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HomeMy WebLinkAboutPermit Building 1995-2-27 \. . . . JOB NUMBER 9.6 ()2-!'/ 225 Fifth Street Springfield, Oregon 97477 SPRINGFIELD RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 J P'OA/""""'V tU, 1ft /)' TAX LOT: O. </ <"1hO It'! 7'\ LOCATION OF PROPOSED WORK' /7/') 2... <2- ASSESSORS MAP' LOT' BLOCK' SUBDIVISION' OWNER: . C. / / J?'Jr./;'7U~? ADDRESS: /. ~ ~ '7,- I"J, B l? . /..'y a....../o/oI 31l~--O C 3 Y'" PHONF' STATE: () 1/..,. ZIP' '7'?? 0/ CITY' t)~j!" f ~~~7~.t ADDITION DEMOLISH OTHER -- DESCRIBE WORK: h/ifJ3 NEW REMODEL I P_nJ. J V' / ;: /10'.... CONST. ADDRESS CONTRACTOR' ;<cJ?~.f -fR~ /] 4/:2. '// CONTRACTOR'S NAME GENERAL: __/::::. { /....".s PLUMBtNG' ;::: A IT'..._" A.,,~ EXPIRES PHONE ////9/ 9..-C fi',?-(:/:>) // - (! "., AIIIY" ~ MECHANICAl' _ -, ELECTRICAl' r i/ A./ /J ~ /' t..-"""'t1 - 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: RANGF' SQUARE FOOTAGE: To requesl an Inspecllon, you must eall 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 a.m. will be made the following work day. REQUIRED INSPECTIONS "t9(Flnal Plumbing - When all ~Iumblng wc;>rl< Is complete. D Temporary Electric D Rough MechanIcal - Prior to cover. It7'I Rough ElectrIcal - PrIor to .J.2:5=..lcover. D Slle Inspection - To be made after excavation, but prior to settIng forms. ~Inal Electrical - When alt electrical work is complete. o Understab Plumblng/Electrlcal/ Mechanical - Prior to cover. D Final Mechanical - When all mechanical work Is complete. D Electrical Service - Must be approved to obtain permanent electrical power. o Footing - Alter trenches are excavated. 'M Final Building - When all ~qulred Inspections have been approved and building Is completed. D Fireplace - Prior to facing materials and framing Insp. ~ramlng - Prior to cover. o Maaonry - Steel location, bond beams, grouting. DOlher D Foundation - After forms are erected but prior to concrete placement. I'V"i Wail/Ceiling Insulation - Prior to ~cover. D Underground Plumbing - Prior to filling Irench. m- Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Wood Stovo - After Installation. D Blocktng and Set.Up - When all blockIng Is complete. o Post and Beam - Prior to floor Insulation or decking. D Insert - After fireplace approval and Installation of unit. O Floor Insulation - PrIor to deckl ng. D Plumbing Connecllons - When home has been connected to waler and sewer. D Curbcul & Approach - After forms are erected but prior to placemont of concrete. o Sanitary Sewer - Prior to filling treneh. D Electrical Connection - When bloeklng, sel.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D SIdewalk & Driveway - After excavation Is complete, forms and sub.base material In place. D Storm Sewer - Prior to filling trench. D Fence - When completed. D Water Line - Prior to IIIUng trench. D Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed. D Rough Plumbing - Prior to cover. . D Street Trees - When all required trees are planted. I PL. HSE GAR ACC IN Is Iw I I I I ~ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Lot faces Lot TY~ Interior LOI sq. fIg. Lot coverage Corner Topography Total height Panhandle Cul,de,sac BUILDING PERMIT ITEM SO. FT X $/SO. FT. ,. VALUE Maln Garage " Carport bde JA#;(z::iZ ,::Ii?~,//7/ a..f--r4r ~A7A' TIO!)D() 2~ZTr7 ~T:I . - , ~~1J12 ~" t; -;l-r ~?S" SYSTEMS DEVELOPMENT CHARGE (SDC) Total Value Building Permit Foe State Sureharge 4,071--2.'-')., Total Fce (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. / Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Totar Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood StovellnsertlFlreplace Unit / Dryer Vent / / MechanIcal Permit Issuance State Surcharge Total Perml t (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition Slate Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, 0, and' E' Combined) " . ~.~~ . .: ';:: "'f,~ .~: ( ~ '. . Setbacks -t IS THE PROPOSED WORK IN THE _ '...HISTORICAL DISTRICT, OR ON THE HISTORtCAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED: This petmllls granted on the express condition Ihal the said construction shall, In all respects, conform to the Ordinance adopted by the City.of Springfield, Including the Development Code, regulating the eonstruetlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Cheek Fee: Date Paid: Receipt Number- Received By: Plans Rcvlewed By Date Systems Development Charge Is due on all undeveloped properties within thc City limits which are being Improved. ADDITIONAL COMMENTS 5~M~ ~T ~~mr.r /( ..IO~.//A'?'l' --..q. \.- " By signature, I statc and agree, that I have carcfully examined the completed appllcallon 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 thc work described herein, and that NO OCCUPANCY will be made of any structure without permission of Ihe Building Safety Division. I further certify that only eontractors and employees who are In compliance with ORS 701,055 will be used on this proJect. I further agree to ensure that all re~ulred Inspections are requested at the proper time, that each address Is readable from the street, that the pcrmlt card Is loeated at the front of the property. and the approved set of plans will remain on the site at all times during construction. Xlg~:~ ~~__ Date~A" /9r-- ,/ '/ VALIDATION: RECEIPT NUMBER !r.A-3 7 DATE PAID 2.. /2~ r '/ . - ~~ :Fa AMOUNT RECEIVED _ _ =?? RECEIVED BY . ~