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Home My WebLink AboutPermit Building 1996-02-02SPRINGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 Zfr, JOB NUMBER aj 225 Filth Street Springfleld, Oregon 97 477 LOCATION OF PROPOSED WORK ASSESSOBS MAP: LOT:BLOCK: TAX LOT: SUBDIVISION: -PHoNE: /*)=*'a<z ztPSTATE:a:::=< OWNER: ADDRESS: CITY: NEW - REMODEL ADDITION DEMOLISH OTHEFI DESCRIBE WORK: EXPIRES PHONE MECHANICAL: ELECTRICAL: PLUMBING: GENE CONST. CONTRACTOR # RANGE: _ OFFICE USE _ WATER HEATER: ZONING CODE: FLOOD PLAINQUAD AREA: r OF BLDGS: SECONDARY HEAT: SQUARE. FOOTAGE: OCCY GROUP: r OF STORIES: CONSIR, TYPE HEAT SOURCE: To request an lnspection, you must call 726-3769. Thls ls a24hour recordlng. All inspections requested before 7:00 a.m, wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS Temporary Electric Rough Mechanlcal - Prlor to cover. Final Plumbing - When all plumbing worl< is complete. Site lnspection - To be made after excavatlon, but prior to settlng forms. Rough Electrical - Prior to Flnal Electrlcal - When all electrical work is complete.cover Underslab Plumbing/ Electrical / Mechanlcal - Prlor to cover. Electrical Service - Must be approved to obtaln perrnanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. w Final Building - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.m B Framlng - Prior to cover. Foundatlon - After forms are erecled but prlor to concrete placement. Other Wall/Celling lnsulation - Prlor to cover. Underground Plumbing - Prior to fllling trench.V Drywall - Prlor to taping MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanical - Prior to lnsulatlon or decking.Wood Stove - After lnstallatlon Post and Beam - Prlor to floor lnsulation or decklng.lnserl - Alter fireplace approvql and lnstallatlon of unit. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prlor to decking.Curbcut & Alrproach - After forms are erected but prior to placemont ol concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing trench.Electrical Connection - When blocking, set.up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filllng trench. ^ t Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler Llne - Prior to filling trerich. Fence - When completed. Rough Plumbing - Prlor to cover. Slreel Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirtlng, decks, and ventlng have been installed. /?-2?-3,/- q) CONTRACTOR'S NAME # OF BDRMS: - LAND USE: # OF UNITS: - E E tl E r tl tl fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - - lnterior - Cbrner - Panhandle - Cul-de-sac I-- IS tHE PROPOSED WORK TN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? _- lf yes, this applicailon rnu"t U" slgned and approved by the Historlcal Coordinator prior toNpermit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE Ra.- ?.:;o --T. a-V (A) X $/SQ, FT. .62 --/:7 BUILDING PERMIT ITEM SO. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fec BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction sha.ll, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number:__.* Plans Rcviewed t3y Date Plan Check Fee Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City linrlts which are being improved. FEE (\,) N0Residential Bath(s) FT, Plumbing Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fix tu res . FT.Sanitary Sewer Water Storm Sewer Mobile Home ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnacc Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all information hereon is true ancl correct, and I f urther cerilfy 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 wilt be made of any structure wlthout 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 further agree to ensure that all required lnspections 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 remain Date on the sit Slgnature e at all times durln 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)7fi74 Q-2DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBER FT. lon. CITY OF OREGO'U 225 North Fifth Street Springfield, Oregon 97477 PENCB PERHIT APPLICATION CITY OP SPRINGFIELD BUILDING SAFETY DIVISION SF TGFIELD 0ffice: INSPECTION LINE: 726-3759 726-3769 Job Location: 3?7d lfirlo lAtlft .-{/w/wi Tax Lot *r 20 O 0Assessors Hap #: Owner:u ILrf Address: CitV: L \ o r ?i\rrb\CF. o€ Gwros State, Z +. ,3%-rZZV, zipz ? 5 O32- Value of Fence:4 oo, oc Fence Permit is $5.00 Con t rac to r/Ins taIler :S Address:Phone #: Q S:-t656 Cl ty ' M N(ic .,[t+State ' O [L zi p,q7%< Constructlon Contractors Reglstration #:iresz2-2V16 By signing this permit/application, I agree to caII for an inspectlon once my fence has been constructed (726-3769). I also stated that all information on this application/permtt is correct and that I vas provided vith the Springfleld Development code requirements for fence standards. /-JLDate- (>S ure FOR OFFICE USE Date of Application:A-2.JOB #: Receip t s %=66 Issued By: Tota} Amount Collected a o CheckedforDe1inqueneies:-Check.edforHistorica1Status: I ? ssqt