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HomeMy WebLinkAboutPermit Fire Damage Report 1995-11-17 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 -e . JOB NUMBER 9:5'/:/;::><;;,/ SPRINGFIELD IIIL. tip 225 Fifth Street Springfield, Oregon 97477 ",po' ..........-2 LOCATION OF'PROPOSED WORK: R// /H/-=7/ ,A'./L':;'-~.z>./C ASSESSORS MAP' /?''It!!>7 '2?-ij'"2. TAX LOT: ~/c:::'/3 ,O~NER' //'?~ i ;qE~/HA7 ~./72 ADDRESS:~.// /#k~r .-o.c~/0~C .c:;R>/XV I' LOT: CITY: - r BLOCK' STAT~' c::77? SUBDIVISION: PHONE: 77~-~Y~ ZIP' .q? 9?? DESCRIBE WORK: /Y.7f?;1;: ~.I:~7~€;qC-~~ ~/~, 6'-,;i!>~. , ~.-; {~. I , '/', , - ,. , NEW REMODEL ADDITION DEMOLISH OTHER ~~~~~ . . CON ST. CONTRACTOR'S NAME AD~ CONTRACTOR' EXPIRES -, PHO,NE /_ ../' .2~7 c.~r' GENERAL: ~#~_-~/E!7.:::s; ,.~9'?'::>_~2':? ~.t"%'. ~....:;;-;......~ ,. - . - - - -/ r r ' , - PLUMBING: MECHANICAl' ELECTRICAL: ;47~~.?>c::;;~ , - - -. - - 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. Tills Is a 24 hour recording. All Inspections requesled 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. o Temporary Electric D Silo Inspection - To be mado after excavation, but prior to setting forms. o Underslab PlumblnglElectrical1 Mechanical - Prior to cover. .' o Footing - After trenches are excavated. o 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 Plumblng/Mechanlcal - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior \0 decking. o Sanllary Sewer - Prior 10 filling trench. D Storm Sewcr - Prl~r to filling trench. D Water Line - Prior to tilling trench. ~OUgh Plumbing - Prlor.to I'fIJ 'cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. ' IZl 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. [L] Wallle'clllng Insulation - Prior to cover. ~ Drywall - PrIor to taping. D Wood Stovo -.: After Installation. D Insert - After fireplace approval and Installation of unIt. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is compieto. forms and sub.base material In place. D Fence - When completed. D Slreel TrODS - When all required trees are planted. ~Inal Plumbing - When all fU!.II (Plumbing W9rk Is complet.c. lZJ Final Electrical - When all electrical work Is complete. o Final Mechanical - When all :.' mechanical work Is complete. !;l] Final Building - When all required Inspections have been approved and building Is completed. OOthor MOBILE HOME INSPECTIONS D Blocking imd Set.Up - When all blocking Is complete. o Plumbing Connections - When homo has been connected to water and sewer, o Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. D F,lnal - After all requIred Inspections are approved and porchos, skirting, decks, and venting have been Installed, Lot faces Lot TYP. Lot sQ. fig. Interior lot coverage Corner Topography Total height Panhandle Cul.de.sac Setbacks P.L. I HSE 'GAR ACC I I I I I Iw I I I lLLLLJ . N Is BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. ~ VALUE /1'--C/ j /&. -!i2:J 5' '5' '='; ?~2 //'t'. '3~ SYSTEMS DEVELOPMENT CHARGE (SDC) Main Garage Carporl -frf?$" ~~~ Total Value Building Permil Fee 7"5' r~ Stale Surcharge Total Fcc (A) (B) PLUMBING PERMIT ITEM Fixtures Rcsldentlal Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanlcaf Permil Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home Slate Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge " FEE Total Miscellaneous Permits (E) TOTAL 'AMOUNT DUE (excluding elec\[ICal) . //9 '? S- lA, B, C. 0, and E Combined) , ,: . .' IS "rHE PROPOSED WORK IN THE. '''HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, lhls application musl be signed and approved by the Hlstorfcal Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thfs pcrmil is granted on the express condition Ihatlhe said construcllon 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: Recel pi Number: Received By: Plans Revlcwed 'By' Date Systems Development Charge Is due on all undeveloped properties within tho City limits which arc being Improved. .' ADDITIONAL COMMENTS By signature, I slate and agree, that I have carefully examIned the completed application and do hereby eartHy 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 Sprlngflcld, and lhe Laws of Ihe Slate of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure wIthout permission of the Building Safely Division. I further certify thai only contractors and employees who arc In compliance with ORS 701.055 will be used on this prolecl. 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 pcr,.,1t card Is located at the front of the property, and the approved set 01 plans will remain on the site at all times during construction. Signature Date VALIDATION: RECEIPT NUMBER /~% //-/'3l-5JS 1~"?~"=3 DATE PAID AMOUNT RECEIVED RECEIVED BY ~.4''' '-.,e ~~