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HomeMy WebLinkAboutPermit Building 1991-08-19\- SPrlINGFI ELE) RESIDENTIAL PERMIT APPLICATION I rrspections: 726'3769 Of f ice: 726'3759 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 n LOCATION OF PNOPOS ED vd ASSESSORS MAP'JO lt)ool-,lo TAX LOT: LOT: --= BLOCK:SUBDIVISION I PHONE: ZIP:STATE: OWNER: ADDRESS: CITY OTHERHNEW REMODEL ADDITION DEM DF-SCRIBE WOR 55ffi1' v:ftil lWstt CONST. n DDFtF:;SE()oNI (ltjNt-nAI l)l t.,MBlNC ,,.."-Xlt[d s r.t _ OFFICE USE - E OF BDRMS: RANGE: OCCY GROUP ZONING CODE: FLOOD PLAIN WATER HEATER: LAND USE: # OF UNITS QUAD AREA:lR-NLJ._ SECONDARY HEAT: SQUAFIE FOOTAGE: CONSTR. TYPE: HEAT SOURCE:, OF STORIES: _ -_ To request an inspection, you must call 726'3769. This is a24hour recordlng. All inspecilons requested before 7:oo a.m. wlll betnade the same working clay, inspections requested after 7:oo a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - prior to cover.x X w x Final Plumbing - When allplumbing worl< is complete. Site lnspeclion - To be rnacJe af ter excav;rtion, ltr-rl prior to settinO fornrs. Rough Electrical - Prior to Final Electrical - When allelectrlcal work is contplete.oovcr. Underslab Plumbing/ Electrical /Mechanical - Prior to cover,Eleclrical Service - Must beapproved to obtain permanent electrical power. Final Mechanical - When ailmechanical work is complete. Fooling - Af ter trenches are excavated.Final Building - When ailrequired lnspections have beenapproved and building is completed.Masonry - Steel location, bon(t bearns, gror.rting. Fireplace - Prior to faclnqrnaterials and framlng lnsp. Framing - Prior to cover. Foundation - After forms areerecled but prior to concreteplacement.Wall/Ceiling lnsulation - prior to cover. f-l Underground ptumblno - prior Underlloor Plumbing/ Mechanical - Prior to insulation or deckin0. MOBILE HOME INSPE TIONS Wood Slove - After lnstallation Post and Beam - prior to floorinsulation or decking.[-_l lnsert - After ftreptace approvat - and installation of unlt. Blocking and Set.Up - When allblocklng ls complete. Floor lnsulalion - prior to decki ng.Curbcut & Approach - Afterforms are erected but prior to ;tlacemcnl of concrete. Plumbing Connections - Whenhome has been connected towater and sewer.Sanilary Sewer - prior to filling trenclr. [-l Storm Sewcr - prior ro lilting'- -' trcnt;lr. Siclewalk & Driveway - Af tercxoavittiorr i:; comltlete., forms.ul(l sllb-l)lse ntatr!rial irr place. Eleclrical Conneclion - Whenblocking, set-up, and plumbinginspections h;rve bec,rr approve(l.rn(, the homt' is connectcd tothe service panel.Il Water Llne - prlor to tiilinglJ trenr;h. Ferrce - Wlten cofilpleted. Rough Plumbing - prior to Streel Trees - When all requiredtrees are planted. Final - After all requireci inspections are approved andporches, skirting, decks, andventing have been installed. cover. t_l , OF BLDGS: - - l---l orher Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lol Type _- lnterior - Corner -_ Panhandle -- Cul'de-sac Se ks S -1S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE I.iISTORICAL REGISTER? =-- lf yes, this application must be signed and approvecl bY the Historical Coorditrator prior to parrnit issuancc. APT'HOVED: -E HSE GAR ACCP.L. N BUILDING VALUE, PLAN CHECK AND BUILDTNG PERMIT This perrrlit is grantccl on the express condition tllat the said consiruction strall, in all respects, conform to the Ordinance ,.f"pt",f by the City of Springfielcl' including the Developnrent Co<Je, regulatirrg the construction and use of Ouitaling", ;rnrJ may be suspended or revoked :rt any time uporr violation of arny provisions of said ordinances' Plan Check Fee: ---- RecciPt Nunlber:'- DatcFlcviewed BYPlans Rcceived BY: Date Paid VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systems Developtrrent Chargc is due on all uncleveloped properries within the City limits which are being improved'SYSTEMS DEVELOPMENT C (B) HARGE (SDC) ADDITIONAL COMMENTS LT ITEM Fixtures Residcntial Bath(s) SanitarY Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE NN FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge Wood Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT No )(D) Fu rnace Exhaust Hood Vent Fan Mccherni<;al ttrermit lssuance State Surcharge Total Permit By signature, I state and agree' that I lrave caref ully examined the completecl application anct cjo hereby certify that all information hereon is true and correct' and I lurther certi(y that any antl all work performed shall be done in accordance *iin an" Orclinances of the City of Springf ioltl' and tlrc Laws cl( tlrc Statc of Orct;crt-t |)crtainin!t to tlrc w()ll( d(]1;(:ril)()(l lrcreirr, :rnd tlrirt NO OCCLIPANCY will t)() rlra(lc' oI atry struclltre witllotlt 1;r-'ttrrit;l;i,n of tllc Builtlirtt; ['iirlt''ty Divi:iiorr' I Iurtller certity tllilt ('illy corllra(;torli attttJ <ltrtployt)os wllo are in cotnpliarrce witlt OR:j 701'055 will t-rc tts;cd on thi:; proicct. re that all requirecl inspections are tirne, that eaclr address is readableI f urther agree to ensLl requested at the ProPer rmit card is located at the f ront Irom the strcet, tl.rat tlre Pe set of Plans will remainprovedof the ProPertY, and the aP ructdurion the site at all Signatu Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- lt Curbcut .-- ft Demolition State Surcharge (E) Total Miscellaneous Permits TOTAL AMOUNT (A, B, c, D, and E DUE (excluding electrical) Combined) VALIDATION RECEIPT NUMBEB-DATE PAID AMOUNT R Fr:cf lVED ED- o :f urrrwt )JTq an