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HomeMy WebLinkAboutPermit Building 1993-3-15 RESIDENTIAL PERMIT APPLICATION Inspeclions: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORi<' q 0 I Pre s (0 rr- 17-0 ~- 3'f - /1- OOCo/ Z. OWNER: Of'n n; <; T 0 {"a",,,., e ADDRESS' 74~ T Shul Sf...,....~ 'I'e (J 5;;:' ~, I. ASSESSORS MAP' '*5 LOT' CITY' DESCRIBE WORK' NEW ><. REMODEL ADDITION BLOCK' t)owa.k STATE: f)r~"""" . 9502.3:,$ DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: U IJpe r /I i e vJ , , PHONE: -Z.I{~ -7'1 ~ / ZIP: q7477 CONTRACTOR'S NAME GENERA" (')1J.JYl f' r PLUMBING: ~e.4 5 CONST. ADDRESS CONTRACTOR' EXPIRES 5a-me as Q6~ OIILA'n'-"'Y1:J 5'1'1 W q(/1 Sf, 5,4'l", ~S i MECHANICAl' ELECTRICAl' (')UJYl~o(' \~\\Jll) - OFFICE USE - OUAD AREA: LAND USE: \ \ \ \ . OF BLDGS: II OF UNITS: \ OCCY GROUP: R-~M CONSTR. TYPE: ---J.L-..A/ . OF STORIES: :J HEAT SOURCE:_fl? WATER HEATER: E- RANGF' ~. PHONE FLOOD PLAIN' ZONING CODE:U \A! . OF BDRMS: -=-~ SECONDARY HEAT: SOUAREFOOTAGE~~~ To request 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 ntter 7:00 a.m. will be made the following work day. %Tcrnporary Electric l'v'f Sitc Inspection - To be made ~ after excavation, but prior to setting forms. So I L o Underslab Plumbing/Electrical' Mechanical - Prior to cover. "'fV7f Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. ~ Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~cover. .1":.:7f' Rough Electrical - PrIor to ~ cover. rV1 Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~Framing - Prior to cover. f"9r Wall/Ceiling Insulation - Prior to ~cover. ~ Drywall - Prior to taping. K71 UnderfloQ(1'lumbln9Je'lechanic~ ~ _ Prior to inSUlation or ut;:t,.1'.1 n{j. 0 Wood Stove - After installation. ~ Post and Beam - Prior to floor ~ Insulation or decking. ~ Floor Insulation - Prior to ~ decking. "f':I1' Sanitary Sewer - Prior to filling ~ trench. .kSl. Storm Sewer - Prior to filling trench. C8l Water Line - Prior to filling trench. I ~ Rough Plumbing - Prior to ~ cover. o Insert - After fireplace approval and installation of unit. f\:7f Curbcut & Approach - After ~ fOlnlS are erected lwl prior to ) placement of cencrete. 'ts:?r Sidewalk & Driveway - After ~excavatjon is complete, forms and sub.base material in place. D Fence - When completed. ~treet Trees - Whl;n all required ~trees arc planted. "1<i7T Final Plumbing - When all ~Iumblng work Is complet,e. "'K7'f Final Electrical - When all ..J6.J electrical work is complete. "'K71 Final Mechanical - When all .J6J. mechanical work Is complete. lv1' Final Building - When all ~equlred inspections have been approved and building Is completed. DO'her 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, set.up, and plumbing 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. ~ I Lot faces ..Y:L. Lot Type . Setbacks .'HE PROPOSED WORK IN THE Lot sq. flg. ~O ~terior I PL. HSE GAR ACC HISTORICAL DISTRICT, OR ON IN THE HISTORICAL REGISTER? Lot coverage 2/% Corner s-+ If yes, this application must be signed ~;V. Panhandle Is S and approved by the Historical Topography Iw 30 Coordinator prior to permit issuance. Total height Cul-de-sac IE ./J1.. tl~ APPROVED' BUILDING PERMIT ITEM sa. FT. X $/50. FT. ~ S"'6!-O /4/(7 VALUE /2/cP/'1 '/$ Main Z1~ 5'~ Garage Carport /2.t:ta;2- .5en~ 7-5.03 S2.- C:;. 5"3 SYSTEMS DEVELOPMENT CHARGE (SDC) 1h ..a ; ~ I'F" (B) ~'2-Z-7/- Total Value Building Permit Fee Slate Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' ~ Sani tary Sewer FT. Water FT. Storm Sewc:r FT. Mobile Home '619--, !?O PlumbIng Permit State Surcharge 1~3 2.rp t 3 Total Charge (e) MECHANICAL PERMIT / ~-o -L;:' . 4. '5'0 /2..00 Furnace Exhaust Hood Vent Fan N~) 4 Wood Stove/Insert/Fireplace Unit Dryer Vent ~.oo Mechanical Permit ?~.so /n.oo ~ J 2.8 3~?e Issuance State Surcharge Total PermIt (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk r-..+ fl Curbcut 3h fl ! q."O J :S".40 Demolition State Surcharge Total Miscellaneous Permits (E) 35.00 ~O'b.77 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, 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 Fce: Date Paid: 40-~9.3 Systems Development Charge is due on 'all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS \, sA--+ \ ~ GJf\\~\[\ . l'A 15\ ffiLri ~~ \ CJ (A'liJ - - 'l--'\ leh ~1. By signature, I state and aqree, 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 perronncd shall be done in accordancu with the Ordinances of the City of Springfield, and the Laws of the State of Oregon penalning to the work described herein, and tllat NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certi fy tllat only contractors and employees who are in compliance witll ORS 701.055 will be used on this project. I further agree to ensure that all rCQuired inspcctions 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. .:::><wnaturr" I Date VAll DATION: () CA\ ::> RECEIPT NUJ"4JlER, . I t'I-U ~ DATE PAiN' I G .q~ AMOUNT R~~ ('_~?"7-. 5. a z. RECEIVED ~\() _)