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Home My WebLink AboutPermit Building 1998-12-8 (2) . -- . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 .. , SPRINGFIELD LOCATION OF PROPOSED WORK' ?n;),'7 ASSESSORS MAP' / 55 () z. 6? f l.- LOT' BLOCK: OWNER' 'Do..." i ~ (--:\ V'I PP'.''('Yl/A. ADDRESS" ~:rd-'l ,'DDLlEJ \as. br-i Ye'..., CITY: Spn"\J~eIJ STATE: (')~ DESCRIBE WORK' So.fo...~ e ('.v()\.Ie.r<:." '" V'\ NEW REMODEL J v ADDITION DEMOLISH CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAl' ELECTRICAl' Ol)...)v\ef (')wnf'Y' . JOB NUMBER 1'9 Ji-!'i'7 225 Fifth Street Springfield, Oregon 97477 S-fd ~1'-\1~ t1'i '? I"'~ TAX LOT: SUBDIVISION: PHONF' 'l'-1-l- '81?-, ZIP' q141~ OTHER ADDRESS CONST, CONTRACTOR . EXPIRES ,;:. PHONE r\IA910R. hv',.Ub, -;-: ::: ~:::~.~!: ~H!.U_ ~~DIC~ u: TJ.4~ WrlRK . 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. . _ OFFIc^EJO~E}HILt:U UNUt:M I nl~ rl:nlYlll Iv I'iV I ATTENTION:Oregon law reqUires you, ~o COMMENCED OR IS ABANDONED FOR QUADI~fllW.ro""c "rio{lIAd bv the Oregon Ulil~W!fi USE: . FLOOD PLAIN' ""'~I~~lon Center. Those rules are setfort A~!Y 1 Rn n,',y f'~ HIC'J'l · OF13" ,. "I -t "AR952<(l]JH.JNITS' ZONING CODE' 'n ::>;:::.UUI-UVIV'II.......~.v . OC~<Wtl9W1U m"y obtain cooies of the rU~O~~TR. TYPE: ",,11' the center. (Note: the telephone . OF STORI~9: - L'"'l't'Notific<lf$T SOURCE: numoerlof uto VI'O~'U'" v'\.. J WATER HEAT~nt"'rls 1-800-332.2344). RANGF' o Temporary Electric o Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mech8nlca~ - Prior to cover. o Footing - Afler trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prlo to filling trench. o Underfloor Plumbing/MechanIcal - Prior to Insulation or decking. o Post and Beam - Prior to floor ~UlatlOn or decking. 10 FI90r Insulation - Prior to ~deCklng, 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. . ~ RO-'~h Electrical - Prior to r~e~. o Electrical ServIce - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. all - Prior to laplng, o Wood Stovo - After installation. o Insert - After fireplace approvel and Installation of unit. o Curbcut & Al,proach - After forms are erected bllt prior to placemont of concrete. o Sidewalk & Drlvewav - After excavation Is complete, forms and sub-base ma.terial in place. o Fence - \Nhen con1pleted. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w9rk is complet.e. ./Alnal Electrical - When all L7electrlcal work Is complete. o Final Mechanical - When all mechanical work Is complete. ~FI 01 Building - When all r quired Inspections 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 Connection - When blocking, set-up, and plumbing inspections have been approved and the home Is connected to the service panel. o Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. J H5E GAR Acc'l I I I I BUILDING VhuYE, PLAN CHECK AND BUILDING PERMIT Lot faces L~t ~y. Interior I PL. IN Is Iw IE Lot sq, ftg, Lot coverage Corner Topography Total height \ Panhandle Cul.de.sac. BUILDING PERMIT." ITEM " SQ, FT: '~ 't X $/SQ, FT, VALUE Main Garage " Carport Total Value 7frJ6 I t f, >1' 1'. ., '1 " (A) 7!"1L~_ Building Permit Fee State Surcharge Tolal Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) Sanitary S~wer Water N' Storm Sewer FT. FT, 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 (D) MISCELLANEOUS PERMITS Moblte Home State Issuance . State Surcharge Sidewalk It Curbcut It Demolition State Surcharge 17 ELt:c..-rI'Z(.:.<A !lLtt YI /- '59.16 Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) lA, B, C, 0, and E Combined) jf?.qS- .' " : ~ ,: i;~ ~...;~~: \ ';1. 'J Setbacks , I ~1S THE PROPOSED WORK IN TH~'. '...HISTORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? .." If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED' ThIs permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City 01 Springfield, Including the Development Code, regulating the construction and use of oulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. '-/'1.( J /l-/u/ff JJ3('k~J) /1 Receipt Number' f/' - 1/ Received By: d. ~~ Plans Reviewed By Plan Check Fee: Date Paid: / ~t7 /91 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 Ordinanc~s 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. Signature ~ i,,~ l;).-l?-qg Datp VALIDATION: RECEIPT NUMBER ()522vl 11-/ cJ ~ / f<'i'IJ' I.f?:Lv DATE PAID AMOUNT RECEIVED RECEIVED BY "