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HomeMy WebLinkAboutPermit Building 1995-8-29 OWNER' r:- \(,\-\1'\tL ~ ~\.\\.o..RCec..; b '\LB="<;tN, ADDRESS' 9l S ~I L(>,~ 'n!w-,;; CITY: c,p1Z-\ ,'x;, C'\ 8M, ('f.. '1l4-l'iS' STATE: n l2- DESCRIBE WORK /9'~~~ r~<lI"?'/-/-'r~~,YI~~~ ~~.::=:s9"~ NEW REMODEL ~ ADDITION DEMOLISH OTHER T J.:, ;"'RESIDENTlAL . PERMIT APPLICATION Inspections: 726.3769 Iffice: 726.3759 LOCATION OF PROPOSED WORK: / CoD 2. ASSESSORS MAP' LOT: . SPRINGFIELD I ,I. .. ~'/.::::>~ , . . n<:; ;;L~ JOB NUMBER 225 Flllh Street Springfield, Oregon 97477 CN~ /' TAX LOT: SUBDIVISION' 6-D2..e:, / BLOCK' PHONE:..:l..Y 1- DIrLJ.5 ZIP: "71l.J-"') 'i' CONTRACTOR'S NAME GENERAl' O/L.!..,nk PLUMBING: MECHANICAL: ELECTRICAL: f rl'Q 1ft J i;>-y, ........ . - - ADDRESS CONST, CONTFjACTOR . EXPIRES PHONE QUAD AREA: .-51<5 C- . OF BLDGS: OCCY GROUP' . OF STORIES: _. WATER HEATER: - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' FLOOD PLAIN: ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection, you musl call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the sanlc working day. Inspections requested aftor 7:00 a.m. will be made tho following work day. o Tomporary Eloctrlc D Silo Inspection - To be mado after excavallon, but prior to setting forms. o Underslab Plumbing/ Electrica" Mechanical - Prior to cover. D Fooling - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - Afler forms are erected but prIor to concrete placemont. o Underground Plumbing - Prior to fllllnQ trench, o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Bea~ - Prior to tloor Insulation or deckIng. . D Floor Insulation - Prior to decking. . D Sanitary Sower - Prior 10 filling trench. o Storm Sewer - Prior 10 filling trench. o Water Line - Prior 10 filling trench. D Rough Plumblng- - Prior 10 cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Eloclrl.cal - Prior to cover. . o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. o Fram.lng - Prior to cover. .0 Wail/Ceiling Insulation - Prior to cover. . o Drywall - Prior to laplng, o Wood Stovo - Aller Installation. o Insert - After fireplace approv41 and Installation of unit. o Curbcut & Approach - After forms are erected bUI prior to placemont of concrele. D Sidewalk & Driveway - Afler excavation Is compietc, forms and sub.base material In place. o Fence - When com~leted. D Street Trees ~ When all required trees are planted. . CKJ Final Plumbing - When all plumbing werll Is complete, rJ7l Final Electrical - When all lAJ electrical work Is complete. rY'I Final Mechanical - When all ~ mechanical work Is complete. I.Df Final Building - When all ~ required Inspections have been approved and building Is completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Set,Up - When all blocking Is complete. D Plumbing Connoctlons - When homc has been connected to water and sewer. o Electrical Connoclion - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - Aller all required Inspections are approved and . porches, skIrting, decks, and venting hove been Installed. ,; . Lot TYPO. Setbacks Interior I PL. HSE GAR ACC I IN I Corner Is I Panhandle Iw I Cul.de.sac IE .. I LOI faces Lot sq. ltg, Lot coverage Topography Total height BUILDING PERMIT ITEM SO. FT. X $/SO. FT. ~ VALUE Main Garage " Carport Total Value Building Permit Fee ~# /?- - Slale Surcharge p; -:?t- Tolal Foe (A) -L'6-2~ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) I PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit #/#, /5'.- ;{ './:>" State Surcharge ,y~ Total Charge (C) /.h_~ :2- MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit ~IY ~5',- /;. ..- t?- '.~ ::? t:; ..:2- Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits IE) TOTAL AMOUNT DUE (excluding olectrlcal) (A, B, C, 0, and E Combined) .5$~ ..n . '" \ .S THE PROPOSED WORK IN THE '. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this applicatlon must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: 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 thc City of Springfield. Including the Development Code, regulating the cOl)itructlon and use of buildIngs, and may be suspended or revoked at any time upon vIolation of any provisions of said ordinances. Plan Check Fee: Dato Paid: Receipt Numbcl:___ Received By: Plans ROvie-wcd-ij-y--'n------- Date Systoms Development Charge Is duo on all undevelopod properties within tho City limits which are being Improved. ADDITIONAL C'pMMS.t~TS ~E:;4?zr#93? '5/~ ~ d?~~~~17?=~ By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby certl(y 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 tho City of Sprlngfiold, and Ihe Laws of the Stato of Oregon pertaining to Iho wo,k described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certJry that only contractors and employees who are In compllanco wilh ORS 701.055 will be used on this prolect. I further agree to ensuro that all required lnspecUons 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 slte,at all~lm/ ~r1n~n~~~lion. Signature ~#t/ !!f!uf.lt. / . Date r, P'1'J ~ VALIDATION: !-.t:?~ (" DATE PAID .$ -:::?~. '9.$" AMOUNT RECEIVED _7-r: $~ ~- ('// -- RECEIPT NUMBER RECEIVED BY