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Home My WebLink AboutPermit Building 1999-5-11 LOCATION OF PROPOSED WORK' ASSESSORS MAP: _' -, b:>" ';>., Lf I::... . . -.. J..~ '~O , . ." .RESIDENTIAL 'PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' OWNER: (1 A-l L {",..: ./-h ADDRESS: 'c} ") d (Jr-., ((' 0 t+ CITY: c;pr: ^~ t--ve rJ_ DESCRIBE WORK: J.",sJ.-d..-J NEW REMODEL . . qcy 0 to '32., VIuAOA....-lJl o '1 30() JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 _ TAX LOT: SUBDIVISION' PHONE: t'-f( - J~ ZIP: q 7 <-r7 ..., , ''(In/ {. iI1-.f....G.a (.J.-!hC>.rA: Ml ~ r . ) ADDITION DEMOLISH OTHER (J-o v~ CONTRACTOR'S NAME GENERAL:_W\:',A '31~( PLUMBING' MECHANICAl' ELECTRICAl' QUAD AREA' . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER. BLOCK: STATF' (I).,r . ADDRESS U7 ~hl,_]r:') A ,I" CONST. CONTRACTOR' Olq"(~ <::'> PHONE ~4-1-m L REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o 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. o Framing - Prior to cover. o Wall/Celllng Insulation - Prior to ccver. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approv~1 and Installation of unit. o Curbcut & Approach - After forms are cmcted but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete. forms and sub.base material In place. o Fence - \lVhcn COiYlpleted. o Street Trees - When all required trees are planted. EXPIRES IO/-:ZIJ-!-C,(;\ ATT~...J' 'T' -- -.. T "JI'U1eo I"",;;" . . ~on 1,q\A,,.,o,r...:__ - OF~OIiI~ri;;;rc:~:t~dhbY the Ore9~-n'U~/;~ If! OAR 952 . I, ose rulf'l.l!~ LAND USE: 009(, -oOl-0DlO throu9~'O: ~fl3J~ArlQrth , You may Obt ' . i1952-001. . OF UNITS: C"lliog..''1- . am COPleIZONl.'rlIYr6H€ln". nu .. e ~", utlr, (Note' the "u y CONSTR. TYPE: mberlOrtheOregonui.,.fI ~al_s: Genter is 1-80 II Y WOllllcation HEAT SOURCE: 0-332'~NOARY HEAT: SQUARE FOOTAGE: To request an Inspecllon, 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. RANGF. o FInal Plumbing - When all plumbing w~"k Is complet.e, D Final Eloctrlcal - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. ~al BUilding - When all required Inspections have been approved and building Is completed. ~Other ~'5 5 .,;f2...;-,'" _ o Temporary Electric O Site Inspection - To be made after excavation, but prior to setting 'orms. o UndersJab PJumblng/ElectrlceJI Mechanlca,l - Prior to cover. o Footing - Alter trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms Bre erected but prior to concrete placement. o Underground Plumbing - Prior to 1II11ng trench. O Underlloor Plumblng/Mechanlcal - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. O Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. O Water Line - Prior to filling trench. O Rough Plumbing - Prior to cover. 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 - Alter all required Inspections are approved and porchos, skIrting, decks, and venting have been Installed. Lot faces Lot sq. ftg. Lot coverage Topography Total height BUILDING PERMIT 'I ITEM SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee , Lol ~yp. Interior Corner Panhandle 1" cul-de-sa~ .~ .~ X $/so. FT. ~ (A) .' i;.l' , '" . I " -I ~~,.: ~~": _\,;:' \: 1 . 1 .S THE PROPOSED WORK tN '~~.' -. HISTORICAL DISTRICT, OR ON . THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks . I PL. . HSE . GAR' Acc'l IN Is W E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary S~wer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge, Total Charge MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' FT. FT. FT. N' (C) Dryer Vent Wood Stove/Insert/Fireplace Unit Mechanical Pennlt Issuance State Surcharg~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition Slate Surcharge Total Miscellaneous Permlls (E) TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C, 0, and E Combined) FEE 4t-i!(; - -$<!O, - a~-I-,'t.S" ~(p .do APPROVED: . -,"'- -~ 't BUILDING VALl:JE, 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 Dovelopmenl Code, regulating the construction and use of Oulldlngs, and may be suspended or revoked at any time upon violatIon of any provisions of saId ordinances. Plan Check Fee: Date Paid: Receipt Number: Recei ved By: Plans Rovlewed By Date SysterT)S Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By slgnature,l state and agree, that I have carefully examined the completed application and do hereby certlly 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 tho work described herein. and Ihat 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 pormlt card Is localed at the front of the property, and the approved set or plans will remain . on the site at all times durlrg construction. ~Ignature ~~ rt---., Qate SIIl/ q ~ VALIDATION: RECEIPT NUMBER DATE PAIr> AMOUNT RECEIVED RECEIVED BY ~j ^,'t~ (;-1/-""1'7 Jr, .::tl" ~ '9(" uJ "339 '1 '7 " - ,- City of Springfield 225 Fifth Street Springfield, OR 97477 (503) 726-3753 Transaction numbe~ 033977 May 12, 1999 4,11 PM Received from, MIDGLEYS Contract/O~n , 1&78 M 7TH AU Add~ess: FOR 924 PRESCOTT City: EUGENE St: OR Zip, 97402 -Building- Job t: 990&33 Descript.ion Fee Mechanical Issuance Mechanical State S'Jrcharoge 3X Adl1dl"l Fee to.OO 15"00 .75 ..45 Total: Amt Received: Ched, *: 780& 2&.20 2&.20 Ched, Thank you, Maye M.