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Home My WebLink AboutPermit Building 1991-6-19 RESIDENTIAL PERMIT APPLICATION Inspections 7263769 Office 7263759 LOCATION OF PROPOSED~AR}\. \.~( Q ~ :\ ASSESSORS MAP \ ~U:::J..uL() \ 1J... - LOT BLOCK OWNER ?< \(\ ~~ )\~rY., ~y_O~'(''(~ 0<:; ADDR""~~pJ\'3, C~~ ':\C')'( 09 CITY ~\,-+t\J'\l_/ STATE DESCRIBE WO~~ ~I\{\ f'f)f\ \\. 1 NEW REMODEL ADDITION -~ ~_I. }\~ffi1-f\ . \j DEMOLISH \ ~ OTHER QJ05gZ-, JOB NUMBER Cf! ;j/~~~ 225 Fifth Street Springfield Oregon 97477 .> TAX LOT O~ SUBDIVISION PHONE "141 -()\~~ ZIP a'lfl~ CONST :::::::T~\r;]\ ~D 'P _~ A\~~~ 8\0 ~ S C041~ PLUMBING ~ MECHANICAl ELECTRICAL QUAD AREA # OF BLDGS OCCY GROUP # OF STORIES WATER HEATER - OFFICE USE - LAND USE # OF UNITS CONSTR TYPE HEAT SOURCE RANGE EX~RES PHONE ~ o17S,Jcq 49.5-0S3:, FLOOD PLAIN ZONING CODE # OF BDRMS SECONDARY HEAT SQUARE FOOTAGE To request an Inspection, you must carl 7263769 This IS a 24 hour recording All inspections requested before 700 a m will be made the same working day, inspections requested after 700 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 PlumblngJ Electncall Mechanical - Prror to cover D Footing - After trenches are excavated D Masonry - Steel location, bond beams, grouting D Foundation - After forms are erected but prror 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 decking D Samtary Sewer - Prror to filling trench D Storm Sewer - Prror to fIlling trench D Water Line - Prior to filling trench D Rough Plumbing - Prror to cover REQUIRED INSPECTIONS D Rough Mechanical - Prror to cover D Rough Electncal - Prror to cover D Electncal Service - Must be approved to obtain permanent electrical power D Fireplace - Prror to facing materials and framing lnsp D Framing - Prior to cover D Wail/Ceiling Insulation - Prror to cover D Drywall - Prior to taping D Wood Stove - After Installation D Insert - After fireplace approval and Installation of unit D Curbcut & Approach - After forms are erected but prior to placement of concrete D Sidewalk & Drrveway - After excavation IS complete, forms and sub base materral In place D Fence - When completed D Street Trees - When" all required trees are planted D Final Plumbing - When all plumbing work IS complete D Final Electncal - When all electrrcal work IS complete D Final Mechamcal - When all mechanIcal work IS complete D Final BUilding - When all requIred inspections have been approved and bUilding IS 't3 ::~:"N~)Jfi\ n;g 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 D Electncal Connection - When blocking, set up, and plumbing Inspections have been approved and the home IS connected to the servIce panel D Fmal - After all required inspectIons are approved and porches, skirting, decks, and venting have been Instarred Lot faces Lot Type Setbacks THE PROPOSED WORK IN THE I PL , , ACC I HISTORICAL DISTRICT, OR ON Lot sq ftg Interior HSE GAR IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the HIstorical Topography Panhandle Iw I Coordinator prior to permit Issuance Total heIght CuI de sac IE I APPROVED BUILDING PERMIT ITEM SO FT X $/SO FT VALU E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main This permit [5 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 Garage Carport Plan Check Fee 6UUJ Date Paid Total Value lSUO Receipt Number BUilding Permit Fee J)S Received By State Surcharge Total Fee (A) - (~ 'is Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge IS due 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 descrrbed herein, and that NO OCCUPANCY will be made of any structure Without permiSSion of the BUilding Safety DIVISion \ 'further certl'fy that only contractors,and employees who are In compliance With ORS 701055 Will be used on thiS project Exhaust Hood Wood Stove/Insert/Fireplace 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!s 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 th t:;:&:~; du~~~ct'on MISCELLANEOUS PERMITS Mobile Home Sidewalk ft State Issuance State Surcharge Curbcut It " Demolition Total Miscellaneous Permits (E) I 'I '6 ~ '" VAll DATION RECEIPT NUMBER 8fj 4 A- \ DATE PAIl' ( () , /q 4 J . . AMOUNT RECElv"n n \ S f\5 ('7\ LUA) RECEIVED BY State Surcharge TOTAL AMOUNT DUE (excluding electrrcal) (A, B, C, D, and E Combined)