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Home My WebLink AboutPermit Building 1997-04-11SPFtIhlGFIELORESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: efr, JoB NUMBE ^ ,^ -?'225 Fifth Street Sprlngfleld, Oregon 97 477 ASSESSORS MAP:/2e 7^3 /-.// -)4rn +uO {17qt rAX Lor: 26 7o,- SUBDIVISION:LOT:BLOCK: a2c-6G28PHONE: 1€ft ?71 7aZIP:o< /L/6 -,nt ,'L (B oo44 Zo o(e-OWNER ADDRESS: CITY: &.,^ NEW - REMoDEL ADDrroN _4 DEMOLISH OTHER *,:r^DESCRIBE WORK:r<_ tn€887 {sADDRESS e al2 CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: PLUMBING: GENERAL: CONST. CONTRACTOFI ,EXPIRES .l PHONE - OFF]CE USE - LAND USE: # OF UNITS: --- FLOOD PLAIN: ZONING CODE: _. , OF BDRMS: __- WATER HEATER: OUAD AREA: r OF BLDGS: SECONDABY HEAT: SOUARE FOOTAGE:RANGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspecilon, you must call 726-376g. Thmade the same worklng clay, lnspecilons requested Rough Mechanlcal - prlor tocover. Rough Electrical - prior tocover. ls rs a 24 hour recordrng. Ail rnspections requested before 7:00 a.m. will beafter 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS n Temporary Etectrtc I-l Slte tnspectlon - To be madeu after excavatlon, but prior tosettlng forms. [-l Understab plumblng/Etecrrlcat/ - Mechanlcat - prioi to cover, fi Footlng - After trenches arew excavated. l--l Masonry - Steet tocarton, boncl - Deams, groutlng. Eleclrical Servlce - Must beapproved to obtaln permanent electrlcal power. [-l Flreptace - prtor to faclngu materlals and framing lnspl 7| framlng - prlor to cover. [-l Fence - When compteted. Foundatlon - After forms areerected but prlor to concreteplacemont.n WallrCelling lnsutatton _ prtor to - cover. l-l Unaerground ptumblnq - prtor]J to fllllng trench l--l Drywalt - prtor to taping. Underlloor plumblng/ Mechanlcat - Prlor to lnsulailon or clecklng. Post. and Beam - prlor to floorlnsulatlon or decklng. Floor lnsulallon - prlor todecklng. Sanltary Sewer - prlor to fllllngtrench. Slorm Sewer - prlor to fllllngtrench. Water Llne - prlor to fillingtrench. Rough Plumblng - prlor tocover. Wood Stove - After lnstallatlon. MOBILE HOME INSPECTTONS f]l 1n":t, - After ftreplace approval - and lnstallatlon of unlt. [-l alocking and Ser.Up _ When ail.+ blocklng ls compleie. Curbcut & Altproach - Afterforms are erected bUt prior loplacement r:f concrete. Plumbing Connectlons _ Whenhome has been connected towater and sewer. Sidewalk & Driveway - Afterexcavation ls complete, formsand sub-base malerial in place. Eleclrical Connecllon _ When P]::!,19, sel.up, ano ptumornfInspections have been approvedand the home is connected tothe service panel. [-_l Street Trees - When ail requtred - trees are planted. Final - After all requiredrnspectlons are approved andporc.hes, sklrting, decks, andventlng have been lnstalled. STATE: l--l Ftnal plumbtng - When ail - plumblng worl< ls complete. [-l Ftnat Etectrlcat - When ail.- electrlcal work ls complete. l-l Ftnal Mechanlcal - When ail - mechanlcal work ls complete. M Flnal Bultdlng - When a[ - requlred lnspecilons have beenapproved and buildlng lscompleted. I--l ortrer ri,: Lot faces Lot sq. ftg. Lot coverage TopographY Total helght Lot Type - lnterior - Corner - Panhandle - Cul-de'sac THE PROPOSED WORK iN THE - TTISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved bY the Hlstorlcal Coordinator prlor to permit issuance. APPROVED GAR ACCP.L.HSE N S E 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 tlme upon violation of any provisions of sald ordinances' Plans Reviewed BY Date Beceipt Numbe BU I LDI NG AND BUIL DIN rUe, i5tRN cHEcK IG PERMIT Date Paid Received BY: Plan Check Fee:Ra BUILDING PERMIT VALUESO. FT. (A) 7-z/ ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee ':, t X S/SO. FT, /^ n" ze.*5 - t:Var7 '3'r Systems Development Charge ls due on all undeveloped properties within.tlre City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) SanitarY Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N0 FT. FT. FT. (c) Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permlt lssuance State Surcharge Total Permit Furnaco Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformationhereonistrUeanclcorrect,andllurthercertlfy that any and all work performed shall be done in accordance with the Ordinances of the City ol 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 wlthout perrnission of the Buildlrrg safety Divislon' I further certify that only contractors and employees who are ln compliance with ORS 701'055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the lront of the property, and the approved set of plans wlll remaln on the site at all times during construction' 7( Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - {t Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Pertnits (E) 4/ DATE PAID AMOUNT RECEIVE,D RECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) 4s v/- - \ -?*:22-