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HomeMy WebLinkAboutPermit Septic Tank 1999-4-5 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: _I DR 0 ASSESSORS MAP' / 1 ~ '3 3 r 'f I LOT' /1 -. BLOCK: OWNER: J- {} n('.! I1A <:'1& ADDRESS:'\\-1I'),~- 1=:" (' <;l/"t".e.t:: #- l' CITY: ~ 51':-/1'7 f~/~ la, STATE: ~f2/'- DESCRIBE WORK: A1 ota"p &.Idlf.), <J,') ....9 B-1 L(' ~ I NEW REMODEL ADDITION DEMOLISH OTHER , . Cf'1 () '11f7 JOB NUMBER 225 Fifth Street SprlngOeld, Oregon 97477 ~/170'e/~- OR TAX LOT' 01 $""0 () SUBDIVISION' PHON'" 7C/L/- 90l tJ~ ZIP' C;~q77 CONST, CONTRACTOR # t'&PO~ CONTRACTOR'S NAME /J ADDRESS GENERAt;_i1iJiY1fI,j /:1)s.e u ..~5'E''..y /1:7' PLUMBIrJr.? DM f1(vt')fvf!;d. (!m-Sf . MECHANICA' ' ELECTRICAl' QUAD AREA' # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER' EXPIRES 1':> PHONE 7{/Cf-Y'dOY - '-w reqUire::) yuu w ATTENnt:J9.f.iF.IC!!(USE - n Utility 5 adopted by the Orego 191\qij' m!~, ~~3Sf' ...1"" are set forlthoOD PLAIN' NotiticatIOl",,.,,,e,, '" hOAR 952.001- '--"0*fj=!J.NJ:ra>n1-0010 throug , ules b,?ONING CODE:_ Jrl obtain copies 01 u I~ r C'SSlh'Wl'J m't, '~'~'^' tho ,,,Ieohone # OF BDRMS: calling t\16 cemer:--, .-,- " Notification H"=W\ll~E", Oreqon Utility, SECONDARY HEAT: ,"',,, , 1 800-33<::."'.,....), Center IS - RANG'" SQUARE FOOTAGE: 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. Inspectlons requested after "1:00 a.m. will be made the following work day. o Temporary E(ectrl~ o SlIe Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlca" Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected. but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. Floor Insulation - Prior to ecklng. anllary Sewer - Prior to filling trench, <;,.p/~ Stonn Sewer - Prior to filling trench. o Water Line - Prior to 1IIIIng ,trench. _ o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical 1d~CI!:. 0 Final Plumbing - When alt cover. ,&;;. plumbing wc;>rlc;: Is complet.e. - . r:)[:8MIT SHALL EXPIRE IFTHE WORK O Rough Electrical - Prior to 6E:3 EW~IRSW:r~al - When all '?r"Cr'\!If\1 c" " !II J(: "I'\T cover. _ .' e c ca.r! nt.ls~complete. AN::lONED FOR O Electrlca' Service ~'N1~~tlb<tJA : EFfiOLI Final Mechanical - When all approved to obtain p~rmanent j r' - -mechanical work Is complete. electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stovo - After InstallatIon. o Insert - After fireplace approvel and Installation of unit. D CurbclIt & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavatIon Is complete. forms and sub-base materfal In place. D Fence - When completed. D Street Trees - When all required trees are planted. D Final Building - When aO required Inspectlons have been approved and building is completed. o Other MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blockIng Is complete. D 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. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, ,- Lot faces Lot Type. Lot sq, ftg. Interior Lot coverage Corner Topography Panhandle Total height Cul-de-sac n t BUILDING PERMIT ITEM SQ, FT, X $1 SQ, FT. Main Garage " Carport \ \, Total Value Building Permit Fee State Surcharge Total Fee (A) " ;:. " ~;': . "i,'i, \ eTHEPROPOSED WORK IN THE. "HISTORICAL DISTRICT, OR ON THE HtSTORtCAL REGtSTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. I :L. Is Setbacks 'HSE'GAR'ACcl I I w ---- E VALUE (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer FT, .rz.' Water FT, Storm Sewer FT, Mobile HomE}-g' . _ ~Jc,~ Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Curbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUll (excluding electrical) (A, B, C, D, and E Combined) FEE :t.r' )0) .... /,1.1/ ~{' '2. 7,d/) APPROVEP' BUILDING VALlk 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 01 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 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. ADDITIONAL COMMENTS 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 OAS 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 I ated at the front of t,~e perty, a the approved s of p ns will remain on th site at al times during 0 str on. VALIDATION: RECEIPT NUMBER 1)3])9 f q/rlff ;j/i;~ DATE PAIr> AMOUNT RECEIVED RECEIVED BY