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HomeMy WebLinkAboutPermit Building 1997-4-15 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD - k&;t /:1-.4,;( '?3,;:q LOCATION OF PROPOSED WORK: ~ L:J"7 'I ASSESSORS MAP: /& ~~~//~2::> LOT' ". '" ~ BLOCK' . JOB NUMBER 9"pS'~::? 225 Filth Street Springfield, Oregon 97477 O~/I/S- TAX LOT: SUBDIVISION: C/ ::3~<:!>~ , PHONF: ,/t:..// <:? ?"?>=<:. OWNER' ADDRESS: CITY: ~ h?/Y?.= / / / ~ ::19..4"C....... 2.c::>?L/ '~?1t<~-''9 ~ ~~t.Z>. ,. STAT'" &,/:1, ZIP: '7-:;'0;./;;>::> DESCRIBEWORK:-f~~?".A(~.?~~~ /2~~ 1"~~;ZI-""""'''''''--.c::>~>' &,.. 5-A'~~ NEW + REMODEL ADDITION DEMOLISH OTHER CON ST. CONTRACTOR . CONTRACTOR'S NAME GENERAL: ~U--.N<="'(" PLUMBING' MECHANICAl' ELECTRICA' ' ADDRESS EXPIRES .. PHONE - 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' RANG'" 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 after 7:00 a.m. will be made the fOlloWing work day. REQUIRED INSPECTIONS o Temporary Electric D Slto Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Sleel location, bond beams, grouting, o Foundation - After forms arB erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. , o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Boam - Prior to floor Insulation or decking. . o Floor Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to filling trench. , o Storm Sewer - PrIor to filling trench. o Water Line - Prior to filling trench, O Rough Plumblno - Prior to cover. ',. o Rough Mechanical - Prior to cover. D 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 - Prior to cover. o Drywall - Prfor to laplng, o Wood Stovo - After Installation. o Insert - After fireplace approv41 and Installation of unit. o Curbcut & Approach - Alter forms are erected but prior to placement of concrete. o Sidewalk & Drlvew3\' - Alter excavation Is compictc, forms and sub.base malerlal In place. o Fence - When completed. o Slreet Trees - When all required trees are planted. o Final Plumbing - When ell plumbing w9rl< Is complet,e. o Final Eleclrlcnt - When all electrical work Is complete. o Final Mochnnlcal - When all mechanical work Is complete. rYr Final Building - When all I,.oa.J 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 Conncctlo~s - When home has been connected to water and sewer. o Electrical Con,ncctlon - When blocking, set.up. and plumbing Inspections have been approved and tile home Is connected to the service panel. o Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot Type . Lot sq, ltg, Interior I P.L. IN Lot coverage Corner Is Topography Panhandle \W Total height Cul.de.sac IE Setbacks HSE GAR BUILDING PERMIT ITEM SQ. FT, X $/SQ, FT. d VALUE Main '" Garage Carport Total Value ~.<lOz::> /5: 6-i? .;?~ . V, /~ ' :2P Building Permit Fee Stale Surcharge t;:f ,i \ . ! I i i (A) Total Feo' SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE t' I , ~ I 1 Fixtures N' Rosldentlal Bath(s) Sanitary Sawer Water FT, FT. FT, , t i 'j i \ Storm Sower Mobile Home Plumbing Permit State Surcharge Total Charge (C) I MECHANICAL PERMIT . 1 Furnaco Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unll Dryer Vent MechanIcal Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surcharge Sldawalk It Curbcut It Demolition Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~. ~ ~ (A, B, C. 0, and E Combined) ,....' "". J ACC I I I I ~ \. ..tHE PROPOSED WORK IN THE, TORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 11 yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance: APPROVED' 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 Dovclopmer)t Code, regulating the construction and use of buildings, and may be suspended or revokod at any time upon violation of any provisions of said ordInances. Plan Check Fee: ~~~ Date Paid: Receipt Number. Re:/Z Pfan~I~O<; ~ --:-~- -rr:.:''5''? Systems Development Charge Is due on all undeveloped properties within tho 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 that all In (ormation hereon Is true and correct, and I.further certify that any and all work performed shall be done In accordance with the Ordinanc~s of tho City of Springfield, and the Laws of the State of Oregon p.erlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of lhe Building Safety Division. I further certify that only conlractors and employees who are In compliance wllh ORS 701,055 wlli be used on this project. I further agreo 10 ensure that all required Inspoctlons are rOQuested at the proper time, that oach address Is readable (rom the street, that the permit card Is located at the front of the property, and lhe approved set 01 plans will remain on the slte at all times during constructlon. Slgnature~ ~ fLjs-//f97 Dale VALIDATION: RECEIPT NUMBER ? 5"'":30 ~ L./- /S" ~ /' "2 '7. '/ ~ - //~ I /// ~?/ DATE PAl" AMOUNT RECEIVE" RECEIVED BY