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HomeMy WebLinkAboutPermit Building 1991-05-17RESIDENTIAL PERM!T APPLICATION lnspections: 726-3769 Office: 726-3759 ltp$osJOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 LOCATION OF PROPOSED WORK ASSESSORS MAP: LOT: s7 TAX LOT:o BLOCK: Krcfl649 PHONE: 47 +-'-STATE:ZIP: o 3 L-/ 6,49 - 67 q .Tc, 6n CITY: ADDRESS: OWNER NEW - REMODEL ADDITION DEMOLISH orTTEFI DESCRIBE WORK: ADDRESS 3 L 7 f(R i 1<. EXPI RES PHONECONTRACTOR'S NAME E!€CLB+CAL: nns€:t{AFIICAL: CONST. CONTRACTOR # G EN ERAL: , cP*ilvtEffitG RANGE: * OF BDRMS: _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER: SECONDARY HEAT SOUARE FOOTAGE: QUAD AREA: g OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: To request an inspection, you must call 726-3769. This is a24 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. REOUIRED INSPECTIONS l-l Temporary Electric ll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Foundation - After forms are erected but prior to concrete placement. ELotner Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.l--l Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnserl - After fireplace approval and installation of unlt. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed Rough Plumbing - Prior to cover. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. SUBDIVISION: - r fuaFtNq tl E E r E E E r E E r E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac >_ HE PROPOSED WORK lN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT.VALUE /3 5e? ic4, so S,z3 I Oq,a 3(A) Total Value Building Permit Fee State Surcharge Total Fee Main Garage Carport 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 ,"", N/* Plans Reviewed By Date Receipt Numbe Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge N0 ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fi replace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood 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 f urther 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 f urther 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 and the a pproved set of plans will remain Signatu Date prope at all times during c of the on the MISCELLANEOUS PERMITS Mobile Home State lssuance 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) o VALIDATION q FIECEIPT NUMBER 2oo RECEIVED BY AMOUNT RECEIVED DATE PAID {-17-9 r