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Home My WebLink AboutPermit Building 1998-11-6 ,- -I '_ -. SPRINGFIELD . RESIDENTIAL .1.1,,,, PERMIT APPLICATION JOB NUMBER Cf~ 0 I Z-<9 Inspections: 726.3769 225 Fifth Street Office: 726.3759 Springfield, Oregon 97477 ;Y1q /IV ASSESSORS MAP' TAX LOT' O-S-()O(,.. LOT' BLOCK: SUBDIVISION' OWNER' PellA/!5 '54 1/-4 ~ t:: PHON'" 72'~ r303 ADDRESS' J.>1 S- A1~ ,1./ U" CITY' SIJt<./Nf {; ~ (,,{ STATF' ()/L ZIP: tf7 ~ 1 'I DESCRIBE WORI<' #/1';#7" NEW REMODEL CONTRACTOR'S NAME ~/lVA/E~ (Jo AI JIll/II c,l GENERA' . PLUMBING: MECHANICAl' ELECTRICAL' J1/A.7dMtI.v~ ~.r.;:; c (;" ADDRESS CONST. CONTRACTOR' 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 Stove - After InstalJallon. D Insert - After fireplace approvl1l and Installation of unit. D Curbcut & Approach - After forms are {Heeled but prior to placement of concrete. D SldewaH( & Driveway - After excavation Is compiete, forms and sub-base material In place, D Fence - When COi"llpreted. D Street Trees - When all required trees are planted. EXPIRES '.-:- PHONE 4 ~,...... -,At - OFFICE USE - . NnTICE: ATTENTION:Oregon law requires you ~o QUAD AFlltA: ALL EXPIKI: IF THE Wtiffi<USE: - TOttowrotes adopteB~J'lejlDM~On Utllitv . OF B~6\!;~pERMIT SH '" "'O'flN1TS' I\\cttifir.ation Center.1'2Jm\l.Jf:\llcil-il!;,e set forth AUTHORIZED UNDER THIS pttlMIT I" 1'l . in OAR 952-001-001 0 through lJA'R'gs2;(lG ,- OCCY GROUP: .. . ""';QNED F""RNSTR. TYPE: -~ay obtal\1<e6""!il$lMShaIl'IA!< bv COMMtNl,;I:U Uti t" /-IO,"'U v VV"V. Iv" '" t7' oe · OF STORIES: - -~--- HEAT SOURCE: ""lIlon the centerd~I:5lY~j,'V.~!?I~P~.p.. ANY 1 eU , "' Y "I: 'wJ'J. number for the Oregon Utu'oty 'No'/itrcauv., WATER HEATER: RANGE:__ 0'jJ,terls1~g~l2,e~GE: ADDITION DEMOLISH ___ OTHER 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. wltl be made the following work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electricall Mechanical - Prior to cover. o 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 deckl ng. D Sanitary Sewer - PrIor to filling trench. D Staron Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. ' D Final Plumbing - When all plumbing w9rl< Is camplet,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. DOther 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. 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 Inspections are approved and porches, skirting, decks, and venting have been Installed. J ----~ ~ Lot faces L~t ~y. Interior Lot sq. fig. Lot coverage Corner Topography Panhandle . Total height Cul.de-sac. 1 'j BUILDING PERMIT ., ITEM sa. FT. x s/sa. FT. ~ Main Garage Carport .?80 ,f,.,/ ItrIA /l, AII_ I } Total Val ue Building Permit Fee State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer FT. Water FT. FT. Storm Sewer Mobile Home 17 ~~Z 11,,,,.,6, i"7 f,#/'f,lJ Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit p~/e/.1~ I!-fJ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Curbcut fI Demolition State Surcharge Total Miscellaneous PermilS (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E CombIned) Setbacks I PL. HSE GAR IN Is ~__=-_I VALUE " ?5>~, 67. z$" -;"~.:.. L;'?'1 ,.; ';'., ]..,;.J:J~' /-. i?~.... 12..(,j FEE IS. "0 t;r / 1) It.. UJ J. )7) If). ()v . !J/-Y- / r. Ie> . . ~i': \.,~ 1:: ',I " . . I IS THE PROPOSED WORK IN THE _ HISTORICAL DISTRICT, OR ON THE HISTORtCAL REGISTER? If yes, this application must be signed alld approved by the Historical Coordinator prior to permit issuance. ACC I I I I _J APPROVED: .~. 'I 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 ado pled by the City 01 Springfield. Including the Dovelopment 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 Revlewcd By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. I_(\DDITIONAL);OMMENTS! _ ( (J.iL, 7lJ Off &t F/V-+ &'f./.c.7I-<f('J(' A/.tJ ~ d'fUud .wr.d' t><V tJlI ai/I? ~A'/Ol11fh AM...".{..-;.( tk./~ F/NA(. ~W~ CM. ~ of" w,Ll ~ /,/',,/1:... Ail BL /!.h/ IT1 ~. II , Oil/e &A?iQ/Yl ft, 726.- J" J AN ct.t:'-7lrJ 1U1l/fll./ ~ ,t:;~,,/ 1< A/te./..,I III I'r/IJ~I tdI ~/t(/A/ff' 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 Ordinanc~s of the City of Springfield, and the Laws of the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure wllhout permission of the Building Safety Division. I further certify that only contractors and employees who arc In compliance with ORS 701.055 will be used on this project. Slgnatur ~ Date VALIDATION: RECEIPT NUMBER ()5/ f,3?- l,lt/trY A '~ DATE PAID AMOUNT RECEIVED RECEIVED BY - .