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HomeMy WebLinkAboutPermit Building 1991-4-30 (2) I(,or SfiCI- I RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' ",SS.~SSORS MAP' LOT: - HI"';' .t:JeJ,:J , SPRINGFIELD ~.~,.t':'. q \03S'i 21<1 ?J,,,,,,o.. j :sr BLOCK' OWNER: '-Dol." ci))l)....,~... ~ ...I-~~ ADDRES"" .;)91(3 '1'1<. fDJ,.. s- L)...'; i. CITY: 'E '-'4.-'> cA/L ..' a;"""\t!J.,./ IJ ' v ' STAT'" DESCRIBE WOR...' <:;,A/J I~ NEW )'( REMODEL n.... c. Kr,. J,~-I,j } ADDITION DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: ~U~D1~I~I~N: 'Kt;.... b~..:> i? ~ I.~.r PHONF' j 4J's 31710 ZIP: r:;} I/u/ CONST, CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES PHONE ,,- B/~~ .)~~3 Md,!,,,. ~~ e~), 31o'/f'f GENERAL' r... f..~, 141ft <./d$f/}('" PLU~BING' G.,$ f-."..... Pf~... 6,,,,..,\ r..:I!-"""../ p ....1 ;1<3/1'/ /c/<;I '1-'; .s;'II<I~_ MECHANICAL:i?oJ~~ I/o,/''''' ( ,3570 If: 1'/11:. ~l.c.c: ';;...t. 'ft.> .,;) /-,,2- 7 'II -<J<::Jo, 2.- ~<j<<~cf' El~/_~ 79(.73 ov3.l.. rn J '7/~1 ELECTRICAl' CI.- Js i 56. fVL ~ 7 ~ ., \~ !\\\i,J - OFFICE USE - QUAD AREA: LAND USF' \\\\ FLOOD PLAIN' . OF BLDGS: \ . OF UNIT"" , ZONING C,ODE: \ -\)~ OCCY GROUP: ?~"'\-- \{\ CONSTR, TYPE: -lJ !;;! . OF BDRMS' ~" . OF STORIES: \ HEAT SOURCE: ,F""-:1 SECONDARY HEAT: WATER HEATER' 6 RANGF' F... SQUARE FOOTAGE: 10/1-02- 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 wor~ day. I ~ Temporary Electric O Site Inspection - To be made after excavation, but prior to settlng forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o 'Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. '1\:71. Foundation - 'Afte'r forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, ...r7'I Underlloo(p.1umb~eChanicar: ;x...! - Prior to, Insulation or decking. -{"'7f Post and Beam - ~rlo'r to, floor ~Insulatlon or decking. ' rvfFloor Insulation - Prior to ~decklng, REQUIRED INSPECTIONS f':7! Rough Mechanical - Prior to ~ cover. tc::'1 Rough, Electrical -, Prior to~ ._. ~ cover. r"'V'1' Electrical Service - Must be ~approved to obtain permanent electrical power. o Fireplace - Prior to facing . materials and framing Insp. 0Framin~ - Prior to cover. ~:~~~.C~iling Insulation - pr.i.or to ,~,DryWall - Prior to taping, " . ..... .~. . o Wood S-iove - After installation. D Insert'- After fireplace approval and installation of unit. aCurbcut & Approach - After forms are erected but prior to placement of concrete. . f'5<1" Sanitary Sewer - PrIor to filling ~ trench. . - . - ~ Sidewalk.& Driveway - After ...l:::::::::L.excavation Is complete, forms 9nd ~ub-base material in place. lVrStorm Sewer - Prior to filling ~ trench. ~Water Line - Prior to filling ~ trench, ' i\/l Rough Plumbing - Prior to ~ cover. 1><1 Fence - When completed. ~treet'Trees"';' When~li"r~qUlred' ~ees are planted, " , ~Flnal Plumbing - When all ~~IUmblng work is complete. ~ Final Electrical - When all ~electrlcal work Is complete. , M Final Mechanical - When all mechanical work Is complete. i"'V1 Final Building, - When all ~equlred Inspe,ctions have been approved and building is completed. ..RfOther p.ArJ!..P/n.u'tVit4Cb 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 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 . ,or:io"rches, skirtln'g, decks', and venting have' been installed. ...... . ~ Lot Type. Lot faces Setbacks IS THE PROPOSED WORK IN THE Lot sq, ftg, 7Z6 x: Interior I P.L HSE GAR ACC HISTORICAL DISTRICT, OR O~ 3Z THE HISTORICAL REGISTER? Lot coverage ~., Corner N If yes, this application must~ signed <:2.'9" S ~' and approved by the Historical Topography Panhandle ~ Iw /3 l 13' Coordinator prior to permit issuance. Total height Cul-de.sac IE i:' I I APPROVED' BUILDING PERMIT , ITEM, SQ, FT, Main J LoCfO Garage151~ X $/SO, FT VALUE -tf.&. SS -1iSs:z~ ~/~ ~,- ~f~~ Carport Total Val ue Ff') (Y'/'), I ::::?tPP, ,0.0 - -/'1.10 1/J1frJ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) /~'15~ PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ?- /~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home ~f'r;Jrl.0 Plumbing Permit J State Surcharge \~~ /7~~ , ~75' } fiZJ 2, .7.5 Total Charge (C) MECHANICAL PERMIT ;;, ,t:fO 45"0 qoo Furnace Exhaust Hood Vent Fan N' '=<: Wood Stovellnsert/Fireplace Unit Dryer Vent ,,<~ Mechanical Permit 22.. 150 /000 / ~3 34.13 Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk '7~ '2/.70 / ~_ '10 ft Curbcut '2.1~ ft Demolition State Surcharge AQ~ , ~ X\J0 0 ~ "Y- ToUMlscellaneous Permits (E) n~ 4IJ.t:,o /910&(3 TOTAL AMOUNT DUE (excluding electrical) (A,.8, ~, 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: A ~ ,r;::.o Date Paid: 4- -'-\ \ r; .q , Receipt Number' \C\','~ Recelved.JY: M) [)(A ) /~~ - ~~/D2:"J.eh, U- Plans\ R"eviewed By 7 ~aZ ~ Systems Development Charge Is due on all undeveloped properties within the City~ limits which are being improved. ~DDITIONAL COMMENTS \ 'II 5\ b~\61_~ 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. Sign~ rf? ~ , Dale ('-\lbD/ W I , VALIDATION: I qq RECEIPT NUMBER ' '1 ~ DATE PAID 6)!Y) { J. ( 0.... ) _ ~ AMOUNT RECEIV~n ,<I, 3n H \ J 011 ~_/ RECEIVED BY