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HomeMy WebLinkAboutPermit Building 1995-6-21 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 o trice: 726.3759 . ~ . JOB NUMBER ~~."?:?~ 225 Fifth Street Springfield, Oregon 97477 LOCATION OF 'PROPOSED WORK' '1'/3 /~~I--r~Js...-- (~V::?:> ASSESSORS MAP: 1?-o?-7Y-/'/ . TAX LOT:~~"';>~ OWNER' T~~~ ~Hs(E:S- ADDR~""" (/41? 19/~I//~ &:.V.D ..-5Z>r:>Lb. . ' STAT~' ~ . ~ I' '/ DESCRIBE WORK: ft~'/""'/~c.rc:.7'-~~~'~r- ~ NEW REMODEL ADDITION DEMOLISH OTHER LOT: CITY: CONTRACTOR'S NAME GENERAl' ~WA-~. =:'_ .' ; PLUMBING' MECHANICA" ELECTRICAL: BLOCK' SUBDIVISION: PHONE: 726-"5'~<9 ~#/'7-r/'?.:i> ~ <<9 :::>q:, ""::> ZIP: 5:~ ~.< ADDRESS CON ST. CONTRACTOR' , , - OFFICE USE - LAND USE: ,,\ \ . OF UNITS: CONSTR. TYPE: HEAT SOURCE: Vf\J EXPIRES PHONE /' QUAD AREA: \~'L...) " . OF BLDGS: ,4 ~ OCCY GROUP' lv\' . OF STORIES: WATER HEATER' RANGE: _ FLOOD PLAIN' ZONING CODE:~ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: A2.1o /"" 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 excavallon, but prior to setting forms. o Underslab Plumblng/Electricall Mechanical - Prior to cover. m Footing - Atter trenches are t..tp::.J excavated. D Masonry - Steel location, bond beams, grouting. rY=l Foundation - After forms are ~ erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o UnderUoor Plumbing/Mechanical - PrIor to insulation or decking. D Post and Bea~ - Prior to troor Insulation or deckIng. D Floor Insulation - Prior to decking. O Sanitary Sewor - Prior to tilling trench. ~ o Storm Sewer - PrIor to filling trench. Water Une - PrIor to filling trench. D Rough Plumbi~g - Prl'!f.to cover. . . REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Eleclrlcal - Prior to cover. . o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - PrIor to facing materials and framing Insp. ~ Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. D Wood Slovo - After Installatl::,n. D Insert - After fIreplace approv~1 and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placemont of concrete. D Sidewalk & Driveway - After excavation is compiete, forms and sub-base material in place. D Fence - When completed. D Street Trees - When all r~qulred trees are planted. ~. ~ D Final Plumbing - When all plumbing work is complet,e. Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanical work Is complete. m Final Building - When all ~ required inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blooklng, set.up. and plumbing Inspections have 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. -'_-&.l~ -- 'b!l.~ _S.ot -~ ~1,~ SYSTEMS DEVELOPMENT CHARGE (SDC~ ~ ~?::: BUILDING PERMIT ITEM SQ, FT., X $/SQ, FT. Main Garage Carport t./2~ :$.A? ~ 7~ ,$?X/iP,.;'~ Total Value Building Permit Fee State Surcharge 'J..\3~\.8~ Tolal Fee (A) .....,. PLUMBING PERMIT .ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT, Water FT, '" Storm Sewer ~ 5'0 r ~ Mobile Home Plumbing Permit State Surcharge /.2..'- -r, 7-' Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unll Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C, D, and E Combined) VALUE " _' 1...\, 362_ /~~9 FEE ::zs.~ 2~ -2;?,PtO 95 c-; 9~.s.1. --- -- 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 the City of Springfield, including the Development Code, regulating the cOl')struction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, Plan Check Fee: ~.77 ~ ~-:<f-~5 Date Paid: Receipt Number:-!f4"'B/, Received By: ::.;~ ~~ / Piahs..E,eviewed By rJ..o.\I~~ , D~e Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS \\~~ ~ ~~~~"d. ,\i fh '~_ 1\ ...., ~'_LA] ,~~ ~ =-ovv.o < .~ ~ 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 arc 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 II es during constructi~ /J Slgnatur aJ< p, ~7L;, Date I - ?J.qS '. VALIDATION: RECEIPT NUMBER 0 ( r]q(j{1 DATE PAID Lt {~ ( (Oft-{ AMOUNT RECEIV~rlJ :~.'ll.{~ SI RECEIVED BY ~JAJ..h