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HomeMy WebLinkAboutPermit Building 1999-04-12INGFRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 ?fo /rJ LOCATION OF PROPOSED WOBK:i Al PL.- JOB NUMBER 225 Fifth Street Sprirrgfleld, Oregon 97 f't n ASSESSORS MAP:l7 olt s>(0 oDTAX LOT LOT - BLOCK:SUBOIVISION 0 PHONE:s S I STATE: 7rt 7- €{/ 7 ZIP: 3ad 4*// 01/L OWNER: ADDRESS: CITY: NEW- REMODEL DEMOLISH OTHER DESCRIBE WORK: /.1,r C 3,}ADDRESSCONTRACTOR'S NA GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: coNST. t A 44 CONTRACTOR # At t ENT I o N : ur86ErAEi,YE6.,-r res yo u to followunles affitgq !$1e9l99on t{lly Notification Center. Those rules are sGtlorth in OAR $ffffi t[Sffi5ffigh€rAR€52401 - 00e0. yoo r646ebt$E: cg!99 qllglugx bv callino the center. (Note: the telephone numoBFbI fiBt{SrQfton-ut+ittl'tetitieatien is 1-800-332-2341'). r OF BDRMS: WATER HEATER: FLOOD PLAIN:QUAD AREA: r OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: r OF STOBIES: ZONING CODE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be ma<Je the followlng work day. REQUIRED INSPECT!ONS n femporary Electrlc Rough Mechanlcal - Prlor to cover. Final Plumblng - When all plumbing worl< ls complete. Slte lnspectlon - To lre made after excavatlon, but prior to settlng forms. Underslab Plumblngl Electrlcal / Mechanlcal - Prlor lo cover. Footlng - After trenches are excavated. Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to fllllng trench. Underlloor Plumblng / Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to lloor lnsulatlon or decklng. Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prior to fllling trench. Storm Sewer - Prlor to fllllng trench. Water Llne - Prlor to filling trench. Rough Plumblng - Prlor to cover. I--l SiAewall< & Driveway - After 'J excavation ls complete, folms and sub-base materlal ln place. Rough Electrlcal - Prior to cover. Electrical Servlce - Must be approved to obtaln permanent electrlcal power. Flreplace - Prlor to faclng materlals and lrami ng lnsp. lng - Prlor to cover. Wall/Celling lnsulatlon - Prlor to cover. Wood Stovo - After lnstallatlon. lnserl - After flreplace approvql and lnstallatlon of unlt. Curbcut & AJrproach - After forms are erected but prior to placement of concrete. Fence - lVhen coirrpleted. Streel Treos - When all requlred trees are planted. Final Electrlcal - When all electrical work ls complete. Final Mechanlcal - When all anlcal work ls complete. nal Bulldlng - When all required lnspectlons have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set.Up - When all blocklng ls complete. Plumtring Connectlons - When home has been connected to water and sewer. Electrical Connectlon - When blocklng, set-up, and plumblng inspections have been approved and the home is connected to the servlce panel. Final - After all required lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled. fl E E I E tl Drywall - Prlor to taplng. rl tl Lot faces Lot sg. ftg. Lot coverage Topography Total height Lot Type \-. - lnterior -_ Corner ,.- Panhandle i - Cul-de-sac backs ; -J THE PROPOSED WORK TN THE . HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - l, yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: P.L.HSE GAR ACC N S E BUILDING PERMIT VALUE tq;7 (A) SQ. FT.ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee * X $/SO. FT. " r). BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This pernrit is granted on the express condition that the said construction shall, ln all respects, conform to the Ordlnance adopted by the City of Sprlngfleld, includlng the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are belng lmproved. ITEM Fixtures Flesidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N' FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge - FT. ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I further 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 pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Buildlng Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.05S wlll be used on this proiect. I further agree to ensure that all required lnspections are requested at the proper tlme, 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 remaln cng n.times durl Slgnatu Date on the site at Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - lt Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) NoVent Fan (D) MECHANICAL PERMIT Furnace Exhaust Hood Mechanical Permit lssuance State Surcharge Total Permit TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned) RECEIPT N] DATE PAID AMOUNT R RECEIVED 3) L/6 7 4 6. BY VAl-IDATION: UMBER ECEIVEO