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Home My WebLink AboutPermit Building 1996-10-17 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINCFIELD . ~C/5Y"7' .... ;::~J'OB NUMBER , ~~ 225 Fifth Street ~,/ Springfield, Oregon 97477 , D~rS~ ~r~<::y;c,/~~IU~' 89..@J<', #IJ~ TAX LOT: ~ 9"62~ , LOCATION OF PROPOSED WORK: ...533 ~ ASSESSORS MAP: /?-O<"'~~'"'""3 Y - - , LOT: BLOCK: SUBDIVISION: " ()\-{'"_,K. .' ~ (") Lv I~s PHONE: ~L/)~ /IJI 7 ADDRESS: _I:) 3 35 0 J:}J,.~ y SJ-~~ J SqlV'rrkr~ / CITY: 5p STATE: <0 e... OWNER: DESCRIBE WORK: (.J l\i'\M I\h~ J../Vn.. NEW ~ REMODEL ADDITION ~'{' ~r'\,(- \ DEMOLISH OTH ER -Ca&.Po r-'r At.v V"'\ \ (\ G- CONTRACTOR'S NAME GENERAL: -.Crr-^'-*eLu a.A -J . CONST. ADDRESS . CONTRACTOR If EXPIRES ~ ~~ o.() QLJ:J er Jf' Aln ( r-' 4 J 6-~ I 1- rl..q'1 PHONE to5J9/}J~. PLUMBING: MECHANICAL: ELECTRICAL: " - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: If OF BLDGS: If OF UNITS: ZONING CODE: OCCY GROUP: CONSTR, TYPE: ___ If OF BDRMS: If OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SaUARE FOOTAGE: To request an Inspection, you must call 726-3769, Ttlls Is a 24 hour recording. Alllnspecllons requested before 7:00 a,m, will be made the same working day, Inspections requested otter 7:00 a,m. will be made the tollowlng work day, o Temporary Electric O Site Inspection - To be made after excavation, but prior to setting forms, D Underslllb Plumblng/Electrical/ Mechanical - Prior to cover, Il7l Footing - Atter trenches are l,LJ excavated. o Masonry - Steel location, bond beams, grouting, o Foundation - After torms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o Underfloor Plumbing/ Mechanical - Prior to Insulallon or decking, o Post and Beam - Prior to floor Insulation or decking, o Floor Insulation - Prior to deckl ng. D Sanitary Sewer - Prior to tilling trench, o Storm Sewer - I'rlor to filling trench, . O Water Line - Prior to filling- . trench, , ' D Rough Plumbing -::- Prior to cover, REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover, o Final PlumbIng - When all plumbing w~HI( Is complel.e. o Rough Electrical - Prior to cover, D Final Electrical - When all electrical work Is complete, D Electrical Service - Must be approved to obtain permanent electrical power. o Final Mechanical - When all mechanical work is complete. o FIreplace - Prior to facing materials and framing Insp. o Final Building - When all required Inspections have been approved and building Is completed. o FramIng - Prior to cover, ~ Other Fine(, / ~~ ""'POv1tt:-, . ~rn c;.-- o Wall/C'elllng Insulotlon - Prior to cover. o Drywall - PrIor to taping, I MOBILE HOME INSPECTIONS o Wood Stovo - After Installallon. o Insert - After fireplace approval and Installation ot unit. o Blocking and Set,Up - When all blocking Is complete. o o Plumbing Connections - When home has been connected to water and sewer, Curbcut & Approach - After torms are erected but prior to placemont of concrote, o Sidewalk & DrlvewilY - After excavation Is complete, forms and sub-base material In place, o Electrical Connection - When blocking, set.up, and plumbing Inspections have beon approved and tile home Is connected to the service panel. o Fence - WIlen completed, o Final - Atter all required Inspections are approved and porches, skirting, decks, and venting have been Installed, o Street Treos - When all required trees are planted. ..: . . ,. ' .(HE PROPOSED WORK IN THE. ' ' Lot faces Lot Type Setbacks I' i, I P,L. .... HISTORICAL DISTRICT, OR ON Lot sq. Itg. Interior HSE GAR ACC IN THE HISTORICAL REGISTER? Lot coverage Corner If yes, this appllcallon must be signed Is and approved by the Historical Topography Panhandle \W '1 Coordinator prior to permit Issuance, Cul.de.sac ~ Total height IE \., , .., " :' APPROYED: c' BUILDING PERMIT ITEM sa, FT. x $/sa. FT, '" VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage Carport . . This permit is grante,d on the express condlt,lon that the said construction shall, In all respects, conform to the Ordinance adopted 'by the City of Spring'r1eld, including the Development Code, regulating the construcllon and use of buildings, and may be suspended or revoked at any time upon violation or any provisions of said ordinances. Main J533~ Plan Check Fee: 75:C)'3f Building Permit Fee 7A Pl.)O~O "3 B. :?,.t!:> ~ ~'.~g _~ -/. .5~ SYSTEMS DEVELOPMENT CHARGE (SDC) Date Paid: Total Value Receipt Number: Received By: Slate Surcharge Total Fee (A) Plans Reviewed By Date (B) Systems Development Charge Is due on all undeveloped properties within tho City limits whicll are being Improved, PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) NO Sanitary S~wer Water FT, FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnaco Vent Fan NO By signature, I state and agree, that I have carofully examined the completed application and do hereby cerllfy that all Informallon 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 Salety Division, I further certify that only contractors and employees who arc In compliance wlltl ORS 701,055 will be used on this project. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure lhat 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 site at all times during construction, Signature _~ I~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Date I 6 --rt-'1 ~ , Curbcut It Demoll tlon State Surchargf3 VALIDATION: -- :Z75"t?~ DATE PAID h ./7-9C AMOUNT RECEIVED ' ~0 .C2.. RECEIVED BY d ~A //V v RECEIPT NUMBER Tolal Miscellaneous Permits (E) , . !'" TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined)