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HomeMy WebLinkAboutPermit Building 1991-8-23 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT: ...l.7 BLOCK' --" 3 d.._ OWNER: r",I<<<-<- ADDRESS' ';'f'i~ M.... -f. f. u, r ~ CITY: ~ (.( ( e-/L <J ( 0.... r 1-.< t /0../ DESCRIBE WORK' NEW ><- REMODEL ADDITION CONTRACTOR'S NAME GENERAl' h..1..~ ~ 4,,_, J PLUMBING: (.. rl ^_ PI.. ..,1."... . MECHANICAl' /?ol ~1' flc4f';1' ELECTRICAL: flu (1- f r;'~_"- QUAD AREA: . \ \( \\11", ) \ OCCY GROUP: ~-'\-N\ \ 6/X' # OF BLDGS: # OF STORIES: WATER HEATER: .. . ~/C>"7'S1d F 3 '-I t:? t< f ..r{-"'<-L JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION:R&..,Ih..... e.rf.t;. f)..,JJlcIc!) PHONF' ~r 3/7 G. p- ZIP' 1'7'/0/ STAT'" O~c.../ <..J S ...~/(. h... f) Po. / ....,<-<' DEMOLISH OTHER CONST. ADDRESS CONTRACTOR # EXPIRES PHONE .:J ff.L 111.. {.I,. I 02 '<.J '?14 'Iff {. I '1~ 4UJ171o J(,,,,-IwJ.~~ e-'r .;)a /1 ..; It>/r~ (j,j J/N~ J 3 no e.,f Nfl. JO:lYO .2/<; L 7 '11-000 L ]~ 10J, VII S,{..I(J ~ 0 -17' '- "3 J 9L. 7Y'.l~Io? 'L - OFFICE USE - LAND USE: \ \ \ \ # OF UNITS: \ CONSTR. TYPE: if }J HEAT SOURCE: 6~.~4, RANGE: FLOOD PLAIN' ZONING CODE: ill Y2--' 4- # OF BDRMS' SECONDARY HEAT' SQUARE FOOTAGE: ---2.P->e..'1 To r9quest 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. [It] Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Electricall Mechanical - Prior to cover. lZl Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting, r71 Foundation - After forms are ~ erected but prior to concrete placement. []I Underground Plumbing - Prior to filling trench. r7l Underlloor Plumbing/Mechanical LAJ _ Prior to Insulation or decking. r:l Post and Beam - Prior to floor L.:;A-J Insulation or decking. ~ Floor Insulation - Prior to decking. I')l Sanitary Sewer - Prior to tilling ~ trench. !:":l Storm Sewer - Prior to filling 7fJ trench. r7I Water Une - Prior to filling L.....!\-J trench. rn Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to L...,.L1J cover. [2!] Rough Electrical - Prior to cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. [Z] Fireplace - Prior to facing materials and framing Insp. [1J Framing - Prior to cover. r-v1 Wall/Ceiling Insulation - Prior to L..".tU cover. ~ Drywall - Prior to taping. [X] Wood Stove - After Installation. o Insert - After flreplace approval and Installation of unit. . [K] Curbcut & Approach - After forms are erected but prior to placement of concrete. [Xl Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. [Z] Fence....; When completed. [Z] Street Trees - When all required trees are planted. . . [X] Final Plumbing - When all plumbing work Is complete. [2J Final Electrical - When all electrical work is complete. r7l Final Mechanical - When all L.,..6.J mechanical work Is complete. Cil Final Building - When all required Inspections have been approved and building is completed. [Z] Other W~t.v" p~V/'/c!= MOBILE HOME INSPECTIONS D 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, set-up, and plumbing ;iospections have been approved and the home is connected to the service panel. D Final - After all required Inspections are approved and - porches, skirting, decks, and venting have been Installed. Lot faces 2- Lot Type. Setbacks ., THE PROPOSED WORK IN THE Lot sq. Itg. interior I PL. HSE GARIACCI HISTORICAL DISTRICT. OR ON IN ;;;y~ ' I I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Topography d-~ Panhandle Is /8' I I and approved by the Historical ~ Iw I I Coordinator prior to permit issuance. Total height $!6'~ )L Cul.de.sac ::;t:J' IE ,Fo// , I I APPROVED: BUILDING PERMIT ITEM sa. n x $/SO. n VALUE 9'? ~Ff':> $. gy~. '?~ , Main 2L<?7 b~7 .~~ /<1' ./If? Garage Carport Total Val ue ~~,~U;O t./.';?C/. 0<0 Building Permit Fee -::::(. ::?O t/'7~ ::2~ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~ -z.o \ to 1<>.1 ~ State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' '2 Sanitary Sewer FT. Water FT. Storm Sewer FT. -lb/). e%? Mobile Home ~_o'O":CPd pee V/Ce /6,= /29, .-., .8 ,So /7€?So Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT h.Pe> ~.St!!> /2.. Or<:> /5;~ iG_e>'f::> -;z ,-'C> 4/5': 5'" ~ Ie.? -b -2 ..:?8 4"~. -;zg Fu mace Exhaust Hood Vent Fan NO <;I%9'~- 000d Sto~lnsertlFireplace Unit Dryer Vent i #J;[o#7?! V.<F'-?'T r:;~ /~r>/nz:::; Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /~:z. It 2-~~ Curbcut :::;".0 It /q.5"..::::> Demolitlor>- ?<44 jlb:~~4>~ qt:', a:> State Surcharge frH<:6 (1S)(jJ '> <:: =-D Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~7J?=?q'$' (A, B, C, D, and E Combined) 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:~4.f?'."">. SrE ~ gy"'J z;>~ - , ,....-; Date Paid: ~- Receipt Number. ~~.-_~. // Received By: Plans Reviewed By Date 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 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 at all times during construction. Signature R. ~ Date 4J 2t Y/7/fl VALIDATION: 0 RECEIPT NUMBEf /1 I C1l DATE PAIr> t 9\uq . t~~ l qq I AMOUNT RECEIV.:e..; A ~ ~ -, l 01 RECEIVED BY \. _ ~ (~ :;