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HomeMy WebLinkAboutPermit Building 1994-1-19 OWNER: ~..A-.t) /l'q, )It, n k.t5 -0.., ,...._ ) ,~ }AQ ADDRESS: 7_(,'""/,0 ~A- (,-~c_ S/ ./"2 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORI<' ASSESSORS MAP' LOT' )7~~ CITY: DESCRIBE WORK' . J ~ ,.. A }I Udot.-- ,~/'2 NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING: ,j'L-IJ" , KJ4JvJJJ MECHANICAl' ELECTRICA' . QUAD AREA: . OF BLDGS' OCCY GROUP' <>-~R)\J . OF STORIES: WATER HEATER- .. SPRI.-.'_.-.c....D . 9.:'V~? .2.~/o ()~A 2 '?, ~<:;Z . I ?lA'. JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: _7 b v <-' BLOCK' STATF' a.<J . PHONF' ZIP: 7' 7777 ADDRESS CONST. CONTRACTOR # PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cove~ . r5<f Rough Electrical - Prior to ~er. 1":5<( Electrical Service - Must be r:-RProved to obtaIn permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. . o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stove - After Installation, o 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 complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When 'all required trees are planted. EXPIRES '2.~o j)ef:.M \10'2. 5'ffi.I),~ (QWN<i2..)c;;.~tj/- V FLOOD PLAIN: ZONING CODF' # OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recprdlng. 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. A/ A-r)) /;77/111 } o Temporary Electric D 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. D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. . o Water Line - Prlorto filling trench. JX( Rough Plumbing - Prior to ~er. .. ADDITION DEMOLISH OTHER - OFFICE USE - LAND USE: . OF UNITS- CONSTR. TYPE: HEAT SOURCE: RANG'" ~;~~tlumbing - When all I' .-------..I ~'ng work Is complete, ~Flnal Electrical - When all ~ectrlcal work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o 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. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot Type . Setbacks ("'THE PROPOSED WORK IN THE Lot sq, ftg, Interior I P,L. HSE 'GAR'ACCI 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 Coordinator prior to permit Issuance. \ Total height Cul.de.sac IE I APPROVED' BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. VALUE Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures / m/d Residential Bath(s) N' Sanitary Sewer FT, Water FT, Storm Sewer FT. Mobile Home Plumbing Permit /5"0 State Surcharge '7S" Total Charge (C) /s.7r MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) /s;7S . BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shaH, 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: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I state 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 on the site at all times during construction. 'xlgnalUre e7... :"j::;~y7r- Date VALIDATION: /13 99 /i 11/5'4 'f / > /IUet-. AMOUNT RECEIVED --7?F k/A--';;J?~ A~~ -t:" - RECEIPT NUMBER DATE PAID RECEIVED BY