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HomeMy WebLinkAboutPermit Building 1999-6-28 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 / . LOCATION OF PROPO~D ~~~'4 I )( ASSESSORS MAP' / 6 '( )l'LOT' BLOCK: ,"7U~W; A~ ~2.. Y ~v'e...rf e-J '"'KIwI Snr~<-f -h~/d I 1~~~ REMODEL ADDITION DEMOLISH I OWNER: ADORES'" CITY: , DESCRIBE WORK' NEW ~ STATr::' ,I) /c..... . JOB NUMBER 7f tJf{6 f I 225 Filth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION' ()fC.OD PHON'" 726 .jZ3JW) 9&g-..9'oU ~~ ZIP' 97~ 77 -.?l? f7z.. Z,<~,-;L.hhJ OTHER EXPIRES ':':' PHONE Sbz/t/J1. I / tit) 'J --><J ~7 I.x9-7YzJ - 9/1/~o ?W-",~ QUAD AREA: "n""'ii"nlf'l1::. . LAND USE: , U~~. 1=\1=THEWORK . OF BLDGS: .......,c::P1=RMITSHAlLEXel~l= ul'olif>>'- .,.' IZEDUNDER1l:IISPERMIII::iI\lV' OCCY GROUp:--.AIITHOR CORD~ . OF STORIES: COMMENCEDORISAB~AT SOURCE: ANY 180 DAY PI::RIOD. WATER HEATER: RANG'" - OFFICE USE - ATTENTION:Oregonlaw reqUires YOU.~L, . 'I 'Jle< ado"'L<DO,lil'llill:AiNreaon Ulllily 'Vlvnl .:) po--. . Nol'lf',cation Cenl"" Tho"e rules a..e set fortn ZONING CODE:, ~,~_~ ~n< in OAR 952-001-0U1IJ tnrOuYlI Un, 'w_ - - ' uJ90. You may OO(gfflBDf.lM"....t the rules by I. h enlMINnlA" The telephone calmQ I e c .. :>ECON'DAR'I: HEAT:f~ numberfortheOregon Ullllry ow," 'vw,""" Center i!3~uABE?l:'06T')(6'E, , CONST CONTRACTOR'S NAME " ADDRESS r~ CONTRA9:0R . GENERAL: ,\f~~ AJO,rs ' ~..s O-br./e......,.;) , PLUMBING' A ~ c.. DIlAt/l) .E~ ~ o".e J, g J/(/) ~ / rfe1,~~. rl-{S .a,~ t?~ 6z.';3(,(a~) ELECTRICAl' C ~ S ~d tJlZ. .36>4 CJ(cc.lJ) 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. D Temporary Electric D Site Inspection - To be made after excavation, but prior to 'settlng forms. o Underslab PlumblngtElecTrlcall Mechanical - Prior to cover. D Footing - Alter trenches are excavated. D Masonry - Steel location, bond beams, grouting. ~P'.w"c1.Uon - Aft.' fgrma ar. ~e'eClted but .,'10' to concrete pfacement. o UndorgfOUnd Plumbing - Prior to IIfllng trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. , . "~ . ~\. o Floor Insulation - ~rlor to decking. D Sanitary Sewer - Prior to filling trench. D Storm Sower ~ Prior to filling trench. D Water Line - Prior to IIfllng trench. D Rough Plumbing - Prior. to cover. REQUIRED INSPECTIONS D Rough Mechanical -~rlor to cover. . M Rough Electrical - PrIor to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing, materials and framing Inap. o Framing - Prior \0 oover, , D WalllCelllng Insulation - Prior to cover. o Drywall - Prior to taping. D Wood Stovo - After l~stal~atlOn. D Insert - After fireplace approval and Installation of unit, D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Drlvew3V - Alter excavation Is complete, forms and sub.base material In place. D Fence - V~hen cor.,pleted. D Street Troes - When all required trees are planted. D Final Plumbing - When all plumbing wor!< Is complet.e. I5<:f Final Eloctrlcal - When .all , ...lectrlcal work Is complete. D Final Mechanical - When all mechanical work Is complete. 'K71' Final Building - When all ~ required Inspections have been approved and buildIng Is completed. o Other 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. D Electrical Conneclion - When blocking, set-up. and plumbing Inspections have been approved and the home Is connected to the service panel. . D Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. r l Lot sq, flg. Interior ,', '" '.. 'ii""{"I'~'~" ~, , t '1~' , "_t'\., '1,".1i- 'ft;j1ll.! ,., . ,,~. \ "". ' . . ,!:\ ,;":.1:1';."", .... Setba'cks . I' p.L. 'HSE' GAR' ACe" IN Topography Total height ,. Panhandle . S 'IS THE PROPOSED WORK iN THE. ".HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical Coordinator priOr to permit Issuance. Lot faces L~t ~ype. . Lot coverage Corner Cul-de.sac _"Y.._ E APPROVED: BUILDING PERMIT "I ITEM SQ, FT, X $/SQ, FT, VALUE BUILDING VAL~E, PLAN CHECK AND BUILDING PERMIT 11 '~ Building Permit Fee State Surcharge 4?3 -I- ;z. 12. f1:J6 . 7~ --.fr, _ ~s ~.'5" ThIs permit Is granted on the express condition that the said construction shall. In all respects. conform to the OrdlncYnce adopted by the City of Sprlngfl~ld. Including trle Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. ~ .J.., ?, 1 Plan Check Fee' . ~ c, /1.<1/17 Receipt Number: tfl'345 '1 r /J $W~ Date Paid: Main Garage '. P::t t/ti. ()()O Total Value Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Total Charge (C) :')'~~ l=:'U:rr ,~QM'/H/r'I,~ 1JEtP'/IA?bJ ~~ fJmJL ~"~&xr -.{A f I '\ ~//l 11~'f-T }.(,)4' - f!=~1 4-1~&t7Z /hRJ??/T ItS ,f~k~ Ij;~~ ""~;;:':'~7-- /'11)/4. ~~IJT)L. /'~L.lI'{lJdl"J)IJA J /l/MJ~ yt/4tfi ~1 A-T ~ i/TC ~1Ib-<A /IJo/I~' Residential Bath(s) N' Sanitary S~wer Water FT, FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge MECHANICAL PERMIT Furnace Vent Fan N' By signature. I state and agree. that I have carofully 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 perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the'Sulldlng Safety DIvision. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permll (D) I further agree to ensure that all required inspections are requested at the proper time, that each address Is readable from the street, th,at the permit card Is located at the front of the property, and the approved set of plans will remain In the W all tlr:e".,t)'lt c~str~tI~'~J 1'-'711Jrp ~-C/).::::/ ~/ ~J 6-~i- 99 , MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcu l It Demolition ., TOTAL AMOUNT DUE (excluding electrical) (A, B. C. D, and E Combined) ~.7'S VALIDATION: RECEIPT NUMBER O~ 'It:> 'I I DATE PAID (;1zf/rr" AMOUNT RECEIVED fSt. '1)" /7 RECEIVED BY "11::- t.),.,f/ State Surcharge Total Miscellaneous Permits (E)