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Home My WebLink AboutPermit Building 1992-8-18 . RESIDENTIAL PERMIT APPLICATION - SPRINGFIELD p , ' - q~ \ ,33 JOB NUMBER Inspections: 726-3769 Office: 726.3759 LOCATION OF PROP071<O~K' __ tJfL 19l.o ASSESSORS MAP: J' 1 'ct ()8..~~Lt ", < I ClUJ! A) (\ 225 Fifth Street -!JiK ;~'T"eld. Omoon 97477 TAX LOT: 0 c9tt?C(') STATE: ~-+\\6Jz \d{\dihnu ADDITION ~ DEMOLISH OTHER LOT: _0._____...__ . ADORE CITY:' . \ ~ f, DESCRIBE WORK:~_O NEW REMODEL . I CONTRACTOR'S NAME DIO/);:;;< 7 . dWIJ(,~ !<!Des g GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: . QUAD AREA: 3R..~~ 1/ OF BLDGS: __.).., ___ OCCY GROUP: _ ~3 3J.~.._ If OF STORIES: -1---. WATER HEATER: . BLOCK: __1\ 00m,_ _'''_\ " SUBDIVISION: -. , ~ .: PHONE:l4VJ-\ ~ql ZIP: ql~lA ., 1 ADDRESS CON ST. CONTRACTOR /I EXPIRES PHONE REQUIRED INSPECTIONS . - !VI Rough Mechanical - Prior to ~ cover. rv( Rough Electrical - Prior to ~over. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. - OFFICE U~E - LAND USE:~ l , \ · OF UNlm\ tJ . CONSTR. TYPE: _V____.___. '-tEAT SOURCE: RANGF' FLOOD PLAIN: ZONING CODE: \ l){) . /I OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: . A Yurt 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 clay, 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, o Underslab Plumbing I Electricall Mechanical - Prior to cover. TYI Footing - After trenches are ~ excavated. ' o Masonry - Steel location, bonel beams, grouting. I"YT' Foundation - After forms are ~erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, '~ 'Underlloot1>lumb~Mechanicak ~ - Prior ,b-tnsulatlon or deckin!), 15<1 Post and Beam - Prior to floor ....insulatlon or decl<ing. K:71' Floor Insulation - Prior to ~ecklng. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. ,t><f Rough Plumbing - Prior to . ..cover. ft Framing - Prior to cover. ~Wall/Ceiling Insulation - Prior to ~cover. ~"'DrYWall - Prior to taping. D Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. D Fence - Wilen completed. o Street Trees - When all required trees are planted. ~ Final Plumbing - When all ~plumblng worl< Is complete, ~ Final Electrical - When all ... ,electrical work Is complete. "rs7f Final Mechanical - When all ~mechanlcal work Is complete. . . 1><1 Final Building - When all , -required Inspections have been approved and building is completed. . " .. ~> o 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, " , o Electrical Connection - When blocking, set-up, and plumbing , Inspections have been approved and the home Is connected to the service panel. ," . . ~. ;, ."..; " , o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot Type_ I P.L. Lot sq. fig. Interior IN Lot coverage Corner Is Topography Panhandle Total height Cul-de-sac W E eS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by 1110 Historical Coordinator prior to permit issuance, Setbacks HSE GAR ACC --_.- --- -~_. ------ APPROVED: __ BUILDING PERMIT ITEM SQ. FT. Jo40- ,~~~ ' X~/;~i6J~~~ t4.\D 4.~D Main Garage Carport 4Q\.oW :z~~.50 /2 (!:> ,~61,6?J SYSTEMS DEVELOPMENT CHARGE (SDC) ~ . (B) ~ '?o~~ Total Value Building Permit Fee State Surcharge Total Fee (A) PLUMBING PERMIT ITEM FEE --.9J.OO Fixtures 5 Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit ~.~o _5:2:-_f~ State Surcharge Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan NO J /11/11, J51hO Wood Stove/lnsertlFireplace Unit Dryer Vent Mechanical Permit IO(JO .7~ 25.7~ Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) M'ZltJ l BUILDING VALUE, 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 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: L.eYJ. io,~ . a. \B'Cf' Date Paid: U--- rc5~ Receipt Number: -*~ Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS .. PA77-I?J -,.------.---- . -- --- --- --- --- ._----- ....- .~-_.__.- By signature, I state and agree, that I have carefully examined the completed application and do hereby cerlify that all information hereon is true and correct, and I further certily that any and all worl< performed shall be done in accordance with the Ordinances of the City of Springfield, and tile Laws of the State 01 Oregon pertaining to the worl< described herein, and that NO OCCUPANCY will 'be made of any structure without permission of the Building Safety Division. I further certily that only contractors and employees who are in compliance willl ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, lIlat eacll address is readable from the street, that tile permit card is located at the lront 01 the property, and the approved set 01 plans will remain on the site at all tin' 's during construction. A,ignature_ ~~6 =- ~ I Dale ?6(/2 ? VALIDATION: RECEIPT NUMBER (V 2-01 C- q ---/0 ' l 2- AMOUNT RECEIVED 'iLl 2-,. -3 ~ /( (I\...I(,~ DATE PAID RECEIVED BY J .