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HomeMy WebLinkAboutPermit Building 1997-3-24 OWNER: r \\C-. \ I "fU\\\et'" ADDRESS' '~f4tf{) \ '\ 0 ~ \\-r\\1 e ./ CITY:. ~\'('\(\~ ~(''d, ~, STATE: ()r~W1'{\ DESCRIBEWO~V 0 no II ) l+\.lQ.... b'unn ~~ NEW REMODE~ - \ ADDITION \ \ DEMOLISH - \ OTHER . CON ST. CONTRACTO~S NA E ~DDRE*_ <\..., ~\ "I CONTRACTOR' GENERAL: " , ~ :-=.,~\ dl\{).\I.tl.}.., t;:1o()91,.... PLUMBIN(.:' 1, f:~~ \) ~'M. ~i\(\ . - 0 - MECHANIC! ' . \ N\ ,', ) ELECTRICAl' ~E'J~f,.i\0 oS ~ol't " RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP: LOT' QUAD AREA- · OF BLDGS: OCCY GROUP' · OF STORIES: WATER HEATER' .. SPRINGFIELD . (\1D~ l S BLOCK' - OFFICE USE - LAND USF' . OF UNIT'" CONSTR. TYPE: HEAT SOURCE: RAN"'~' JOB NUMBER _ TAX LOT: SUBDIVISION' o~ PHONF' ZIP: Q,'l til EXPIRES ..... PHON~I\_ e<i-nQlJ2b. tt:1Lb FLOOD PLAIN' ZONING CODE: . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: To requesl 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. Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be mado after excavation, but prior to setting forms. o Unde,slab Plumbing/Electrical/ Mechanical - Prior to cover. o Fooling - 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 Underfloo, Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. . o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. ". o Waler Line - Prior to filling trench. r-7i' Rough Plumbing - Prior to L.J.LJ cover. ~\ rlVRough Mechanical -' Prior to ~~ c ver. Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Fra~lng - Prior to cover. ~,^!all/Celllng Insulation - Prior to cover. ~rywal1 - Prior 10 taping. o Wood Stove - After Installation. o Insert - After fireplace approvl!l 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 malerlal In place. o Fence - \tVhen completed. o Street Trees - When all required trees are planted. n .FInal Plumbing - When all ~p'umblng w9rk Is complet.e. ~nal ElectrIcal - When all electrical work Is complete. ~nal Mechanical - When all mechanical work Is complete. .--/Flna' Building - When all LLJ required Inspections have been approved and building Is completed. OOlher MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, se'-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. J ....,.. Lot faces Lol ~ype . Lot sq. flg. Interior I P.L. IN Lot coverage Corner Topography Panhandle .... Is Iw TOlal height Cui-de-sac IE .'., ~::;}J~'\;;,.~i" '.HE PROPOSED WORK iN THE. HISTOI;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, Ihls application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks HSE GAR Accl I I BUILDING PERMIT ", ';) .~ ITEM SO. FT. X $/SO. FT. - VALUE Main Garage '. Carport APPRqVFn. '. '.,. '... ~I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition Ihatlhe said construction shall, In all respecls, conform 10 the Ordinance adopted by the City 01 Springfleld, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked al any time upon violation of any provisions of said ordinances. Plan Check Fee' ~ <fl ['f{) fJ) Date Paid: TOlal Value - -~ \~ . Receipt Number' Building Permit Fee , ~:S Received By: State Surcharge ":ft) Tolal Fee (A) \~f:.lz... Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT tTEM FEE Fixtures Residential Balh(s) N' Sanitary S~wer Water FT. FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge -\- ~O Tolal Charge (C) l5~ \.m \ Lo ,?J) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Slove/lnsert/Flreplace Unit Mechanical Permit Issuance State Surcharge -TWo Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk fl Curbcul fl Demolition Slate Surcharge Total Miscellaneous Pennlts (E) TOTAL AMOUNT DUE (eXCluding electrical) (A, B, C. 0, and E Combined) &\~ Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature. I stale and agree, that I have carefUlly examined the completed application and do hereby certify Ihal 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 Slate of Oregon pertaining to tho work described herein, and thai NO OCCUPANCY will be made of any struclure wllhout permission 01 Ihe Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701,055 will be used on Ihls project. I further agree to ensure that all required Inspections are requested at the proper time, that each address is readable from the streel, Ihal the permit cerd Is locatad at the front of the property, and the approved sel of plans will remain X\~ the slle al all times ~Urlng construction, '~nature &-0 It bA:- "Oat.,. VALIDATION: c-' r-.rv1 RECEIPT NUMWR c1.0A-Tf DATE PAID ~ "')-/J~ " AMOUNT RECEI~ ,^ ~/Jf...\ .\'1 /' RECEIVED BY U\(fyt~~) j