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HomeMy WebLinkAboutPermit Miscellaneous 1996-06-27RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: SPrlI^|GFTEIO ASSESSORS MAP: TAX LoT: JoB NUMBE a %R--->. , 225 Fifth Street Sprlngf leld, Orelon 97477 SUBDIVISION: -- PHONE: STATE:ZIP: ^)er q )q1 8LLO SD !gB-,u,c,CITY: ADDRESS: OWNER: TION DEMOLISH OTHER DESCRIBE WORK: NEW- BEMODEL A GENERAL: PLUMBING: MECHANICAL: -- ELECTRICAL: ADDRESS EXPIRES PHONECONTRACTOFI'S NAME CONST, CONTFIACTOR # RANGE: r OF BDRMS: _ OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN:OUAD AREA: * OF BLDGST SECONDARY HEAT: SOUARF. FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electrlc l---l Rough Mechanlcal - Prior to[--J cover. Final Plumbing - When all ptumblng worl< is complete. Slte lnspectlon - To be madc after excavatlon, but Prlor to setting forms. Rough Electrical - Prior to Final Electrlcal - When all electrical work is complete.cover tl Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Eleclrlcal Servlce - Must be approved to obtaln Permanent electrlcal power. Final Mechanlcal - When all mechanical work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Flnal Buildlng - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Other Foundatlon - Alter forms are erected but prlor to concrete placement. WalllCelling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.|.-l orywall - Prlor to taoing MOBILE HOME INSPE TIONS Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decking.Wood Slovo - After lnstallatlon Post and Beam - Prlor to floor lnsulatlon or decking.tnserl - After flrePlace aPproval and lnstallatlon of unlt. Blocking and Set.Up - When all btocklng ls comPlete. Floor lnsulatlon - Prlor to decklng.Curbcut & A1:Proach - After forms are erected but Prlor to placemcnt of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllllng trench.Electrical Connection - When blocking, set'uP, and Plumbing lnspections have been aPProved and the home is connected to the service Panel. Slorm Sewer - Prior to filllng trench. Sidewatk & Drlveway - After excavation ls complete, forms and sub-base material in Place. Water Llne - Prlor to filling trench. l-l Fence - When comoleted. Final - After all required inspectlons are approved and porches, sklrting, decks, and venting have been installed.Rough Plumbing - Prior to cover. Street Trees - When all required trees are Planted. I LOT: - BLOCK: Oetoo) _ ') t+1-13Lr # OF UNITS: - E tl E r tl E E E E E E tl n E n D ACCP.L.HSE GAR N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type.- - lnterior - Corner - Panhandle - Cul-de-sac --iS THE PROPOSED WORK iN THE HISTOFIICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historical Coordinator prlor to permit issuance. APPROVED: VALUE (A) X $/SQ. FT. Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. BUTLDING 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. Plans Reviewed By Date Receipt Numbe Date Paid Received By Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblte Home FEE (c) No FT. FT. Plumbing Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtures ADDITIONAL COMMENTS By slgnature, r state and agree, that r have carefuily examrnedthe completed application and do hereby cerilfy that alllnformatlon hereon is true anct correct, and I f urther cerilfythat any and ail work performed shail be done in accordancewlth the Ordinances of the City of Sprlngfield, and the Lawsof the state of oregon pertainrng to the work describedherein, and that NO OCCUPANCy will be made of anystructure wlthout permission of the Buildlng Safety Divislon.I further certify that only contractors and employees whoare ln compliance with ORS 7O1.O5S will be used on thisproiect. I further agree to ensure that all required insrequested at the proper time, that each add from the street, that the permlt card ls Iof the property, and the approved set Signature Date c-)f .1G pections are ress is readable ocated at the front of plans will remainon the site ng constructlon. Wood Stove/ lnsert/Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS MECHANICAL PERMIT Total Miscellaneous perrnits (D) (E) No Mechanical permit lssuance State Surcharge Total Permit Mobile Home State lssuance State Surcharge Sidewalk tt Curbcut __- ft Demolition State Surchargp Furnace Exhaust Hood Vent Fan TOTAL AMOUNT DUE (exctuding etectrical)(A, B, C, D, and E Combined) '7aZ^z 2DATE PAID 4-AMOUNT RECEIVED FIECEIVED BY . FT. VALIDATION: REoEIPT NUMBEFI-@