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Home My WebLink AboutPermit Miscellaneous 1997-4-14 JIII:~ LOCATION OF PROPOSED WORK: q/~.I? -p, C!L.o Vi5~iEAF L/ ASSESSORS MAP' I 7 0 ~ :2 Z 3 I TAX LOT' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 o trice: 726.3759 LOT' ..,. SPRINGFIELD .. .1,...,1,. fI--- ". , --JOB NUMBER q 70/7 0 I 225 Fifth Street Springfield, Oregon 97477 S/J8-A/6h~'aJ o~ /700 SUBDIVISION: PHONE: '547- 4/o:? / A--vf: L,,;;:-;t'A~ "2 'Z, sf A,V,s.+IJ..)r:,/..f..ArJ.1 'c,Y-;rAJr. , /c!.6410Ur. OWNER: ADDRESS' CITY: BLOCI<" . STAT~' to/GC-6lJAJ ZIP: --.:. DESCRIBE WORK: NEW REMODEL ADDITION 2ea... H~..,t1~ ANt) Aww DEMOLISH )( OTHER CONST. CONTRACTOR'S'NAME ADDRESS CONTRACTOR # GENERAL' ./ ;);=/1//1)/5 A~;{ /7'2(" L1A/~tV (./ S./',cU) Cft r7477 PLUMBING: MECHANICAt. ELECTRICAL' EXPIRES '. PHONE fZ/f55 'fJj);g 74k77l,,/J - OFFICE USE _ QUAD AREA- LAND USE: FLOOD PLAIN: # OF BLDGS' # OF UNITS: ZONING CODE:_ OCCY GROUP: CONSTR. TYPE: # OF BDRMS: \ # OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE:_ 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. Inspections requested a.fter 7:00 8.m. will be made the following work day. D Temporary Electrfc D SUe Inspection - To be made after excavation, but prior to setting forms. D UndersJab Plumbtng/Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel locatlon, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. . o Underlloor 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 .filllng trench. , o Water Line"': Prior to 'filling trench. .. o Rough Plumbing - Prior lo cover. ~\ REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o 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. o Framing - Prior to cover. . 0 Wail/Ceiling Insulation - Prtor to cover. o Drywall - Prior to taping, o Wood Stovo - After Installation. o Insert - After fireplace approvlll and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Drlvew'I' - After excavation Is comp;ctc, forms and sub.base malerlal In place. o Fence - 'Nhen completed. o Street Trees - When all required trees are planted. o Final Ptumblng - When all plumbing w9rl< Is complet.e. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. DOthor MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connccllo~s - When home has been connected to water and sewer. o Eleclrical Connccllon - When blocking, sel.up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - Arter all required Inspections are approved and porches, skirting, decks, and venting have been Installcd. -"-- ,~ ., ,\.,' Cul.de.sac Selbacks I P.L. HSE GAR ACC I IN Is Iw I LL-_-L~ ......E PROPOSED WORK iN THE. ORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, Ihls application must be signed and approved by the Historical Coordinator prior to permit Issuance: Lot sq. IIg. Lot Type . Interior Lot (acos , Lot coverage Topography Total height Corner Panhandle APPROVEP' BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT. - VALUE 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 adopled 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. Main Garage Carport Plan Check Fee: Date Paid: Total Val ue Receipt Number: Building Permit Fee Slale Surcharge Received By: Total Fee' (A) Plans Revle-wed.'By.'-"~ Date \ j I SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Syslems Developmenl Charge Is due on all undeveloped properties within tho City limits which are being improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE L , Fixtures 1 1 Residential Balh(s) N' Storm Sewer FT. FT. FT. Sanitary s!3wer Water i "t " 'I Mobile Home Plumbing Permit Slate Surcharge Total Charge (C) , , '1 " MECHANICAL PERMIT Vent Fan N' 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 '.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 p.erlainlng to tho work described herein, and that NO OCCUPANCY will be made o( any structure without permission of the Building Safety Division. I further certify that only contractors and employees who arc In compliance with ORS 701.055 will be used on this projec\. Furnaco Exhaust Hood Wood Stove/Insert/Fireplace Unll 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 Is readable from Ihe streel, that Ihe permit card Is located al the Ironl of the property, Qnd the approved set of plans will remain on the site at all times during construction. MISCELLANEOUS PERMITS Mobile Home State Issuance Slgnatur'" Stale Surcharge Sidewalk Curbcul fl fl Datp Total Miscellaneous Permits (E) .J 55.DO ,90 =rrlJ VALIDATION: Demolition State Surcharge RECEIPT NUMBER 6JS19 V DATE PAID L/ L.LY1.9'J.-- AMOUNT RECEIVED JJ~ L( '. ., n RECEIVED BY _ ...j. V1i] ).;L---- j TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) I RUJLDlllIGft: ~ (IrrvJ.4j,~' '-.a I'C; I!!! I also wish to receive. I : following services (for I CD extra fee): Ii m 1. 0 Addressee's Address ~ Ie ~ 1-5 2. 0 Restricted Delivery Jl I~ Consult posbnaster for fee. Iltg" 14a~t7~nbo 5 4 /21 Kal/e.- Le.F({;lYlc.a /,4b.serviceType r.I . ~ ll'~ red ~ Certified' lffi 3~51 Bl.tc'~Yw\h .' ~ all 0 Insured 18" 6t~ I 012.. Cf1Jto I It!!' ece t for Merchandise 0 COD (} a: 7,~teof ell ery Is: 0 ::>. 11= 5. R'JP"lved By: (Print Name) ~ A' ~"eJ's Addre.. (Only jf requested I~ / 3~~Spaid) i 6.S~(Addre~~~~ I .!! PS FoJf~cember {g94' . P 3. Article Addressed to: ~ a. a; " .. a: c ~ " ti a: 011 .EI gfl .21 "I g,1 ~ I 21 .... -- Domestic Return Receipt I I First-Class Mall I postaga & Faes Paid I USPS Permit No. G-'O . Print your name, address, and ZIP Code in this box. e~J~~uld OrWWVlQV\C ~S DVlS1~ 22S F S+ $pyi~Jc!. r?f< q7~77 . UN.TATES POSTAL SERVICE .