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HomeMy WebLinkAboutPermit Building 1996-10-26PHONE: STATE:ZIP: ADDRESS: OWNEB: +_ AD N DEMOLISH OTHER DESCRIBE WORK: NEW_- R EXPIRES PHONE CONTFIACTOR'S NAME MECHANICAL CONST. CONTBACTOR # GENERAL: PLUMBING - OFFICE USE _ WATER HEATER: * OF UNITS: FLOOD PLAIN QUAD AREA: r OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: , OF BDRMS: -- FIANGE: OCCY GROUP: * OF STORIES: ZONING CODE: ._- CONSTR. TYPE HEAT SOURCE: LAND USE: RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: t26.3tSS LOCATION OF PROPOSED WOHK:Z ASSESSORS MAP:,a SPFl ThlGF IELD Wood Stove - After lnstallation. lnsert - After f ireplace approval and installation of unit. Curbcut & AJrproach - After forms are erected but prior to placemcnt of concrete. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. {itreel Trees - When all required trees are planted. JOB NUMBER 225 Fifth Street SpringfielcJ, Oregon g7 477 Final Plumbing - When allplumbing worl( ls complete. Final Mechanical - When allmechanical work is complete. Final Building - When ail required lnspections have been approved and building ls completed. Other MOB!LE HOME INSPECTIONS Blocking and Set.Up - When all blocking is complete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. LOT:BLOCK: To request an inspection, you must call 726-3769. Thls ismade the same working day, lnspections requested afte Temporary Electric TAX LOI: Electrical Service - Must be approved to obtain permanent electrlcal power. Fireplace - Prior to facing materlals and framing lnsp. W Framing - Prior to cover. @Cuiting lnsulation - Prior to cover. ,$,77 ftry-777€Z:> . Drywall - Prior to taping. a24 hour recording. All inspections requested before 7:00 a.m. wiil ber 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS Rough Mechanical - prior to cover. Rough Electrical - prior to Final Electrical - When ailelectrical work is complete. cover. fr w B Site lnspection - To be madeafter excavation, but prior tosetting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundatlon - After forms are erected but prior to concrete placement. Underground Plumbing - Prior to filling trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor lnsulatlon or decking. Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to f illing trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. - SUBDIVISION: CITY: ELECTFIICAL: t' tr fl fl EE E E fl n tl n tlr E fl fl Fence - When completed. E E tl Lot faces Lot sq. ftg. Lot coverage TopograPhY Total helght Lot Type -- - lnterior _- Corner - Panhandle - Cul-de-sac acks P.L.HSE GAR ACC N S IS THE PROPOSED WOBK iN HrsroBlcAL DlsTRlcL oR oN THE HISTORICAL BEGISTER? - l( yes, this application must be slgned and aPProved bY the Historical Coordinator prior to permit issuance' APPFIOVED: THE AND BUILDING PERMIT This permit is grantecl on the cxpress 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 buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Receipt Number:- Plans Reviewed tly Date BUILDING VALUE,PLAN CHECK Plan Check Fee: Date Paid Received By: VALUE (A) 2ZA2.2z BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fec SO. FT. X $/SO. FT,ITEM Main Garage Carport 7^ -<-o- /.4V,?4?r:/, SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. FEE (\.) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharoe Total Charge ITEM Fix tu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home ADDITIONAL COMMENTS Wood Stove/ lnsert/Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace 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 and correct, and I f urther certify that any and ail work performed shail be done in accordance with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work describedherein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Buildirig Safety Division.I further certily that only contractors and employees whoare in compliance with ORS 70j.OS5 will be used on thisproiect. I further agree to ensure that all required ins requested at the proper time, that each add from the street, that the permit card ls I Date lb/0 _-?g- un o pections are ress is readable ocated at the frontof the property, and the a set of plans will remainon the site at all times d truction. Signatu MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk -.._- ft Curbcut -._.--_ ft Demolition State Surcharge Total Miscellaneous perrnits (E) TOTAL AMOUNT DUE (exctuding ctectrical)(A, B, C, Q and E Combined) .=>2,=4t DATE PAID AMOUNT FIECEIVED FTECEIVED BY VALIDATION: RECEIPT NUMBER E