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HomeMy WebLinkAboutPermit Building 1993-7-14 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' LOT 2.~ , SPRINGFIELD ~I@ 2~'7 B~~>>6 BLOCK: OWNER: ~. M.,en:5 ADDRESS: ~4 ~.,<)5' . ~~tt:~ k?~ ~ /~L,:"~.n'f"/bU7 ,.It a (STATE: CITY: 6JAJ J,.r=. HJZj -' D ESC RIB E wo R K: , I i7 J&(A.2jj;f!IU_Lt:LLJ NEW ~EMO~EL ADDITION CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ~A~ ~ - -.......:... ELECTRICAl' , QUAD AREA: 1/ OF BLDGS' OCCY GROUP: 1/ OF STORIES' WATER HEATER: frhe. DEMOLISH OTHER f. JOB NUMBER 93/lm7 225 Fifth Street Springfield, Oregon 97477 L,u, TAX LOT: SUBDIVISION: ~~0 ,~ PHONF' ZIP: /7~~' '. -)...... ". ADDRESS CON ST. CONTRACTOR 1/ EXPI RES PHONE ,REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough ,Electrical cover. Prior to - OFFICE USE - LAND USE: 1/ OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: FLOOD PLAIN: ZONING CODE: 1/ OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must ca'II 726-3769.,.This is a 24 hour recording. All inspections requested befqre 7:00 a.m. will be made the same worki,ng day, inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. ' , Underslab Plumbing/ Electrical/ Mechanical- Prior ,to cover. 1'21' Footing -Aft~r trenches are. ~ated, o o Masonry - ,Steel location, bond beams, grouting. : I '>c:LFoundation -, Alter forms are ~~d but prior to concrete' placement. , 0 Underground Plumbing - Prior' to filling trench, D 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/Ceiling Insulation - Prior to cover, o Drywall - Prior to taping. t'2l' Underflochlumbin eChanic~ ' ,~ Prior t~n:;uldll 11 UI l.lL:t..","g: D ,Wood Stove - After installation. '~2'f Post and Beam - Prior to lioor ~.J12Iion<;>l..decking. , -. ........ - ',' , 0 Floor Insulation_ - Prior to ,decking. . , " ,D Sanitary Sewer - Prior to filling trench, o Storm Sewer '- Prior to filling trench, ..~- '~<' ,~..' ., o Water Line - f;(io! 'to, fllli,ri'Q' : trench. ... , - \ . .~. ., ~.~~-... , ' Rough Plumbln.9rT-!::'rior to cover. , - o [J lnsert - After fireplace approval and installation of unit. ~. .~ o Curbcut & Approach - Alter l(i:'rns are erected but prior to p! ac 8 ,'11 en t of concrete. / D Sidewalk & Driveway - After excavation is complete, forms and sub-base materia! in place. D Fence ~ When compr'lted. o Street Trees -'When a:l:required trnes are planted., ~.,..' . o Final Plum~ing - When all plumbing work is complete. o Final Electrical - When all electrical work is cOll'!plete. o Final Mechanical - When all mechanical work is complete. o Final Building - When' all 'required inspections have been approved and building is completed. D Other 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, D Electrical Connection - When blocking, set.up, and plumbing inspections 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 " Lot sq. Itg. Lot coverage Topography Total height BUILDING PERMIT ITEM SO. FT. Main Garage Carport. '. . !p~LJMJrh) 6L~ Qu-'\c.-K <:rhvv~ . Total Value Building Permit Fee State Surcharge Total Fee . Lot Type Interior Corner Panhandle _ ..Cul-de-sac " .... X $/ SO, FT. (A) , . IS THE PROPOSED WORK,IN THE HI:3TORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to ,permit issuance. I P.L. IN Is Setbacks I HSE "GAR I ACC I , I I -'!:!.~-C1---.- - - .:,~ ---;;j E I' ,c '! VALUE /t:n~ .&" - -:;;. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT, Furnace Exhaust Hood Vent Fan (C) Dryer Vent Wood Stove/Insert/Fireplace Unit NO Mechanical perm'it Issuance State Surcha'rge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk ft I ~ Cu rbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) FEE TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E 90mbined) I~~ t - , APPROVED: , ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT '. This permit is grant~d on the express5<ondition' that the said construction shall. in all respects, confbrm.lo.\he Ordinance adopted, by" ,.t,he. Ci Iy 'of,Sp~ing.fie,!c!, including the Development Code, regulating the conshuction and use of buildings"and may be sllspended or r~voked at any time, upon violation of any provisions of said ordinances, plan Check Fee: 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. f.DDITIONAL COMMENTS By signatu're, I state and agree; that.1 have carefully examined the ,completed application and do hereby cert,i fy, that, all !nformation hereon is true and correct. and I further certify that any and all work' performed shall be done in accordance ,:",ith 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 corl'tractors and employees_w.ho , are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspectio.ns are" , requested at the pre-per til})e:that each address is readable, from the 'street, thatthe p'c~mi,t card is located a{ the front of the prop ty, and rove9 sans will remain on the si at ng construction, ./~, ;...~'~. '~"-~' ; ,.,.. "r _ 7;?3~-L VALIDATION: " ,'q~ RECEIPT NUMBER ~1~ DATE PAID . :?/~V~:3 cHJ , AMOUNT RECEIVED __~_~L C7 f,. . RECEIVED BY '~.., - IV '