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HomeMy WebLinkAboutPermit Building 1991-12-3 633~ 1 7.0 il- 53 Ob k',o cf / t?'/4/?/~C/t?/ ADDRESS: 5"":3 '3 cs- f) Jff / _S C/) c:; 00 /P I~ ~.c~;'/c/ ./ DESCRIBE WORK: . j#/Yh ?/e ~~ V REMODEL -' RESIIlFeNTIAL PE'RMiT APPLICATION Inspections: 726-37,69 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' LOT: OWNER: CITY: - SPRINGFIELD . 225 Fifth Street Springfield, Oregon 97477 JOB NUMBER Cfl/ 71/~ ., :L) q.I j vi ~f I # 1/0- . TAX LOT: 1.:3 C)-o BLOCK: SUBDIVISION' PHONE: - 5[1 //5 ~C/??r ) /' ~ ZIP: 97;/""7 ?? , STATE: 9J/IfrN'P~/' DEMOLISH OTHER NEW ADDITION CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR # GENERAL: -J/If EJ...(S 13ua;,~ 1{@1{,I'A1 3?JtjQ,K//JltJt~ -6 h 9.7 t( PLUMBING: \~ , - MECHANICAL',( IJIrR E,i e- e , ELECTRICAL: -, '\ .-- ,. , QUAD AREA: # OF BLDGS' OCCY GROUP' # OF STORIES: WATER HEATER: EXPIRES PHONE o/"2~/9Z, 7~7752~ ,~ - OFFICE USE - LAND USE: FLOOD PLAIN: # OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: ZONING CODE: # OF BDRMS' SECONDARY HEAT: 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, o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting, forms, o Underslab Plumbing/Electrical/ Mechanical - Prior to cover, o Footing":"" After trenches are excavated, ' o Masonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/ Mechanical -:- Prior to insulation or decking. o Post and Beam - Prior to floor insulation or decking, o Floor Insulation - Prior to decki ng, o Sanitary Sewer - Prior to filling trench, ". ~. o Storm Sewer - Prior to filling trench, o Water Line - Prior to filling trench, o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing work is complete, o Rough Electrical - Prior to cover. D Final Electrical - When all electrical work is complete, D Electrical Service - Must be approved to obtain permanent electrical power. o Final Mechanical - When all mechanical work is complete, D Fireplace - Prior to facing materials and framing Insp, D Final Building - When all required Inspections ,have been approved and building is completed, o Framing - Prior to cover, o Other o Wall/Ceiling Insulation - Prior to cover. ' o Drywall - Prior to taping, MOBILE HOME INSPECTIONS , '. o Wood Stove -::- After 'installation, D Insert - After fireplace approval and Installation of unit, ~ Blocking and Set.Up - When all blocking Is complete, o Curbcut & Approach - After forms are erected but prior to placement of concrete, I"l Plumbing Connections - When l...;2!J home has been connected to water and sewer, o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place, Q Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. o Fence - When completed, Q Final":" After all required inspections are approved and , porches, skirting, decks, and venting have been Installed, o Stre~t Trees"": WhIm all required trees are planted. 1 " Lot Type .,. . . THE PROPOSED WORK INJHE Lot faces Setbacks I P,L. ACC I ' . ~ Lot sq, ftg. interior HSE GAR HISTORICAL DISTRICT, OR ON .... IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed \S I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit issuance, Total height Cul-de.sac IE I APPROVED: . BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main 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, Garage Carport , Plan Check Fee' Date Paid: Total Val ue Receipt Number' Building Permit Fee Received By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved, PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT, Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace . Vent Fan NO By signature, I state and agree, that I have carefully ~xamined 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 pertai nl ng to the work descri bed 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. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit MISCELLANEOUS PERMITS 4' /o~_ 00 :ZO.lj.o ..r.. z.:> 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 sit~ at;lIne uring ~~tion, slgnaMe'ft'i 1:' Date / 2 ~ l-9~ (D) Mobile Home State Issuance State Surcharge Sidewalk ft , - Curbcut ft Demolition Total Miscellaneous Permits (E) .// /.3'0 ..2u- VALIDATION: ~ RECEIPT NUMBER '\.-AJ0 '"2 ') C\ DATE PAID \? - -;:;.:.... C\ \,_ AMOUNTRE~D\'~ ) ~ , ,,- ~ RECEIVED BY'~ ", , State Su rcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) - I . , I I I I I I I I I I I I I I I I I , I I I , I I I I I I I I I I. 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