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HomeMy WebLinkAboutPermit Building 1994-3-14 " I "RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726,3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LOT: OWNER' ADDRESS' CITY: DESCRIBE WORK' Grid i-hcJ'rI NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAL: _()u.rv::,.Oy (), 1 fyJ,v MECHANICAl' O\Ar-.--~ ELECTRICA" () A^^- o~ PLUMBING' QUAD ARE~Q rDLJ ~.~ OCCY GROUP: I' - ) . OF BLDGS' . OF STORIES: WATER HEATER: . SPRINGFIELD ~t@ CjCI () 0 LA 2v-.." pj-J , 1'1 0 ~ :J In LJ-:> . JOB NUMBER C1 Lf OJ. ) l./ ,- 225 Fifth Street Springfield, Oregon 97477 TAX LOT: 0 b /~ BLOCK' SUBDIVISION: REQUIRED INSPECTIONS II7l Rough Mechanical "- Prior to L.AJ cover. IZI Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o FIreplace - Prior to facing materials and framing Insp. lZJ Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. [KI Drywall - Prlo( to taping, o Wood ~tove - After J~stallation. 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 and sub-base material In prace. o Fence - When completed. o Street Trees -. When all required trees are planted. .. .' PHONE: /LfJ' 9c.. Lf P ~M~Q, ~JliJ./ C)q [) () I LA";' rAjJ:::., ~,,^~~Li~ I ~J STATE: nP. ZIP:_Q;'-flJ ~Ct..t{... vOrJV\"'\ ,I t(IO'{~~ ) "- OTHER EXPIRES PHONE DEMOLISH ADDRESS CONST, CONTRAGfOR . FLOOD PLAIN' ZONING CODE: [I VL/ - OFFICE U1E - LAND USE:-11/ . OF UNITS' I CONSTR, T.YPE: -.lL1\) HEAT SOURCE: ,h/ Pc-7": ~(,~ , RANGE: . OF BDRMS' SECONDARY HEAT: ,-,,\ SQUARE FOOTAGE: r-:;:qU TO request an Inspection, you must call 726-3769. This Is a 24 hour recording. AI/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 Underslab Plumbing/Electrical/ Mechanical - Prior to cover. [Z] Footing - After trenches are excavated. o Masonry - Steel location, bond beams, groutl ng. m Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. [ZJ Underfloor Plumbing/Mechanical - Prior to Insulation or decking. (Z] Post and Beam - Prior to floor Insulation or decking. ~ Floor Insulation - Prior to decking. o Sanitary Sewer - Prlor to filtlng trench. D Storm Sewer - PrIor to filling trench. . o Water Line - Prior to filling trench. IZJ Rough Plumbing - Prior to cover. CKl Final Plumbing - When all ~um~ngwo~lscom~M~ IKl Final Electrical - When all electrical work Is complete. IZI Final Mechanical - When all mechanical work Is complete. fA7l Final Building - When all Jt\--J 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 wafer and sewer. o Electrical Connection - When blocking, set.up, and piumblng Inspectlons have been approved and the home is connected to the service panel. o Final - After all required Inspectlons are approved and porches, skirting, decks, and ventlng have been Installed. /L:J<./ s~- ~ :0; 3' }09 . Z3 SYSTEMS DEVELOPMENT CHARqJ: (SDCJ-1$ (B) fP7(P(P~ Lot faces Lot Ty pe ~ Interior Lot sq. ftg. Lot coverage Corner Topography / Total height ~') Panhandle Cul.de.sac / BUILDING PERMIT ITEM SO. FT. X $/SO. FT. _I D 1<d.L{~d.'10 <,~:;() MaIn Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM Fixtures ~ Residential Bath(s) N' SanItary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' / Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit ~//V. Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) . Setbacks I P.L. HSE GAR IN Is Iw IE Sl' VALUE J~Lf8g FEE 6'"~ ,pI> 6,,0. .-. 2~5.o 52,50 (,5:- /t:7. - , '/:7 '25775"" J~'?l ..,"" icJ/. .J~ 5' 5"r.B2. ACC I I I I I (_~HE 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 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: IS (" 7 .C) ::2., d..~ Receipt Number: U'7 ':>..,'1 Recel;g;~ed. : 10~ /~~"'~~'V7 .P1a..,.r,; eVlewed B1 " Systems Development Charge Is due on all undeveloped properties withIn the City limits whIch are being improved. Date Paid: ?-/o/-"7'Y Date ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certl fy 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 further 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 ~t( all ~~es durlng!O~struct~?n. SlgnatureY '--!f-t771 ~~ Datp ~lt0J. /~; /C/t?cj VALIDATION: RECEIPT NUMBER I ICl ':) ') 3) Iy I "iL./ -:5~9. 97 f:)A DATE PAID AMOUNT RECElv"n RECEIVED BY