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HomeMy WebLinkAboutPermit Building 1995-12-5 .~ I RESIDENTIAL PERMIT APPLICATION Inspecllons: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: \ ~\') ASSESSORS MAP' \l f) ~Id., ~ r:\. 'A.. OWNER: \ ~~ ~J\ " ~OQ.....\'U> f2...) ADDRESi'''- \~ t/1!\'11 t\.fllnI)~ ,\\" CITY: ~'\~l\ ^ .<'C\~9J) N (J STATE:' \~,lJ{jj('~r DESCRIBE WORK'\ Xl \) N:f"I~ )j) C'\Cl.J\C'\ f\{__ ~ REMODEL V ADDITION DEMOLISH OTHER LOT' NEW CONTRACT9~ NAME { GENERAI,l\h. ~ ~o {C/ PLUMBING' MECHANICA' ' ELECTRICAl' BLOCK' . C\5\~rf- JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 SUBDIVISION: PHON'" ,.. OI4L!_i.. }~j ADDRESS CONST. CONTRACTOR' PHONE 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, ~ramlng - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, [] Wood Stovo - After I~stallatlon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. EXPIRES - OFFICE USE - QUAD ARE..' LAND USE: FLOOD PL";:IN' · OF BLDGS' . OF UNITS' ZONING CODE:_ OCCY GROUP' CONSTR, TYPE' . OF BDRMS' . OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' 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, Inspectlons requested after 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be mado after excavatIon, but prior to settIng forms. o Underslab Plumblng/Electrlcall MechanIcal - Prior to cover. o Footing - 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 Underlloor Plumbing/Mechanical - Prior to Insulation or decking. ,0 Post and Beam - Prior to floor Insulation or decking. f o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to fUllng trench. o Storm Sewer - Prior to filling trench. . o Waler Line - Prior to filling trench. . 0 Rough PlumbIng"":" Prior to cover. . 0 Sidewalk Be Driveway - After excavation Is complete, forms and sub.base material In place. .0 Fence - .VVhen completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w9rk Is complete, o Final Electrical - When all electrical work Is C?mplete. o Final Mechanical - When all mechanical wor1< Is complete. ~al Building - When all f required Inspections have been approved end building Is completed. o Other MOBILE HOME INSPECTIONS o 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 ~ype. "~ '." .; :~, {;.. :'.,.. Is TI;IE PROPOSED WORK iN THE, HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Topography Total height Panhandle I P.L. IN Is \W IE Setbacks HSE GAR Accl I I I I APPROVED' , . LOI sq, fig, Interior Lot coverage Corner Cul.dc.sac BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " ThIs permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City ,01 Springfiel~, including the Development Code, regulating the constructiGn and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of saId ordinances. Main Carport j Plan Check Fee' , ~(J) _ Date Paid: TOlal Value \S,W ReceIpt Number' Building Permit Fee Lib Received By: Slate Surcharge Total Fcc lto, ---..- (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (6) 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) N' Sanitary S~wer Water FT, FT, Storm Sewer FT, Moblie Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state and agree, that I have carofully 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 described herein, and that NO OCCUPANCY wlil be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on thIs project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permlr Issuance State Surcharge Total Permit Stale Surcharge Sidewalk It I further agree to ensure that all required Inspectlons 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 t all times during constructIon. '~~~~~lliQ, \~ /6 \Q~ , " , VALIDATION: Jt:-rr~ RECEIPT NUMi~, _ . I ~ ~ DATE PAIl' !J.. 5 . ~_ AMOUNT RECEIQ):D J \ \Q ,W RECEIVED BY 1 [\(i"\. ) ...,- - Oat'" (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Curbcut fI Demoli lion State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, 6, C, 0, and E Combined)