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HomeMy WebLinkAboutPermit Building 1991-4-23 (2) :::yf~O:;~~DE~'::A/~~ITIONS , RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726,3759 ASSESSORS MAP: 1:2- f'.~3 7 ~ J'" q' .s; , ~ n+{~( , , LOT' OWNER' ADDRESS: CITY' . SPRINGFIELD -, ~ .JOB NUMBd~::'~ t.{)~eJ, ~. .. . 225 Fifth Street ". Sprlngfleld,Or.;g.on'97477 ;. .. t, TAX LOT: n~q (Y::) SUBDIVI~ION: a Pn.b - / d PHON~' ? '/7 ,? 7ttJ,Y BLOCK: ~~ - . / ()~ /lI - (C ' STATE: -I2t.-U ~ / ~,D, DEMOLISH OTHER ZIP' ~,.-:. . ,~.."rGdNST. CONTRACTOR'S NAME ADDRESS.,,, >, . 'CONTRACTOR # . "J '/l '; . f'''''' l.> \ GENE'RAI~\\' fA/1€-~', ",ljr9-rlY. C- :":j7_Q4/7 P~~~;~;: \" 5~' ~.""">,- "//"'7im';Hc'''''~('o(() fA ///U'Lti . . /; ?'tr/YrC ~, '. .- -&/1-,- If/' 24 1<.-6I0-};' ,~:,0;1~s \ MECHANICAl' . ELECTRICAL: QUAD AREA: p,p cz::.,O J - \ . t<~~ \ L # OF BLDGS' OCCY GROUP: # OF STORIES: WATER HEATER: -'OFFICE US\- LAND USF' \ ~ \. \ ,..,~ . . '1.,. , Vf\J' # OF UNITS' CONSTR. TYPE: HEAT SOURCE: ~ RANGE: ~ !XPIRES PHONE (Q. (o/Cf J 7 q7 ? 711l.( 'OM jaz.- . N.3IU3) 4 !~I ?t.(7SfTrL FLOOD PLAIN: ll)h :5 SECONDARY HEAT: ~.\J SQUARE FOOTAGE: It o~ ,.ZQ~ING CODE: # OF BDRMS' 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. 10 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 locatton, bond beams, grouting. ~Found-ation - After forms are ~ erected but prior to concrete placement. D Underground Plumbing - Prior. to filling trench, 1C71" Underflo~/Mechanicall ~ - Prior to InSUlation or decking. "C7f Post and Beam - Prior to floor ~Insulation or decking. I ~Floor'lnsulation - PrIor to ~ecklng, ~ Sanltary Sewer - Prior to filling ~trench. 'f;7l' Storm Sewer - Prior to filling ~trench. " . 1S7I' Water Line - Prior to filling ~ trench. , , , , ~ Rough Plumbing - PrIor to ~cover. . . REQUIRED INSPECTIONS ~ Rough Mechanical .!.;IPrIO[ to cover. , t..~~ ,~_ . . . ..: I", \ " ..~, ~ Rough Electrical - Prior to . ~ cover. ~ .... \ Electrical Service - Mus,t 'be approved to obtain permanent" electr!cal power. '"~""'. '. ;; ~~) ,.>-)\ o Fireplace - Prior to facing' " materials and framlng,~nsp. . ~ L.. ~ Final Plumbing - When all ~plumblng work Is complete, ~ Final Electrical - Whe(l all ~electrlcal work Is compfete. ~ Final Mechanical - When all ~mechanlcal work Is complete. \, ~ Final Building - When all ~ required InspectIons have been approved and building is completed. ~ Framing - Prior to cover. ......:i:'~~ .l..\'l...... , . .:D .Othe~ . ',-t._''''.;':~... .. '. .\ 'f;;7l' Wail/Ceiling Insulati,!n~- .P.,rl,or to ~cover. ," .) I L. Q , ~rYWall - Prior to tapl~g~ \ t,":., ':j\-:,. MOBILE HOME INSPECTIONS. :~-;:i Wooq_Stove - After Installation. .- "-,~ ' ;.!; o Insert - After fireplace approval and Installation of unit 1"21'Curbcut & Approach'-':'.After ~forms are erected but p'rio"r.to placement of concrete. ::: . 1. . .. ~ . .. .', TV1" Sidewalk & Driveway - After ~excavatJon Is complete, forms and sub-base material in place. . ,.~ .'~, '._.~...: ( o Fence - When com~l~ted.,t ~. . '....:.: ~." , ." ., \ io ~treet Trees - Wh'ea '~II req~lred' ' lJrees are planted. . -.,.. ,,:. \ o Blocking and Set,Up - When all '0- blocking Is complete. o Plumbing COnnec!Tons -:- When home has been cOl')nected to '\ . water and sewer.~'''''.':'. :' .' *' ..., o ectrical Connection - When bl eking, set-up, and plumbing . --.." In ectlons have been approved \ an the home is connected to ttle ervlc~~~?~el~. 't' "Jl;~', '~. o Final - After all required " . inspections are approved and porches, skirtIng, decks,-and venting have been Installed. BUILDING PERMIT SQ, FT, .~~ ITEM Main Garage Carp.ort Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM X $/so, FT. = VALUE 2fDJ. 4~A lip' \4:10 ~ (A) (B) Fixtures Residential Bath(s) N' .~ Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home SIl. \ <(A . ~'2-!O ;f-U1 ~ !!!! SYSTEMS DEVELOPMENT CHARGE (SDC) '1jJ~, ~h Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace I Exhaust Hood Vent Fan ~ (C) N' r 2- Wood Stove/ Insertl Fireplace Unit Dryer Vent Mechanical Permit IssuanCE: State Surcharge Total Permit /#/,0 (D) MISCELLANEOUS PERMITS Mobile Home State Issuance I State' Surcharge Sidewalk 1b9~ ft Curbcut' 2. "2- ft Demolition State Surcharge PiAvD' ~'1:; . , Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B, C. D, and E Combined) I further agree to ensure that all required inspections are requested at the proper time, that each address is rea<jable .~ . - . . ~, I: \,~fr~~.~~~t:C)treet. that the permit card Is located at the front ~. of tHe property. and the approved set of plans Will remain on the site at,al tlm~ construction, . Signature ___ ~.~y/ ,':' Date I<i:- FEE /~<<) . . ~, . , . " 1h~ /(,S,'" 4..GD ~ .(H:> ~.~O I~ t?O I /0.40 1.9.S ,:?"- ~S '.:~fef1-L-- \,~.~. . 19, 3.0 nJO ~bO '-'"= JJ2. ~ 0 ~(p.2.1 BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said constructi.on 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 prOViSjOnS.Of~aid rdlnances. . H Plan Check Fee:..;..wt!!~ _ .~# #~L.. / Dpe . . Date Paid: Receipt Number' " Systems pevelopment Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS .J..{) mo . AS ~mo ~C~\-k~ \rL..- . , By signature; I.state and agree. that I havecarefuily examined' r II the complet'ed '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 certi!y .that only contractors and employees who are In compliance with ORS 701,055 will be used on this project " " " " ."f' VALIDATION: \ q~~f} ,?.:~-ql RECEIPT NUMBE~ DATE PAIl' '1' AMOUNT RECEIVEI' \',...j~ , RECEIVED BY ~,ro. ' ,. , - , "