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Home My WebLink AboutPermit Building 1994-8-3 RESIDENTIAL PERMIT APPLICATION Inspections: '726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' I 17F7::l., LOT' . 32:B.4 -:2 "2- / " ~ Pt+ E:;tJ." 7) A ^ ) ''- BLOCK' OWNER: ,1<A 1"1-<{ ADDRESS' ?.29b4 ~.oP'~ m /l-c..!JHt=IQ 7) DA '] PH-E:A<;A/JT CITY' STATE: ,-/J7-1 DESCRIBE WORK: -.FAJ.?1lty ~bJ'Jvvl NEW REMODEL ~ ADDITION CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl' ELECTRICAl' . JOB NUMBER 1fl~ 225 Fifth Street Springfield, Oregon 97477 TAX LOT' (QS~On SUBDIVISION: PHONE:DU-lqf,A ?) ZIP:_Q7477 k 17.-4'~"msl AO I) I 71 (J1( J / t2A-rL//~,OtW ! . - / ~ DEMOLISH OTHER ADDRESS' CON ST. CONTRACTOR' PHONE EXPIRES QUAD AREA: 8\<.~ ')0 - OFFICE U,E - LAND USE: \ \ I FLOOD PLAIN: . OF BLDGS: ~,~ · OF UNITS' ZONING CODE: fl(7 OCCY GROUP: CONSTR. TYPE: ~/IJ . OF BDRMS' · OF STORIES: \ HEAT SOURCE' SECONDARY HEAT: \lr.n WATER HEATER' RANGF' SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be made the same working day. Inspections requested after 7:00 8.m. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Slto Inspection - To be made after excavation, but prior to setting forms. D Underalab Plumblng/Electrlcel/ Mechanical - Prior to cover. f\TI Footing - After trenches are ~ excavated. D Masonry - Steel location, bond beams, grouting. rvl Foundation - After forms are ~ erected.but prior to concrete placement. D Underground Plumbing - Prior to f11f1ng trench. 1\71 Underlloor Plumbing/Mechanical '-t"-' -,Prior to Insulallon or decking. !XI Post and Beam - Prior to Iloor ( Insulation or decking. rv1 Floor InsulaUon - Prior to ~ decking. D Sanitary Sewer - Prior 10 filling trench. rVl Storm Sewer - Prior to filling ~ trench. D Water Line - Prior to filling trench. rn Rough Plumbing ~ Prior to ~ cover. f\l1 Rough Mechanical - Prior to L....p..J cover. rir1 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. [fJ Framing - Prlo~ to cover. f\l1 Wail/Ceiling Insulallon - Prior to l..p.J cover. !fJ Drywall - Prior to taping. D Wood Stove - ~fter Installation. D Insert - After fl;eplace approval and Installation of unit. D Curbcut & Appro'ach - After forms are erected but prior to placemont of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. D Fence - Wh.en ~ompleted. D Street Trees - When all required trees are planted. rYl Final Plumbing - When all '-I'<' plumbing Work Is complel,e. rYl Final Electrical - When all T electrical work Is complete. rvI Final Mechanical - When all ~ mechanical work Is complete. Ii(] Final Building - When all , required Inspections have been approved and building Is completed. D Other MOBILE HOME INSPECTIONS D 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. Lot faces , Lot sq. fig. Lot coverage , Topography Total height ~s BUILDING PERMIT ITEM SQ. FT. Main //--7 Garage Carport ,~Zz4 Total Value Building Permit Fee State Surcharge Total Fee ~pe. Interior Corner Panhandle Cul-de-sac '.;'~: .. \'\ ..~; ': ,;1'1' >'r .(' .j ~ ~ ,"~ ~':~t~,':~~.~"- '. THE PROPOSED WORK IN THE" ''"'HtSTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical , Coordinator prior to permit Issuance. ," Setbacks ' I 'PL. HSE GAR Acc'l IN I S I W I IE I X $/SQ, FT. ~ VALUE Q;,~C CJ~73 " ~/P c,z.Cf4 $'%7 ~ ~tll\~", S, ~ '1.~ (A) \ r.. !'"..r:'. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) \h5 PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan 3 !.~IIlJ...:.." (C) Dryer Vent Wood Stove/lnsert/Flreplace Unit N' Mechanical Permit Issuance State Surcharge Total Permit 1."t \!\d,..J", (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft ft Curbcut Damolltlon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. 0, and E Combined) FEE 30.~ ~ (') 9!Q.. ~ \~ ~ ","<to 3.c.a..2.. Ic:.,.~ QI:l... La. _ , L:5 ,,,4"- ~.~D o \~,\,~ APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City ,of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 7_tt:;,73 -z2/-5'L /3$c:f~ Date Paid: Recei pt Number: Received By: "KtD PlanliRevlewed By ~i Systems Development Charge Is d~e on all undeveloped properties within the City 1I'T)lts which are being Improved. ADDITIONAL COMMENTS By signature, I stale 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 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 the approved set of plans will remain 4::::u:~r;r~~x~ Date (^d ~ l IY\ q L(; VALIDATION: ' ~ ~ rr'\ J RECEIPT NUM~ \ .\ LU -\ . -<:... _ ~\L-\- DATE PAID - (, \ AMOUNT RECEIVED \ ~'{. ~ RECEIVED BY C\,\\)P