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HomeMy WebLinkAboutPermit Building 1998-10-09SPRTNGFIELE,RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOI - BLOCK: JoB NUMBE ^$goazea225 Fifth Street Springfleld, Oregon 97477&fi, TAX LOT SUBDIVISION PHONE: STATE:ztP 5/7-64s O,a /?, CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER - DESCRIBE WORK: ADDFIESS 10L EXPIRES ,A PHONECONTRACTOB'S NAME MECHANICAL: ELECTRICAL: CONST, CONTRACTOR ', GENERAL: PLUMBING RANGE FLOOD I)LAINQUAD AREA: r OF BLDGST SECONDARY HEAT: SQUARE FOOTAGE: , OF BDRMS: .-OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: ZONING CODE: _. To request an inspectlon, you must call 726-3769. Thls ls a24 hoot recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same working day, lnspections requested after 7:00 a.m. wlll be macje the following work day. REQUIRED INSPECTIONS Temporary Eleclrlc Rough Mechanlcal - Prior to cover. Final Plumbing - When altplumbing worl( is complete. Site lnspectlon - To be made after excavation, but prior to setting forms. J--l Rough Elecrricat - prior tolJ cover.Final Electrlcal - When allelectrical work is complete. l-_| Underslab Plumblng/ Etectricat / - Mechanlcal - Prior to cover, Final Mechanlcal - When all mechanical worl( 18 complete E Footlng - After trenches are excavated.Flnal Bulldlng - Whon ail required lnspectlons have been approved and bulldlng is completed.I-l Masonry - SteetlJ beams, groutlng. on, l-] FoundatlonU erected brt placement. - After fo Othcr prlor to conc l-l Underground plumbing - - to filling trench. tl Underlloor Plumblng/M MOBILE HOME INSPE TPNS - Prior to lnsulatlon or ng.ter lnstallatlon Post and Beam -. prlor to floor Ilnsulation or decking. I Floor lnsulatlon -- Prior to I decking. - After flreplace approval [-l Blocking and Set.Up - When alt - blocklng ls complete. installatlon of unit Curbcut & Alrproach - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome has been connected towater and sewer. Sanitary Sewer - Prior to fllling trench. [--l Stonn Sewer - prior to filting - trench. Sidewall< & Drivewav - Afterexcavation ls complete, forms and sub-base malerial in place. Eleclrical Connection - Whenblocking, set.up, and plumblng lnspections have been approvedand the home ls connected tothe servlce panel. Waler Llne - Prlor to filling trench. Fence - When coinpleted. Str€€t Trees - When all required trees are planted. [-l Rough Plumbing - prior tolJ cover. Final - After all requiredinspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. ?7 4oz - OFFICE USE - LAND USE: # OF UNITS: ------ WATER HEATER: E fl t] Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterior - Corner -- Panhandle i - Cul-de-sac Se PL.HSE GAR ACC N I S E IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be slgned arrd approved by the Historical Coordinator prlor to permit issuance. APPROVED: BUILDING PERIOIIT i .'t ITEM SO. FT. X $/SQ. FT.VALUE Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) BUILDING IhIUE, i5MU CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance edopted by tho Clty of Sprlngfleld, inoluding 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 Fee: Date Paid Recei pt Numbe Received By: Plans Rcviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Flxtures Besidential Bath(s) FEE N! Sanitary Sewer - FT. Water Storm Sewer Moblle Home FT. Plumblng Permlt State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert / Fl replace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformation 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 pertalnlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Bullding Safety Divislon. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on thls proiect. I {urther agree to ensure that all required inspections are requested at the proper time, that each address is readable {rom tlre street, that the permlt card ls located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Slgnatu re Date /o- z- 79 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolitlon State Surcharge P t^r(e'- '('//e) Total Mlscellaneous Permits (E) eo VAt-IDATION: RECEIPT NUMBER DATE PAIi)I AMOUNT RECEIVED RECEIVED BY Oo TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)3€';e