ::"I '. '- ... 1. .... ~~ ~ 1 ~ ._~.- T ---.,--' -_. . - .-----. 30 ",,:.1. w.lk. ((_~~+-.) . j . ..-, (:I~ j)r-ive ""..y ) (, I /o'.,r: 'f 0 ' '"', "-"" ....\ . -..", \)"".. ";!~. "- v f rcJt-l t D~(. k: -j t'J( 1'-' . (hob; Ie . J.," ~ 4(~ I .. r- (\,,.. 1'"' I Dw~ 1--. , X .;1(,,'"' '.-J . }.fer ;f/kT tJi ~ ;9~A';1,/,- 7tJ' I' '1'~'f' . lilt J V) " ~ ~ ,. tt. - ..... . ,., , ~18 ~I i I I i, I ' . . $f().....~e Sh,eq It> ' ~ I ') I .