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HomeMy WebLinkAboutPermit Building 1992-3-17 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' /7 ASSESSORS MAP' LOT . SPRINGFIELD (;,09 02> .-., Co lA.i A rJ J <(1..- 3 Ave- BLOCK: OWNER: idOLA I At:' t/ "- 'D 1 AtvE- _ \...,.,.., EO c:. L c) q '"{l..ovv ~..- ADDRESS' CITY' <::,,?(:<-p DESCRIBE WORK' NEW ;( 1/ CC-f'S C; o./''7 REMODEL ADDITION STAT'" 011-- . JOB NUMBER '9'::?c> :-=3 s/R 1:J LOG- DEMOLISH OTHER 225 Flflh Slreet Springlleld. Oregon 97477 TAX LOT 110') SUBDIVISION: PHONF' 7')."'. (, ($ 'l (. ZIP: '7711'77 CONTRACTOR'S NAME GENEFJAI" !Yl A~v PLUMBING: . CONST. ADDRESS CONTRACTOR # 6LovCiL ;}.(SO (=;2101"-'1(1-'1- &, 3.2:z..9' C:u 6--tr-~ ,. 711-J) EXPIRES 1-73 PHONE (3 y~- ;Z "?~) MECHANICAL' ELECTRICAl' OUAD AREA:\ \ RJ\ ']0 # 01' BLDGS: . \ OCCY GROUP: -- ~~ 1/ OF ~nOnIES: _____ __\ WATER HEATER: , ~ : '....., , 1....\.,. FLOOD PLAIN: ZONING CODE: -LD 9 ~ # OF BDRMS: SECONDARY HEAT: --t- ---- 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. D Temporary Electric o Sito Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. o Masonry - Steel location, bond bCLllllS, {Jrouting. k-~undalion - After forms arc J2L ~~t.!ctell lJul prior 10 concrete placement. D Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. ~POSI and Beam - Prior to floor ~ insulation or decking, o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior 10 filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover, - OFFICE fSE - LAND USE: J. \ \ \. # OF UNITS: ) CONSTR. TYPE:_V-f\. HEAT SOURCE: RANGF' REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. I o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and (ramlng Insp. ~ Framing - p:rior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Pr'iar to taping. D Wood Stove - After installation. o Insert - After tlrep/ace approval and Inslallalion of unit. o Curbcut & Approach - After torms are erected but prior to placement of concreto. , o Sidewalk & Driveway - After excavation Is. complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - Whe..n.all-req~ired trees are planted. .'. o Final Plumbing - When all plumbing work is complete. o Final Electrical - When all electrical work is complete. o Final Mechanical - When all mechanical worl< is complete. ~Final Building - When all ~equired inspections have been approved and building is completed. DO'her MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking Is complete. o Plumbing Connections"": When home has been connected to water and sewer. D Electrical Connection - When blocking, 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 ventlng have been Installed. J _32. ?o J.lP3 3-1. /3 SYSTEMS DEVELOPMENT CHARGE (SDC) (8) I/> 4-2 '.:! ~ Lot faces ':...... .... Lot Type. Interior Lot sq~ rtg: "" . ..- Lot coverage Corner Topography Panhandle Tolal height Cul.de.sac BUILDING PERMIT ITEM SO, FT. X $/SO. FT. Main Garage Carport k<: . /6t? Total Value Building Permit Fce Slate Surcharge TOIDI Fcc (A) PLUMBING PERMIT ITEM , Fixtures Residential Bath{s) NO Sanitary Sewer FT. Water FT. Slonn Sewer FT. Mobile Homo Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Ven t Fan NO Wood StovellnsertlFlreplace Unit. Dryer Vent Mcctlanical Permit Issuance Stale Surcllargc Total Permit (D) MISCELLANEOUS PERMITS Mobile I'/ollle Slate Issuance Stale Surcharge Sidewalk It Curbcut II Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. 8. C. D. and E Combined) Setb1cks I HSE GAR I ACC I I I I I I:L Is W E VALUE ""7~_CX> FEE ~0.3~ . THE PROPOSED 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, APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is urantcd on tllO express condiUon \11<1\ the said construction 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 provisions of said ordinances. Plan Check Fee: r:2./_ IS "3-~ ~ "2 Receipt Numucl ~~3,/ ReceiV~Y. /? ,.~~ ~'- ~d_ PIa cVlcwcd ~ Date Paid: _~p2 Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I stale and agree, that I have carefully examined the completed application and do hereby certify ttlal all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the OrdinancE;:s of tho City of Springfield, and the Laws of the Stale of Orogon pertaining to the work described herein, and 'that NO OCCUPANCY will be mado of any structure without .permission of the Building Safely Division. . I further certify Blat only contractors and employees who are in compliance with ORS 701.055 will be used on this projec 1. I further agree to cn~llre that all required inspections arc requested at tho proper time, that each address is readable from the street, that the permit card is located at tllC fronl of the propcrly, and tile approved sel of plan~; will H)flWill ::~~:;;:!)J~<lltn~OIl' Date (\' (? - 17~ "i 2... ~:~~~~4ttl; DATE PAID ,~~ . q~ - AMOUNT RECEI~' -n 0; nCf.... RECEIVED BY \_7')( ~