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HomeMy WebLinkAboutPermit Building 1994-10-24 MA~/ ~/p....) ~~ /tl?// PLL~A7t,/ (JiT ., c:5/~~ AJ/AJ:A'tp:;./~A STATE:' DESCRIBE WORK: c:;~ ~ NEW ........- REMODEL ADDITION RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK: XSSESSORS MAP: / "7 /') '3 LOT: I ~ PIIL.A- ,&- t..: OWNER: ADDRF'>C" CITY: . BLOCK' /0 . I - 31 ,...-w , DEMOLISH OTHER JOB NUMBER ~/Sz.'Z 225 Fifth Street Springfield, Oregon 97477 , TAX LOT: SUBDIVISION: t? 7. ., -~ /) N",,..ft,..4, S'!:: AolJ, PHONE: 74/ - ~'7'79 ZIP: '5'74? 7 CONTRACTOR'S NAME GENERA" e-d/.riJlC);~&7'_ PLUMBING' t CONST. CONTRACTOR # (ISD.~1 ADDRESS EXPIR~ f).t~,y~ i~~7 MECHANICAt. ELECTRICAL:/~"'L/.P'S C(--~7';- QUAD AREA:~Q\\ 1.,,-') - OFFICE USE - \\\.\ LAND USE' # OF BLDGS: \ # OF UNIT!>' OCCY GROUP: 'fi. CONSTR. TYPE: \J(\J # OF STORIES: HEAT SOURCE: WATER HEATER' RANGE: FLOOD PLAIN' , LDkL ZONING CODE: # OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: :-)~ ( fL To requesl an Inspection, you must call 726-3769. This Is s 24 hour rscordlng. All Inspections requested before 7:00 a.m. will be made ths asme working day, Inspections requested sfter 7:00 s.m, will be made the followlng.work day. REQUIRED INSPECTIONS []J Temporary Electric O Site Inapectlon - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Eleclrlcall Mechanical - PrIor to cover. r-;-] Footing - After trenches are L+J excavated. . . o Mesonry - Sleel location, bond beams, grouting. r\il Foundetlon - After forms are L.4J erected bul prior 10 concrele placement. o Underground Plumbing - Prior 10 filling trench. o Underlloor Plumbing/Mechanical - Prior 10 Insulation or decking. o Post and Beam - Prior to 1I00r Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. f\f1 Rough Mechanical -: Prlol, to ~ cover. ~I ~ RoughEleclrlcal ~ PrIor to L-PJ cover. ',.;', .. .. [1] Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. rn Framing - Prior to cover. i rn Wail/Ceiling InsJlatlon - Prior to ~ cover. ~ Drywall - Prior to taping. o Wood Slovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcul & Approach - After forms are erected but prior to placement of concrete. O Sidewalk & Driveway - After excavation Is com pIe to, forms and sub.base material In place. o Fence - When completed. o Street 'n'eos - When all required trees are planted.. . o 'Final Plumbing - When ell plumbing w9rk Is complel,e. PVl Fln"al :Eleclrlcal - \^./.hen all '-tJ e"lectr~~a! work Is complete. C . '.~;.f ,:!' ..". " r\tl Final' MocHnnlcal - When ari' ~ mechanics!" work Is complete. rxl Final Building - When all '\ required Inspections have been approved and building Is completad. OOthsr MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to ' water and sewer. o Electrical Connoctlon - When blocking, set.up. and plurTlblng 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 venting have been Installed. Lot faces Lot TY. _ Interior K Corner Lot sq. ftg. Lot coverage .,"J". ;\t~' .IS 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., Setb,cks ' HSE GAR I ACe' I I I I' I , P.L. IN Is .Iw\ IE Topography _ Panhandle '~otai h~lght -lL~:' .::) _ CUI.de.sac ,.,. , '( I 04' Yo-: BUILDING PERMIT ITEM SO. FT. X $/SO, FT. ~ Vf'LUE Main '., Galage >5~ Carport Total Val ue Building Perml t Fee State Surcharge Total Fee ",'O~* '?'"G (A) ,. ',~ " ':::;S9.i s; ~ ~VI S"-~O ~,Q.. ~t<a. SYSTEMS DEVELOPMENT CHARGE (SDC) Jb.... oi-I c;;~ T'!--' (B) ... 11..<;>- PLUMBING PERMIT tTEM Fixtures , Residential Bath(s) Sanllary Sewer N' 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 lssuahce State'Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE ~ fX rt l tl,c,. Sf> APPRov~n. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall, In all respects, conlorm 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 01 any provisions of said ordinances. 7] Plan Check Fee: 3(;:, . J,Q/#5'L Receipt Number- /J.7'~() A'/~ \ Date Paid: Received By: Pla1\!;e:ed By ~;,%t~9 Systems Development Charge Is due on all undeveloped properties within the ClIy limits wtjlch are being Improved. ADDITIONAL COMMENTS l\~bbt.\q .sJ.~~~ . . 1 ' ~l\. ~t>."f:! ""tt... 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 01 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 01 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 prope~ty, and the proved set f Ions will remain on the site at al'~rlng co . ~ Signature ~ I ".. ~ ~'r;j2: VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY _. /~2~ ? ~ /~-<2f./~v ~.~~~~.~ ~...R~/ . ~/ ~ V