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Home My WebLink AboutPermit Building 1998-12-17RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: /sqrJOB NUMBE 225 Fifth Street Sprlngfleid, Oregon 97477 7ot" s S} ASSESSOBS MAP;z TAX LOT SUBDIVISION L1 LOT BLOCK: PHONE: OnSTATE:77ZlPi o -s?5:2 CITY: ADDRESS: OWNER: NEW- REMoDEL ADDlrloN DEMoLtsH orHER- DESCRIBE WORK: M 1 7*oa.1-rt res you ADDRESS EXPIFIES ,$ PHONE ON:Oregon 0 CONTBACTOR'S NAME GENERAL: les are set forth gh oAB IIAt-t, EXPIRE IFTHE WOHK CONST. CONTRACTOR # lNilTFi THIS PERIVIIT IS NOT ouAD aner0enter is 1-800@a). LAND USE: n g icationotifNthefornmuberOregon _ OFFICE USE - # OF UNITS FLOOD })LAIN: ZONING CODE SECONDARY HEAI SOUAR€ FOOTAGE: , OF BDRMS: -- OCCY GROUP: r OF STORIES: CONSTR. TYPE: HEAT SOURCE: , OF BLDGS: - WATER HEATER:-BANGE: To request an inspection, you musr cail 726.3769. Thmade the same worklng clay, lnspectlons requested Temporary Electrlc rs rs a 24 hour recordrng. Ail rnspecilons requested before 7:00 a.mafter 7:O0 a.m. will be macle the followlng work day. REQUIRED INSPECTIONS Rough Mechanlcat - prlor to cover.I--l Flnat ptumbing - When ail - plumbing worl< ls complete. wlll be Slte lnspectlon - To be madeafter excavatlon, but prior tosettlng forms. n Underslab ptumblng, Etoctrlcal/u Mechanlcal - prloi to cover. tl Foollng - After trenches are excavated. n Masonry - Steel locailon, bond - beams, grouilng. Foundatlon - After forms areerected but prlor to concreteplacement. Floor lnsulation - prlor to decklng. J-l Sanitary Sewer - prior to fililng - trench. l--l Storm Sewer - prtor to fililngu trench. Electrical Service - Must beapproved to obtaln permanent electrlcal power. Flreplace - prlor to faclng materlals and framing tnsI [-_| Framlng - prior to cover. WalllCelling lnsulatlon - prlor to Rough Electricat - prior to cover. cover. Wood Stovo - Alter lnstallation. Final Electrlcat - When altelectrical work is complete. l--l final Mechanlcal - When all - mechanical work ls complete. Flnal Buildlng - When altrequired lnspectlons have beenapproved and building iscompleted. her MOBILE HOME INSPECTIONS Plumbing Conneclions _ Whenhome lras been connected towater and sewer. s t] ,'Jffi1fl;l;:;,.r-orns - Prror [-l Drywarr - prror to taprns. l-J Underfloor plumblng/Mechantcat Prlor to lnsulailon or decklng. l--l Post and Boam - prlor to ftoor - lnsulatlon or decklng.l-l Insert - After ftreptace approval-_ anc, lnstallatlon ol unlt. l--l Alocking and Ser.Up - When ail.- btocklnO ls complete. n y#:rlne - Prlor to fllllns n rence - when coiilpreted. Rough Plumbing - prlor to cover.Slreet Trees - When all reouiredtrees are planted. Curbcul & Approaclr - Afterforms are erected but prior toplacemcnl of concrete. Sidewall< & Driveway - Afterexcavation is complete, formsand sub-base malerial in place. Eleclrical Connection - Whenblocking, set-up, and plumbinflnspections have been approvedand the home is connected tothe servlce panel. Final - After all requiredrnspecllons are approved andporches, sklrilng, decks, andventlng have been lnstailed. Utility Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typt -- - lnterior - Corner - Panhandle - Cul-de-sac Setbacks .- .,3 THE PFIOPOSED WOFIK TN THE . HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - l{ yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: BUILDING LUE,LAN CHECK AND BUILDING PERMIT Thls pernrit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of ouildings, and may be suspended or revoked at any time upon violation of any provisions of sald ordinances. Plan Check Fee: Date Paid: Receipt Number:- Received By Plans Reviewed By Date PL.HSE GAB ACC N S E BUILDING PERIVIIT ' VALUE l'l.Lg qg (A) ': lt ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee 7-i- /4, ou &D SQ. FT. X $/SQ. FT. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Flxtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home FEE (c) Nc FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge - FT. Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan 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 lurther certlfy that any and all work performed shall be done in accordance wlth the Ordinanccs 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 wlthout permission of the Bullding Safety Divislon' I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections 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 Slgnature Date G'e/-- on the site at all s during struction. MISCELLANEOUS PERMITS Moblle Home state lssuance State Surcharge Sldewalk _- ft Curbcut -- ft Demolition State Surcharge Total Mlscellaneous Permits (E) ?>?% d On -lnaRECEIVED BY VAI-IDATION: AMOUNT RECEIVE,D RECEIPT NUMBER DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved.