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Home My WebLink AboutPermit Building 1995-8-22 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: _4 0 5' P 1'0 n e P- t......E..k W ,V. W. ASSESSORS MAP- / ~-~=< ~ LOT' BLOCK' , eto Pet.-t)' /'f.Q..11 a ~,.. m I"n r Ilk OWNER: t: YY1 ~ r 0. L d ADDRESS:' /; 3' 7 B. St. CITY: S Ph'nQ F/c It! ~ DESCRIBE WORK: ReplAc.-5 . REMODEL Y NEW ii STAT'" OR Ea.c:.J... Pote-k. rDt>ek) tf .'>'~""'M~ ADDITION DEMOLISH 'OTHER . ~~ -- JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 Se..t.,'nq.~/,..Jd.., O~. oJ TAX LOT: -----.b ......~~ SUBDIVISION- PHONE: 7J.j}-~JI:, U ZIP: <j 7~ 77 CONTRACTOR'S NAME ADDRESS 'GENERAL: [)rJ.vid J-Ian<;e.n '14 ~ O:rl1:l..S.r4Q.ll.o v PU,JI,lBINe. 7- fA Cl e n -e O"q <1' 7 ~ 0 ~I " CONST, CONTRACTOR' 'In 7()Q 7 ,~, PHONE hg9-}381 MECHANICAl - ELECTRICAl' EXPIRES [-J 9- rM - OFFICE USE - QUAD AREA' LAND US". FLOOD PLAIN' '" . OF BLDGS' . OF UNITS: ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS- . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANG'" 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 following work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electricel/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundatfon - After (orms 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 troor Insulation or decking. D Floor Insulatlon.- Prior to dockl ng, D Sanitary Sewer - Prior to filling trench. .. D Storm Sewer - Prior to IIIl1ng trench. , D Wator Line - Prior to 1IIIIng trench. D Rough Plumbing - Prior to cover. 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 (ramlng Insp. ~ramlng - Prior to cover. DWell/Ceiling Insuletion - Prior to cover. D Drywall - Prior to taping, D Wood Stovo - After Installation. D Insert - After fireplace approvel and Installation of unit. D Curbcut & Approach - After forms Bre erected but prior to '. placement of concrete. D Sidewalk & Driveway - After excavation Is complete. (arms and sub-base material in place. D Fence - When completed. D Street Trees - When all required trees are planted. '. D Final Plumbing - When all plumbing W9rk Is complet.c. D Final Eloctrlcal - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. ~FlnarBUlldlng - When all ~~equlred Inspections have been approved and building Is completed. DOthor 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 Inspecllons have been approved and the home Is connected to the service panel. D Finel - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installc~. .~. " ~~~:~;~ r~~~:'. , IS THE PROPOSED WORK IN T~E _ Lol ~y. ,1 ~. Lot faces Setbacks Lot sq. ftg. Interior I P.L. HSE GAR Accl HISTORICAL DISTRICT, OR ON ,- IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I I I I Coordinator prior to permit Issuance. Total height Cul-de-sac IE "",.L.._"J-LJ . APPROVED: BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. _ VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage '. 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 Sprlnglleld, 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. /9./8 Plan Check Fee: Main 'Carport Total Value Date Paid: Building Permit Fee Slale Surcharge 1.( ~ +. i 1 Tolal Fee (A) Receipt Number' Rec:KA#Pu ' pr-Jiffc4:;,;; I'fy" ~- ~;/ ~ 1.r I Oa;( L SYSTEMS DEVELOPMENT CHARGE (SDC) Residential Bath(s) N' (B) FEE / / / / Systems Development Charge Is due on all undeveloped properties within the City IImlls which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS Fixtures ~~ ~~ /Jp/ ~0'r Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' /' / By signature, I state and agree, Ihatl have carefully examined the completed a'ppllcatlon and do he,eby 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 Ihe City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. J further eartHy tlla! only contractors and employees who are In compliance wllh ORS 701.055 will be used on this project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent MechanIcal Permit Issuance State Surcharge Total Permit (D) 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 on the site at all times during construction, ,Xgnature 1) C;;;:I'Jh~ 'ii'; /2 2-/5' '" 1 f Oatp MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition Slate Surcharge ;tJUil .RMd..J /9/6 VALIDATION: RECEIPT NUMBER DATE PAIP AMOUNT RECEIVED RECEIVED BY /~ 7'7.z ~2-hr - / c::; I.OS- _ ~/~ TOlal Miscellaneous Permits (E) " TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) &:;"/.OS' ~ ".