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HomeMy WebLinkAboutPermit Building 1995-7-25 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Oltice: 726,3759 . SPRINCFIELD &t(p LOCATION OF PROPOSED WORK: ASSESSORS MAP: /7 CJ S 2 ? LOT: --L.:J 03 2. J 'S'f(i:noo BLOCK: l4 51... R",~w 3+ {).(', ~ d . /VI 1\\ ./ OWN ER' ~ -e ( 1\ e. ADDRESS ~_._____.llf i~____I?::'\o~"':"W CITY: <:;;fr.hr-- Q'<.U ______ Or~__ STATE: <3'<2- . JOB NUMBER 95/2. 2. 7 225 Flllh Slreet Sprlnglleld, Oregon 97477 TAX LOT' SUBDIVISION: z...~ ;,2SZ. , C7l9 2. 0---..-; . PHONE: 741-fR')f, fVELJ ZIP: Q7'1771 ("~+ Ii 6e"......... <.I"'.d<w -e:-..s:..(<,,~ ~",-qL r ""J_-<.-t~.r OTHER DESCRIBE WORI,: NEW REMODEL _L ADDITION DEMOLISH CONST. CONTRACTOR' 40664 CONTRACTOR'S NAM^" \ I (I ItDDRESS/ GENERAL: _C..) ,\ \ <t.,,^-ILit::'''l<'\ \ ~y L<=>--<; +- PLUMBING: ---e- ..,.e- MECHANICAl' ELECTRICAL: -e- EX~RES PHONE If''2<-hb ;,I.{.J- )-Z,GG QUAD AREA: . OF BLDGS: OCCY GROUP: __ . OF STORIES: ___ WATER HEATER: _. - OFFICE USE - LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: RANGF.:__ FLOOD PLAIN: ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: ___ To request an Inspection, you muSI call 726,3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be malje the same working day, Inspoctions requested otter 7;00 a.m. will be ma~e tho rollowlng work day. D Tompornry Eloctrlc D Slto Inspection - To be mado after excavatlon, but prior to settIng forms. D Underslab Plumbing/Electrical I Mechanical - PrIor to cover. ~Footlng - After trenches are ~xcavated. D Masonry - Steel location, bond beams, grouting. D Foundation - Atter forms are erected but prior to concrete placemont. D Underground Pl~lrllbing - Prior to fllllnQ trench. D Underlloor Plumbing! Mechanical - Prior to Insulation or decking. D Post and Bca~ - Prior to floor Insulation or docl<lng. O Floor Insulation - Prior to decking. , D Sanltpry Sewer - Prior to filling trench. D Storm Sewer - Prior to lifllng trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electr~cal - Prior to cover. I D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and Iramlng Insp. ~Fram.lng - Prior to Cover. D Wail/Ceiling Insulallon - Prior to cover. D Drywall - Prior to taping. D Wood Stovo - After InstallatIon. D Insert - After fireplace approv~1 and Installation of unll. . D Curbcut & Approach - After forms are erected but prior to placemont of concrete. D Sidewalk & Driveway - Afler excavation Is compiete, forms and sub,base material In place. D Fence - When completed. D Slroel Troos - When all required trees are planted. D Final ptumblng - When all plumbing worl< Is complete. D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. 5<1 Final Building - When all ~requlred Inspections have been approved and building Is completed. D Othor MOBILE HOME INSPECTIONS D Blocking and Sel'Up - When all blocking Is complete. D Plumbing Connoctlons - When homo has been connected 10 water and sewer, D Electrical Connoction - 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. 1'.' Panhandle Setbacks PL, I HSE GAR N I I S I I I I Iw I I I I lLLLl-.J Accl I ~S THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, Ihls application must be signed and approved by Ihe Historical Coordinator prlor to permit Issuance, LOI faces LOI TYPO. Interior Lot sQ. fig. Lol coverage Topography Total height Corner Cul'de.sac APPROVED: . BUILDING PERMIT ITEM SO. FT.: c,~~ bJ /2./'t-r) PtJ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express cor1dllion Ihat tho said construction shull, in all respects, conform 10 1t1e Ordinance adopted by the City of Springfield, including ,the Development Code, regulating tho construction and use of buildings, and may be suspended or revol<cd at any time upon violation of any provisions of said ordinances. X $/SO. FT. = VALUE Main Garage Carport " Plan Check Fee: Total Value Dale Paid: ...__ "__'_n..._. _.___._.____._. Building Permil Fee Slale Surcharge / f'"J + . G. 2- Tolal Fee (A) :;2.D, :)-0 /.~r 2. 2/ r Recelpl Numbel:.___. ___. Received By: Plans Revlewed'"By".'---'--- Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developmenl Charge Is due on all undoveloped properties within 1110 City limits whicl, are baing improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Resldenllal Balh(s) N' Sanllary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge TOlal Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' By slgnalure, Istate and agree. Ihatl have carefully examined the completed application and do hereby eartHy that all Information hereon Is true and correct, and I further certify that any and all work performed shall be dona in accordance with the Ordlnancus of Ihe Clly 01 Springfield, and Ihe Laws of the Stato of Oregon pertaIning 10 the work described herein, and thai NO OCCUPANCY will be mado 01 any structure without permission of the Building Safety Olvlslon. I further certify that only contractors and employees Who are In compliance with OAS 701.055 will bo used on this prolec!. Wood Stove/lnserllFlroplace Unit Dryer Vent Mechanical Permit Issuance Slate Surcharge (D) I furlher agrae to ensuro that all required Inspections are requested at the proper time, that oach address Is readable from the street, that Ihe permit card Is located at the fronl of the proparly, and Iho approved s~~~:'I~~~~ will ramaln X the slle al a limes durin c?~ Signature Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance Slale Surcharge Sidewalk fI Date 7/-u;6 ~ Curbcul It Demolition State Surcharge JJ~~/er..J VALIDATION: /~}3 /~-f?t?-, "7.h r/7...r ~ 5-~~ AMOUNT RECEIVED ____ ~ _1,,2l':z:t"'--"--'1. /,....,e...___.:__.__..__... . DATE PAID ___ RECEIPT NUMBER Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C, 0, and E Combined) _'3..S:~~ RECEIVED BY