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HomeMy WebLinkAboutPermit Building 1999-6-11 OWNER' IV\-M1 e.u (I ("'f")(~ ADDRESS: j()Q r: \ IYJiJ/5g r/t- ,~~I-() - -l, . ." .f},. ;V -- RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP' LOT' CITY' Vjft ~ /(,0/ . SPRINGFIELD .- rfd770 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ..............., BLOCK' TAX LOT' SUBDIVISION: 116 U () PHONE: _--:;:YJa-O 9/~ Of - ZI~: 97-Clt-!::f- (l f111F1 fL. STATE: . DESCRIBE WORK: . ~{l.(. f ;)/-r-J..!- NEW REMODEL ~ ADDITION \IIvliC~. -,...., ".-..r-I' =SHAIl.I!lW1!r;lB llAlWEHtlOOK Irljvr~(. tIlT WATER HEATER' RANGE: :.:J11-'~R"Z=I1UNDER;1:l-dIA~il~OT - -- --I"'''f..""..cni:nR vUI\iIlVII::.l'<IV~lJ _, .::1 - ". - - To request an Inspection, you must call 726-3769. This Is a 24 hour recordl,^Q..~J.Jy:~tr.s requested before 7:00 a.m. will be made the same working day, Inspections requested aller 7:00 a.m. MH'lb6t)1i!ttfe tfi.fWh'owing work day. D Curbcu\ &, AI,proach - Aller forms are emcted but prior to ~..~~~.ltaly S~~er .-;-I~rio"rto f1!lIng ...." ~tp~aceTOr?t of concrete. LT-J trench: '. '. !. ;0.JJ,.I, ,._~J/'T:.J/ .).). ... . . - D Sidewalk & Driveway - Aller D Storm Sewer -- Prior to fllllrig excavation Is complete, forms trench. I' f' I ': and'sub.base material In place. . , , ' . ,~", (", ',.,.....1 "I . ..,. I \. ;~ D Waler Line - P;'iO..,t~ f.llllng, . \ trench. _ J i I \ ).! ,--.... '--J '- ~~ ~. t. . '. ~ . ., D Rough' Plumblo'i f PrlP.f t? ~. _.r'~ cover. l\ . 1(\ I,.... ,,,.... '-..'.... \ '- CONTRACTOR'S NAME r-x UrJK-P_ GENERAL: PLUMBING' MECHANICAl' ELECTRICAl' QUAD AREi" . OF BLOGS: OCCY GRO\lP' . OF STORIES: D Temporary Electric D Site Inspoctlon - To be made after excavation, but prior to settIng forms. D Underslab Plumblng/Eleclrlcall (6)eChan'ca' - Prior to cover, Footing - After trenches are excavated, D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. r ,. D Underfloor Pluml>lng/Mechanlcal - Prior to Insul~tlon or decking. D Post and Boam - Prior to floor Insulation or decking. .... D Floor Insulation - Prior to decking. . ,- DEMOLISH , OTHER ADDRESS CONST. CO!,!TRACTOR . " PHONE EXPIRES . . - _'_'!'''gq"irQc::.ynllto All tl'llIVl'4.VIC;;~....".J :'. . . I-u^", ...I,,~ "rlnoted bv the Oregon Utility. N~tiiication Cent~~}:~o~:. r~le;:~~ea~tl;~~;'~ in OAH ~o~.uu ,-vv I'" ...1.. ......at: - :}::CC v"" m"" ohtain cODies 01 the rules by _ .",_'- ....~ "..n'''' (Note: the lelepnu".. n~~b8r 10;.l!',oiO;rc-EPO~ililV NotlllCaUUl1 Center is 1.800.332-2344). LAND USE: . FLOOD PLAIN: . OF UNIT~: ZONING CODE: _ '. CONSTR. TYPE: . OF BDRMS: HEAT SOURCE: REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Final Plumbing - Whon all plumbing worl< Is complete. . . D 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. D Final Mechanical - When all mechanical work Is complete. @'> Final BuildIng - When all D required Inspections have been approved and building Is completed. D Fireplace - Prior \0 facing materials and framing Insp. @ra;"lng - Prior to cover. D Wall/Ceiling Insulation - Prior to cover. DOlher D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Wood Slovo - After I~stallatlon. ..:. D Insert - After fireplace approval and Installation of unit. D Blocking and ~e\.Up - When all blocking Is complete. D Plumbing Connoctlons - 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. D Fence - When corilpleted. D FInal - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. (' D Street Trees - When all r~qulred trees are planted. . f Lot faces ~t ~yp. Interior lot sq. Itg. lot coverage Corner Panhandle 'yo: Topography Total height Cul.de-sac BUILDING PERMIT :"'.;1 't ITEM sa. FT. X s/sa. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) ~J' ~ !.,",\ . k!, ":L'.' :.:'F1;.~h~":;!'~~~" . .';1: ':J I P.l. N s W ----- E VALUE. " 7;.oo"!J- / . ~f;57J )PY 3,t{3 7377 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge SIdewalk It Curbcut It Demolition State Surcharga Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE LJ.L ,- 2... Setbacks. HSE GAR . . ~ '.S THEPROPO~EO WORK iN THE. HISTORICAL oIIlTRICT. OR ON THE HISTORiCAL REGISTER? II yes. this application must be signed "lid approved by the Historical Coordinator prl~r to permit Issuance. ACe' I I I I I APPROVEO' .. .~ '.'1 " BUILDING VALliE, 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: tLl(. S ] Date Paid: Receipt Number' " Received By: Plans Revlewod By Dale Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ltib ~/~ ~ r /lu.l I'~ 6uI/4;"/1 .~L/;. /~ ~ ~/ L,~.M 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 perlalnlng 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. ree to ens~re that all required Inspections are request at the propttr time, at eas!l.addres"s"ls.re able from th teet. that the por d Is 10caWp at the fro t of the p 0 rty. and he a ~. ~l:. Will remaIn on the s r ns on. ., ~atu,,: . ;'1,. . , - Dat~ H ~I\-\i \l.Q.~" '!jClmto ~:~:I::~:MBER ~~ DATE PAID { 0 . I ( . '-1, AMOUNT RECEIV~ol \\~ .~b RECEIVED BY ('7\~