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HomeMy WebLinkAboutPermit Building 1991-4-30 (2) if. r 7..." hi:: -:, 90, see RESIDENTIAL PERMIT APPLICATION' Inspections:, 726.3769 Office: 726:3759 .. LOCATION OF PROPOSED WORK: AS9ESSOR,S. ~~P' :# /3" LOT: OWNER' '~~lC,~-t- ADDRESS: 0299-3 d.-::Vo ~ dI..... -' Ma.....{.:J/,..r E'-'j___r_ DESCRIBE WORK" s,.~:/<.. NEW X REMODEL SPRINGFIELD /('00, --:V"~""'oId sf:- BLOC!'" '< ""i","-fL~_ ' ~'-"~L' STATE: O"~f'..,I . r;".!:J kL.cfr_I",j ADDITION DEMOLISH CITY: CONTRACTOR'S NAME GENERA" (..1........ (5 j.J~...., 1" PLUMBING' c.......Jo_ 7/.._1""",. MECHANICAL:'";>" / t:.... ;./u,,/,~< ELECTRICAL: ,p.c.,'&_ J Etc. f _" ~ .. v,. OTHER -- '.-:'-'. ;)fDl,9,:,- JOB NUMBER ,q\~~1 , 225 Fifth Street Springfield. Oregon 97477 TAX LOT: " ~U~~;;ISlo'~:R....6~ /? -' ki- r- PHONF' 4.FS317 (., ZIP: <7 7 "/0/ CONST. CONTRACTOR # ADDRESS "'f~3 Mtt.-h>/'w..-iJ. .. 1(< 04./1-""-,,<1" 3 ,("70 ,?",~ ,>1ft" 7f(7u.~ Jllls.J. t?J C''''j e.., ';0' 7 '-/ ..J..o;l<{'u, Sfs.)f.., ':-J' c..L- \R\\')\V - OFFICE USE - QUAD AREA: LAND USE: \,\' \ # OF BLDGS: \ # OF UNITS: \ OCCY GROUP: ~~-\-W\ CONSTR, TYPE: .....:.J,J\J # OF STORIES: , HEAT SOURCE: ~6 WATER HEATER: (; RANGF' p...J .?IP 'I H' EXPIRES (,,/';/ t.HI, .<<It L 7IPI iJYJ. -$t.. 7 ) PHONE 'OS,],? " </';-5"11 oJ (~ 7oJloDO L " FLOOD PLAIN' , ZONING CODE: m V ~ # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE:di JD5_ 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. Inspectlons requested after 7:00 a.m. will be made the following work day. %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. D Masonry - Steel location, bond. beams, grouting. ~Foundatlon - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. i'X1 Underfloa(p'I"mbjl'~!I['echanlc;Jil> ~ - PrIor to Insulation or decking. f'::I1 Post 'and Beam - Prior to floor J,6llnsulatlon 'or'decklng. . .' f':./r.Floor Insulation - Prior to ~decklng. 'K7f Sanitary Sewer - Pr'lor to filling ~trench. M Storm Sewer - Prior to filling ~trench. rvf Water Line - Prior to filling ~ trench. rv1. Rou~h Plumbing - Prior to ~cover. REQUIRED INSPECTIONS 1C"'7t Rough Mechanical - PrIor to ~ cover. 8J Rough Electrical - Prior to .. ~. cover. I\J1' Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. g Framing - Prior to cover. ~ Wall/Ceiling Insulation -'Prior to ~ cover. . .l81 Drywall - Prior to taping, . ro( WoC!d s~ov~ -:- 'After Instali~t1on.' ).<:::::l.. gIlD &..,"1.. was F.)). o Insert - After fireplace approval and Installation of unit. -..c:7f Curbcut & Approach - After ~forms are erected but prior to placement of concrete. ~ Sidewalk &.Oriveway - After ~xcavation is complete, forms and .sub.base material In place. o Fence - When completed. ,(~ree" Trees ~ When 'all r''':luffed ~ ,e~~ are .Plantrd. , . . , , .....-1, ~Final Plumbing - When all ~ plumbing work Is complete. .-".rv('Flnal Electrical - When all ~electrlcal work Is complete. . . -" .' . r\A""'Final Mechanical - When all ~mechanical work is complete. "K/(Flnal Building - When all ? required l'!spectlons have been approved'and building is completed. o Other MOBILE HOME INSPECTIONS " o Blocking and 'Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Co~nection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. . o Final - After all required , .I",,!spectlons are ap'proveq and porches, skirting, decks', and venting have. been installed, .. ~ Lot Type. . Lot faces Setbacks IS THE PROPOSED WORK IN THE Lot sq, ltg, W5 _ Interior I P,L, HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN /' I THE HISTORICAL REGISTER? Lot coverage 2fL!" X Corner 22ii If yes, this application must be signed ~ Panhandle Is It!/ I and approved by the Historical Topography ill ( Iw ;4' /4' I Coordinator prior to permit issuance. Total height Cul.de.sac IE / ~'I (2/ I APPROVED' BUILDING PERMIT s971 '~~ X J/SQ, FT. /d::VALUE /!'t'9e,~+ ~!(JtP~ /4 t!!' <<;~q4 ~ ITEM Main Garage Carport Total Value q~([D 4n~~ 2/) I!> _423g Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ./.3-c::;n 4-0 PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' 2 J?/J !?E.. Sanitary Sewer FT. Water FT. Storm Sewer FT. ,(:\o~le Hom~ "' \:::11 C'r ' ~ "_J Plumbing Pe I 9JO.#J Jh~ ':0 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace /-.~ -15' e? 9.,:)0 /5.00 ~."O 6,40 ,'2,61. S''D /rJ.t50 2..1B 5/.98 Exhaust Hood Vent Fan N' 2., Wood Stove/Insert/Fireplace Unit Dryer Vent 0As< u,viE Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /7/ ft Curbcut 2m It 35.~ ),'2.,. ")0 Demolition State Surcharge , + ~ Af'\ \'r'o..... Tota\ ~scellaneous Permits (E) 4-9. S'S 2t?f~ &f:, TOTAL AMOUNT DUE (excluding electrical) (A, .B, C, D, and E Combined) 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: rCY 0 (. qC;. "'.~" ~ qL Receipt Number: tLJ ~ )' Re~eive~~ .~_ ~ ~})A' . .~ 9( PI SlR'evlewed By ~~ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS . I ~'11m~ 0 ... 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 corree;. 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 s ~at all tjmes~~~nstruction. slgnatu/1 rP~ (j~ Date J/bDI ~ / . VALIDATION: q n _ RECEIPT NUMBEFi _ / cr- DATE PAID ~pJ\ A ' \...~ ~ Cf I RECEIVED BY /)()l ') . ~./-- -