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Home My WebLink AboutPermit Building 1994-8-9 /\9 (! r;;~r}J Jk}) ~~fd ADDITION Y' DEMOLISH YOTHER RESIDENTIAL PERMIT APPLICATION Inspections: '726.3769 Office: 726.3759 . LOCATION OF PROPOSED WORK' /70 ~ ASSESSORS MAP' LOT' OWNER' ---=.G ~ k q I\J N1J (U ADDR~';";' 6'8, ~ I? .rw-dJ1 CITY: '?f')(\1"\ Cj ~:;,{ ~ DESCRIBE WORK: ~J:..".f/ /"1 V( v REMODEL )( NEW 0'2 '3 -<"4 - , BLOCt<. tfP 1/1J;)~ 1/11 STATF' ' 4v- . ~#CJ// JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: c9///0-=7 , SUBDIVISION' PHONE: 7Y~ ~ X'b J'j7 , ZIP: C? ') </7 (,i l:I Ci"'__u - /J)}<;'x/6 7;; OR CONST. CONTRACTOR' EXPIRES ('h-~hVUA" C-. ~t:?\P' ?-:7',j.99 d"'A:.J)",~ P-I - CONTRACTOR'S NAME ADDRESS GENERAl' ~'" "'v c6 U l!"W' (I , L( / () PLUMBING: 114 { mJ /.. <<-./) Pi;"/~ r.A.<.V .J- MECHANICAl' ELECTRICAL' ])iLiJ,o, ~/eclv" ~ ~ , QUAD AREA: ~~ Q '{\")Lt) . OF SLOGS' \ OCCY GROUP: ~ ~ .~ . OF STORIES: WATER HEATER: lu\S.~,~ 1./", ~ 'J - OFFICE U~E - LAN 0 USE: \ \ \ \ I CONSTR. TYPE: V ^) HEAT SOURCE: (leL) /b-.I RANGE:_?/P r. · OF UNITS' PHONE 79'I-Vay? ,Rfl!I/.,.JtJ;l ~ )>96'.1'91. L FLOOD PLAIN' ZONING CODE: ~ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request en 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 8.m. will be made the following work day. o Temporary Electric D Slto Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. rY1 Footing - After trenches are L..p.-J excavated. o Masonry - Steel location, bond ,beams, grouting. rtl Foundation - After forms are ~ erected but- prior to concrete placement. o Underground Plumbing - Prior to filling trench. rYl Underfloor PlumbIng/Mechanical '-f"" - Prior to Insulation or decking. rYl Post and 8eam - Prior to floor ~ Insulation or decking. f\7l Floor Insulation - Prior to 'I"' deckl ng. o Sanllary Sewer - Prior to filling trench. rYI Storm Sewer - PrIor to filling ~ trench. o Water Line - Prior to filling . trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS rvl Rough Mechanical ~ Prior to l-....p:J cover. r\1I Rough Electrical - Prior to L..(Y cover. o Electrlcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. rYl Wail/Ceiling Insulation - Prior to T cover. ~ Drywall - Prior to taping. cP Wood Stove - After I~starratlon. D Insert - After fireplace approval and Installation of unll. o Curbcut & Approach - After forms are erected but prior to placement of concrete. I o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. D Street Trees - When all required trees are planted. rYl Final Plumbing - When arr ~ plumbing wc;>rk Is complet.e. rv1 Final Electrical - When all T electrical work Is complete. N Final Mechanical - When all "mechanical work Is complete. ~ Final Building - When all required Inspections have been approved and building Is completed. o Other 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, o Electrical Connection - When blocking, sel-up, ana plumbing Inspections have been approved and the home is connected to the service panel. D Final - After all requlrea Inspections are approved and porches, skirting, decks, and venting have been Installed. 1 b ,Lot faces . Lot Type Lot sq. fig. Interior Lot coverage Corner Topography Total height Panhandle ~ Cul-de-sac .,. .... "".,.-,. -,':;, " ." ,< '1"'-1' r .~,.) " \,:- -.n.~,:J1 'f. "L::: ....~., ' '. ':'. ,:~"~:' , 'C'THEPROPOSED WORK IN THE_ . HISTORICAL DISTRICT, OR ON b V THE HISTORICAL REGISTER? fV< If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. ....... . " Setbacks. I'P.L. IN Is Iw IE HSE GAR ACe' I I I I I BUILDING PERMIT ITEM SO. FT. X $/SQ. FT. a VALUE "f-~ t'YP.12. ~'b. So \?. O~ "'l~ ~o.bA. "l,~,'l~- -~\;~ SYSTEMS DEVELOPMENT CHARGE (SDC) / J6lL Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM Fixtures ~ Residential Bath(s) N' Sanitary Sewer FT, Water FT. Storm Sewer FT. Mobile Home Plumbing Permit - State Surcharge '3~~~ (C) Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit ~ '"6'k.\~ (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk It Curbcut ~ ""3 It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) " FEE "3 <:l,/OU. '30..~ l.~ ,,<.1 "':).'}f"- 'i,~ 3..~ \S.~ ~~:~ \().~ ~ \. ..... '2... '3J. , I? rS- r.t ~,U\o - ~6./,:!;/ APPROVED' 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 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: /'-::'9.:S 3 Date Paid: -*. 9/<?( Receipt Number' / ~q ? / ./~ ]elVed By: ~ Plan Reviewed By eJo,/<;t..( Tbate . , Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS 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 that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I furlher certify that only contractors and employees who are 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 all times during construction. Signature r: I A J J (]1Wv J( Date. "]/ I Q-' tN VALIDATION: RECEIPT NUMBER 1l.j"2.~ S DATE PAIr> ~ -<? -"'7 r AMOUNT RECEIVEn . -~:;;'~t:S/ RECEIVED BY _ _a ~ ,," .,.