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HomeMy WebLinkAboutPermit Building 1997-07-08. RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 LOCATION OF PBOPOSED WOFIK: ASSESSOBS MAP:t1 H- :iPFlINGFtELD BLOCK: TAX LOT:Z6(> SUBDIVISION: - z?14PHON9 VAu-g.1 .11tA\I StZ t z STATE:ZlPi I OWNER ADDRESS CITY: NEW -- REMODEL ADDITION DEMOLISH X OTHEFI FrQE P-er S\€\IttApDESCRIBE WORK: EXPIRES PHONE CONTRACTOR'S NAME G EN ERAL:STXTt>,*L ADDRESS rOrl PLUMBING: MECHANICAL: CONST. CONTRACTOR , - OFFICE USE - LAND USE: '/ OF UNTTS: __- CONSTR. TYPE: --HEAT SOURCE: - ZONING CODE: _ # OF BDRMS: .-.- SECONDAFIY HEAT _. SOUARE FOOTAGE: _ WATER HEATER: FLOOD I)LAIN QUAD AREA: e OF BLDGST OCCY GFIOUP: E OF STOBIES: To request an lnspecilon, you must call 726-3769. made the sante worklng day, lnspections rcques [*-l Tomporary Etecrrtc SIto lnspoctlon - To be mado af ter oxcavatlon, but prlor tosotting forms. Undsrslab Plumbing/ Eloctrical / Mechanlcal - prior to cover. Footlng - Af ter trenches are excavated. ' Ttrrs rs a 24 hour rccordrng. Alr Inspections requested before 7:00 a.m. wi, beted after 7;00 a.m. wlll bo made the followlng work day. REQUIHED INSPECTIONS Rouglr Mechanlcal - prlor to cover.Final Plumbing - When allplumblng worl< is complete. Rough Electrlcal - prlor to FInal Electrlcal - When allelectrlcal work is complete. cover, [--l Flroptace - prtor to factng - materlals and framlng lnsp. tr' Electrlcal Servics - Must beapproved to obtalr.r permanent electrical power, Frarnlng - Prlor to cover. Wall/Celling lnsulation - prlor to cover. Wood Stovo - Af ter lnstallailon. l-_l Finat Mechanical - When all - mcchanlcal worl< ls complete. poino' J,a ^7 7. Cry, MOBILE HOME INSPECTIONS Blocking and Set.Up - When altblocklng ls cornplete. Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bulldlng is complotod, Plumbing Conneclions - Whenhome lras been connected to water and sewer. Electrical Connection - Whenblocking, set.up, and plumblng lnspections have been approved and the home ls connecled tothe servlce panel. Final - Af ter all required inspectlons are approved andporchos, sklrting, decks, andventlng have been lnstalled. Masonry - Steel locatlon, boncl beams, groutlng. E l'Jflil:;"i,::jJ:-trns - Prror [-l orywail - prror to raprns Foundatlon - After forms are orecled but prlor to concrete placemont. Floor lnsulallon - Prlor to decklng. Sanltary Sewer - Prior to f llllng trench. Storm Sewer - Prlor to fllling trench. Waler Llne - Prior to filling trench. lnserl - Attor f lreplace approvsl and lnstallatlon ol unlt. Sidewalk & Driveway - Alter excavatlon ls completc, forms and sub.base materlal ln placc. Fence - When completed {ilrosl Troos - When all requlred lrees are planted. Rough Plumblng - Prlor to cover. JoB NUM.E "2ru/5r,225 Fif th Street Springflelcl, Oregon g7477 ,( ELECTRICAL: T tf tf tl E [_-l Underlloor Plumblng/MechanicalI I - prtor to tnsutarto-n ;r-J;;lii;;. t] [-_l Post and Bsam - prlor to ftoortJ lnsulatlon or docktng. t] Curbctrt & Alrprroaclr - Alter forms are erocted but prlor toplacemont of concrctc. tl tl Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor . Corner - Panhandle - Cul-de-sac PL.HSE GAR ACC N J E IS THE PROPOSEO WOBK IN THE . HISTORICAL OISTRICT, OR ON TIJE HISTORICAL REGISTEFI? - lf yes, thls applicatlon must be slgned and approved by the Historlcal Coordlnator prlor to permit lssuance.. APPROVED: I VALUE (A) X $/SO. FT, Main Carport Garagc Total Value Bullding Permit Fee Statc Surcharge Total Fcc BUILDING PERMIT ITEM SO. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pcrmlt is grantecj on the cxpress condltion that the salcjconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfleld, includlng theDevelopment Code, regulating the conslructlon and use ofbulldings, and may be suspended or revokcd at any ilmeupon violation of arry provisions of sald ordlnances. Date Heceipt Numbc Plans Rcvlewc<.1 t3y Plan Check Fee Datc Pald Beceived By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Devclopmcnt Charge ls due on all undeveloped properties withln tlra City linrits whlch are belng improved. ITEM Flx tu res Residential Bath(s) Sanllary Sewer Water Slorm Sewer Moblle Home PLUMBING PERMIT FEE N0 ,7f+,4 f FT, FT. FT. / ru" /a:( (,, ,/,2 o Plumblng Permlt Stato Surcharge Tolal Charge ADDITIONAL COMMENTS 4 Wood Stove/lnsert/Flreplace Unlt Dryer Vent MISCELLANEOUS PERMTTS Moblle Home Stale lssuance Stato Surcharge Sldewalk - It Curbcut - ft Oemolltlon State Surcharge .? O f .54 Total Mlscellaneous Pennlts (E)/2tr OrO /4 (D) MECHANICAL PERMIT Fu rnacc Exhaust Hood Vent Fan No Mechanlcal Permlt lssuance State Su rcharge Total Permll By sl0nature, I statc and agree, that I have carof ully examlnedth€ complctcd appllcatlon and do hereby corilfy that alllnformatlon hcreon ls true ancl correct, ancl I f urther cerUfy that any and arr work performed shail be done rn accordance wlth the Ordlnanccs of tho Ctry of Sprlngflctd, and the Lawsof tlrc Stalo of Orcgon pertalnlng to tho worl< descrlbed hercln, and that NO OCCUPANCy wlll be made of any Structure wlthout pcrrnission of the Bulldlrrg Safety Dlvlslon, I lurther certity that only contractors and employees who are ln cornpllance wiil.r ORS 701.OSS wlll be used on thls p ro jec t. l(urther agree to ensurc that all requlred lnspectlons are roquested at tho propor tlmo, that oach address ls readable from tlrc street, that the pcrmlt card ls located at the front of the property, and thc approved set oI plans wlll remaln on th s lte all tlmes ln lon. slo Date - c>a-?'? VALIDATION RECEIPT NI DATE PAID AMOUNT R RECEIVED UMBER ECEIVED TOTAL AMOUNT DUE (excludlng clectrical) (A, B, C, D, and E Comblned)BY con a4 Sata< ry I-DL r - u'47 ilob+3tor s5'lao 3sa-/ -0 fhal{- 1a{ tor bZoo SFq,l o ae! FD-l6 NJM SPRI}iGFIE]-D EIRE DEPAR.TMENT FIRE DAMA.GE REPORT OR ELECTRICAL HAZARD DATE:ZD TO: FROI4: SUBJECT: Building Department Springfield Fire Department Structural Damage to Building Address or location of buiiding Name of orrner Type of building Estimated value of building Estimated loss to building Date of fire Location of damage in buiiding (Dwe 'l i ng , Store, [,larehouse, etc. ) Doo D Z L (Roof, WalI, Exterior, Interior, etc.) Structural weakness as a result of the fire Burned rafters, Beams, Joists, etc. Additional pertinent information r 4- (tlirinq, 0utlets, etc. ) z-Itt=, l- 23_!11_a arcc: S i qned D*tt lli71r, Electrical Hazard