Loading...
HomeMy WebLinkAboutPermit Building 1994-4-22 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: /),SSESSORSM'AP: /Z/ LGS II E- ADDRESS: .~ I 0 ~ ""BuN ~\E- CITY' S{JI?, /'JC.....'H S-ilj Pft- II U LOT: OWNER: H- DESCRIBE WORK: NEW ~ REMODEL 1 CONTRACTOR'S NAME GENERAL: SL ~r=-- PLUMBING: MECHANICAL: ELECTRICAL: SPRINGFIELD --llo/( 'P--, ') N I\.J , E- LA- ~ tf- JOB NUMBER ".7 7/ ~6'-::::> BLOCK' Bt2DW'~ LIT-tV ~ STATE: _/1fJll_ r~cPS'?~ ADDITION DEMOLISH OTHER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: ;y/?:~CE ~~ , PHONE: 7~b '"',<7ar ZIP' 9' '/v77 ADD'r,SS ~I uY; I16VNN\(~; ll\J CONST. CONTRACTOR # PHONE EXPIRES - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: # OF BLDGS: # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS: # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAG E: 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 after 7:00 a.m. will be made the following work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing! Electrical! Mechanical - Prior to cover. D Footing - After trenchEJs are excavated. D Masonry - Steel location, bond beams" grouting. 12I Foundation - After forms are , erected but, prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing! Mechanical - Prior to insulation or decking. D Post and Beam - Prior to floor insulation or decking. ....... D Floor Insulation - Prior to decki ng, D Sanitary Sewer - Prior to filling trench. , D Storm Sewer - Prior to filling trench. -..--,: \ '~~, \ ' ~~t" . ;-_.._ \ D Water Line :- ~rior to filling trench. .' , D Rough Plumbing - Prior to cover. . REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Framing, - Prior to cover. D Wall!Ceiling Insulation - Prior to cover. . D Drywall - Prior to taping. o Wood Stove - After i~stallatlon. D Insert - After fireplace approval " and Installation of unit. o Curbcut & ,Approach - After ',' forms are erected but prior to' placement of concrete. D S'ideJ.,alk & Driveway - After , excavation is complete, forms , and sub-base material in place. D Fence ~ When completed. ' o Street Trees - When 'ann3qLiired trees are planted.' , D Final Plumbing - When all plumbing work is complete. D Final Electrical -When all electrical work Is complete. D Final Mechanical - When all mechanical work is complete. D Final Building - When all required inspections have been approved and building is completed. D Other ?l- 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 Elect~ical ConnectIon - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servlce,panel. o Final - After all required inspections: areapprovEJd and " porches, skirtin'g, decks, and venting have been installed. i i Lot coverage -Lot Type Setbacks Interior I P.L. HSE GAR Accl Corner N I Panhandle S I Iw Cul-de-sac IE \.. (HE 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. Lot faces -'. Lot sq: ftg. Topography Total height APPROVED: aUllDING PERMIT, ; ITEM sa. FT. x $1 sa. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main 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. ~?S- Plan Check Fee: Garage Carport Building Permit Fee ft~~ 1.:..4): ~ .?~ -p5~ SYSTEMS DEVELOPMENT CHARGE (SDC) Date Paid: Total Value Receipt Number' Received By: State Surcharge Total Fee (A) Plans Reviewed By Date (B) , Systems Development Charge is dUEl on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Sanitary Sewer ' FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan NO 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. Exhaust Hood Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) 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 sit: a~dUring construction. ,/,./' .- -,- /. //-...~ SlgnaturEJ-'" ~ Date f~2-h~ '/ / I MI$CELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge VALIDATION: 1~9"~ c/~::?--99"" AMOUNT RECEIVED'25:'!!!5>c::> /7~,., '-'f .. DATE PAID RECEIPT NUMBER Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 2~SZ:> RECEIVED BY