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HomeMy WebLinkAboutPermit Building 1991-5-1 < . RESIDENTIAL PERMIT APPLICATION Inspections:. 726-3769 Office: 726.3759 LOCATIONOF P~OPOSE~WO~: q~~ A!;;!:>.ES.SPRS MAP: l./ D,--)~ LOT: . BLOCK' - q\{)~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 \~~~~w SUBDIVISION' OWNER t ~~ ~ ~.2 '( (\\~S\ . PHONE: -rt I-l~~' ADDRE~-~~~\V,\~).Qf\ l~_\rl()~ JP~ ,4,-Q?SI CITY',-'S\)~_r\L STATE:-'I~orn ZIP: ~14-'1 DES:xfORK' Cl 0 ~() (\0-; - NEW REMODEL \ ADDITIO~ DEMOLISH OTHER CONTRACTOR'S NAME GENERAl' PLUMBING: I MECHANICAl' . ~ , ~LECTRIC-':'.: \\ )fl... ) QUAD AREA: A~"l~ . OF BLDGS: \ OCCY GROUP' t'J\ . OF STORIES: \ WATER HEATER' ADDRESS CON ST. CONTRACTOR' PHONE - OFFICE USE - LAND USE: \ \ \ \ . OF UNITS: \ CONSTR. TYPE: ~ HEAT SOURCE: RANG'" EXPIRES FLOOD PLAIN' ZONING CODEWU . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: f')~lo To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:0Q.a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric o ,Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Footing - After trenches are excavated. . . o Masonry - Steel location, bond l?eams, grouting. ~ Foundation - After forms are ~rected ,but prIor to concrete placeme0t. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical '- Prior to insulation or decking. o Post and Beam -:- Prior to floor Insulation or decking. . o Floor Insulation - Prior to decking. D Sanitary Sewer":'" Prior to filling trench. - o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. D R.ough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mecharyical - Prior to cover. o Rough Electrical - Prior too. cover. o Electrical Service - Must be approved to obtain permanent ~Iectrical power. o Fireplace - Prior to facing materials and framing Insp. ~Fra.ming - Prior to cover. o Wail/Ceiling Insu~ation - Prior to cover. " o Drywall - Prior to taping. . .. --. -~ o Wood'St~ve .....:. After Installation. o Insert - After fireplace approval and Installation of unit.. D Curbcut & Approach - After forms are erected but prior to placement of concrete. - '0 Sidewalk-&.Driveway - After excavation Is complete, forms and sub-base material in place. .: 0 Fen'ce .:.... When completed., D Street Tr~es - When allreQu'ired trees are plan~ed. _ . . D Final Plumbing - When all . plumbing work Is complete. D Final Electrical - When all electr.1c~1 work .I~ complete. o Final Mechanical - When all mechanical work Is complete. ~ Final Building - When all ~'.....qulred InspectIons have been approved' and building is completed. DOlher MOBILE HOME INSPECTIONS o Blocking and Set.Up.- When all blocking Is complete. D Plumbing Connections - When. home has been connected to water and sewer. D 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. - i_ Setbacks _HE PROPOSED WORK IN THE Lot faces Lot Type Lot sq. ftg. Interior I PL HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner Is ;2-3' I If yes, this application must be signed and approved by the His torical Topography Panhandle Iw 14-' I Coordinator prior to permit issuance. Total height Cul.de-sac IE ,6{,', I APPROVED' " BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE Main (.~H ill , J Garage g..}{j) 14.\0 Carport Total Val ue Building Permit Fee 9B.<;O 4'13 /O~.43 State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ---1!/A PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance. State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) /{J< .p 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 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. Plan Check Fee: - (- ~1. 03- Date Paid: ' 4. c!J.).l. " crL 6/ , 5 t~/'1 / Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS <Si'7/ NA-'r'& .P:Ln::4;{!/~ /;1/Ji.:7A?/T /<; p~ AN; psLh-/TRlcAL ~i74~,^ 5. 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 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 Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that 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-fl,-o ~ Date C; - J _ 9/ VALIDATION: RECEIPT NUMBER "1 q 39 17-1 -q / AMOUNT RECEIVEI" I f)~ - L{ :s (A~ I , , DATE PAin RECEIVED BY