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HomeMy WebLinkAboutPermit Building 1998-03-05RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: SPRI]tlGFIELD 225 Fifth Street Sprlngfleld, Oregon 97 477'53Ao o R Ec?N n () ASSESSORS MAP:L LOT TAX LOT: BLOCK: SUBD|VIS|ON CL'+RK PHONE: ZIP:STATE:CITY:efi'ng ) ,Tn rvt/5///r+eB tADDRESS: OWNER €- Greoo€ NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: 33 NiEo"ro n,,/t zffftxpr R ESADDRESS il),3 PHONE ELECTRICAL: CONTRACTOR'S NAME PLUMBING: GENERAL: BANGE: # OF BDRMS - OFFICE USE - WATER HEATER: FLOOD PLAIN:OUAD AREA: I OF BLDGS: SECONDABY HEAT: SQUARE FOOTAGE: LAND USE: OCCY GROUP: * OF STORIES: ZONING CODE: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: - To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlil bemade the same working day, lnspections requested after 7:00 a.m. wlll be ma<le the followlng work day. REOUIRED INSPECTIONS \F l--l temporary Electric [-l Rough Mechanicat -l--l cover. n all ${\sSlte lnspectlon - To be made after excavation, but prior to setting forms. Rough Electrical - Prior rical - When allcover.work is complete. Electrlcat Servlce - tutust OAN\ approved to obtaln permanent electrloal power. 180 gh'{ Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover, Flnal Mechanlcal - When all mechanlcal work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp.Masonry - Steel locatlon, bond beams, groutlng. Foundatlon -erected but prl placement. After forms are or to concrete W'zywtlll:"/?il;? Underground Plumblng - Prior to filllng trench. E Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decking. MOBILE HOME INSPESTIONS Post and Beam - Prior to floor lnsulatlon or decking.lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When ailblocklng ls complete. Floor lnsulation - Prlor to decklng.Curbcut & A1>proach - After forms are erected bUt prior toplacomont of concrete. Plumbing Connectlons - When home has been connected to water and gewer. Sanltary Sewer - Prlor to fllllng trench. Storrn Sewer - Prior to tilllng trench. Sidewalk & Driveway - After excavation ls complete, forms and sub-base material in place. Electrical Connection - Whenblocking, set-up, and plumblng inspections have been approved and the home ls connected to the service panel. Water Llne - Prlor to filling trench. Fence - When coiilpleted. $treet Trees - When all required trees are planted. Final - After all required Inspections are approved andporches, sklrting, decks, andventlng have been lnstalled. Rough Plumbing - Prior to cover. rl JoB NUMBE "-?ffi %4 >/0pa MECHANICAL: n Wallrcelling lnsulatlon - prlor to|J cover. l-l Drywall - Prtor to taptng. n Wooa Stovo - Afler lnstailation. ffifln"t Buitdlng - When ailfiqquired lnspectlons have been aplroved and bultdlng is completed. xo,n., DtzYRsT l^l( - coeNezs E E tl E tl E fl E E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot T1 v - lnterior - Corner - Panhandle ! - Cul-de-sac IS THE PROPOSED WORK TN THE . HISTOFIICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: PL.HSE GAR ACC N S E l(l',tl ,ti"a. (af <^ii 4m? VALUE Zf3 t /,r\ (A).fr -10,S' i;* x $/so. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERNIIT i ITEM SO. FT. Main Garage Carport D5- This permit is granted on the express condition that the said construction shall, ln 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. Receipt Number:- Plans ewed By Date Plan Check Fee: Date Paid Receivecl By BUTLDING VALUE AND BUILDTNG P , i5tRru cHEcK ERMIT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N' FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge . FT. ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) Vent Fan Mechanical Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby cerflfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission 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 thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln atu reA" Date 3 -r-9 k n conston the site all on. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Pennits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) s4{ zbaT AMOUNT RECEIVED RECEIVED BY DATE PAIi) VALIDATION: BECEIPT NUMBER ;i.,, :. . ll . N/t No