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HomeMy WebLinkAboutPermit Building 1993-10-12 , ' RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: L701 ASSESSORS MAP: LOT: 7)BL, q~n~ ?)~ OWNER: ADDRESS: -----2.e;"'J/, ~!4C; rt'A?5 f CITY: DESCRIBE WORK: NEW REMODEL , ADDITION '.> SPRlNGFIELD BLOCK: ~ STATE: ~ -, ..... ~;+e:; e; A?.6k/A7/f DEMOLISH - OT..H E R ..., ....c JOB NUMBER 9_1/5~CL 225 Fifth Street Springfield, Oregon 97477 #4 I TAX LOT: ...J ,A,..r\? . ~J SUBDIVISION: PHONE: .3 7'2 -~7?3 ZIP: Y 74rJ / , CONTRACTOR'S NAME ADDRESS .. ~ GENERAL: -k.--! ~S Cv~-r(L.Jc...-rc o.J rvz,. CONST. CONTRACTOR II If- ?> '2-' , PHONE G~q, (,/77 PLUMBING: MECHANICAL: ELECTRICAL: QUAD AREA: II OF BLDGS: OCCY GROUP: II OF STORIES: WATER HEATER: - OFFICE USE ~ LAND USE: . " II OF UNITS: CONSTR, TYPE: HEAT SOURCE' RANG E: EXPIRES; IJ //~ /?'4. .If r I ' 1. FLOOD PLAIN: ZONING CODE: II 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, o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms, o Uriderslab Plumbing! Electrical! Mechanical - Prior to cover., o Footing - After trenches are excavated, o Masonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o UnderfJoor Plumbing! Mechanical - Prior to insulation or decking, o Post and Beam - Prior to floor insulation or decking, '_ ._---~.' '.. ~~ ~ ~ I ' o Floor Insulation - Prior to decki ng, o Sanitary Sewer ,- Prior to filling trench, o Storm Sewer - Prior to filling trench. o Water Line - Prior tofilling trench, I " ' o Rough Plumbing - Prior to cover, REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. '1S<l Rough Electrical - Prior to /' Gover, o Electrical Service - Must be approved to obtai n permanent electrical power, o FireplaCe - Prior to facing materials and framing Insp, ~Framing - Prior to cover, 'b.c::-1'~aII/Ceiling Insulation - ~er, ~YWall - Prior to taping, Prior to o Wood Stove - After installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete, o Sidewalk & Driveway - After excavation is complete, forms arid sub-base material in place, o Fence - When completed, o Street Trees - When all required trees are planted, o Final Plumbing - When all plumbing work is complete. 'C7f'Final Electrical - When all ~ectrical work is complete, o Final Mechanical - When all mechanical work is complete, I , , IXYinal Building - When all ~ J'e.quired inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o , ' Blocking and Set-Up - Wilen all blocl<ing is complete, o Plumbing Connections - When home has been connected to water and sewer, o Electrical Connection - When blocking, set-up, and plumbing inspections Ilave been approved and the home is connected to the service panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed, Topography Total height Panhandle I P.L, IN Is I'w, IE Setbacl<s HSE GAR Accl I ,I:::, .,-HEPROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON 'THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance, Lot faces Lot Type , \ Lot sq~ ftg. Interior Lot coverage Corner Cui-de-sac I APPROVED: ITEM BUILDING PERMIT SQ, FT. " ) X $/SQ, FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT " ... '... This permit is grant~d_on the express con,dition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield',-,including the De~elopnlenl CocJE~, regulating the cons"truction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, AlA / Plan Check Fee: Main Garage '- Carport Building Permit Fee -~.. }5~ ?r ,/~ 7.1S" I SYSTEMS DEVELOPMENT CHARGE (SDC) Date Paid: Total Value Receipt Number' Received By: State Surcharge " ' Total Fee (A) Plans Reviewed By Date (B) Systems Development Charge is due 'on all undeveloped properties within the City limits which are being improved, PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Residential Bath(s) NO ...c;' ALJAA?~ 'p/ r -r 4?",;;;.A.-. -' T .......-r..~-- lot "'"""""~ , -~' , / ,C:; ~~!:/~~ Fixtures Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan NO 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 ).hat NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify 1I1at only contractors and employees who are in compliance with ORS 701,055 will be used on this project.' Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit ' Issuance State Surcharge Total Permit (D) I further ag"ree 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 properly, and the approved set of plans will remain on the site a~" tim()u~~ ~ignature ~./ / MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft' Date Curbcut ft Demolition VALIDATION: State Su rcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) J <;.?S"' , RECEIPT NUMBER / L.? ~rD DATE PAID /~/~2-/J' 7 AMOUNT RECEIVED J 5, ;u- y4~ RECEIVED BY Total Miscellaneous Permits (E) r