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HomeMy WebLinkAboutPermit Building 1992-04-09LOCATTON OF PROPOSED WORK: --Ql=---LJa-c-rr*- 5 I tt SP'r FIELD \t BLOCK: {tir %, TAX LOT O \500-3-:> 1\ SUBDIVISION ASSE.SSORS MAP RESIDENTIAL PERMIT APPLICATION In:i ;rect ions: 7?6'3769 0flice: 720.3/59 JoB NUMBE R3z-o59:b--- 225 Flfth Street Sprlnglleld, Oregon 97477 LOT ___ _ owNER::f3sa.= ainP&t+ A DD R ESS: -_%.T E --.N}-A-TTS-L PHONE: ., ZIP:STATE: 6(- - c I ry: _a g:e_rlalagtE.\r-- NEW _--_ REMODEL ADDITION DEMOLISH OTHER - TL. LAL'RL AA6 * =: €r-DESCFIIBE WOFIK: oeruenel:D*Q[LEtrn \r-(E( C r.'-''f , rSlS N'.A'ots r)rSN(-' PLUMBING: ELECTRICAL: - PHONEEXPIRESADDRESS !e-l:PS6 MECHANICAL: CONTRACTOR'S NAME CONST. CONTRACTOR # OUAO AREA: r OF BLDCS: OCCY GROUP: I OF STO]IIES: WATER HEATER RANGE:SOUARE FOOTAGE FLOOD PLAIN: I OF UNITS: _ OFFICE USE - ZONING CODE: r OF BDRMS: -.. SECONDARY HEAT: CONSTR. TYPE: --- --. HEAT SOURCE: -- LAND USE: To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested be rnacte the same working day, inspections requested after 7:oo a.m. will be made the following work day' REOU!RED INSPECTIONS TemporarY Electric Site lnspection - To be made after excavation, but firior to setting fornls. Underslab Plumbing/ Electrical / Meclranical - Prior to cover' Footing - Af ter trenches are excavated. Masonry - Steel location, bond beafits, grouting. Founclalion - After (orms are erected but Prior to concrele placetnent. Urrderground Plumbing - Prior to (illing trenclt. Underlloor Plumbirrg/ Mechanicat - Prior to insulation or decking' Post and Beam - Prior to floor insulation or decking Floor lnsulalion - Prior to decki ng. Sanitary Sewer - Prior to filling t renc h. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Plumbitrg - Prior to cover. Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical Power. Fireplace - Prior to facing materials and framing lns1t. Framing - Prior to cover- Wall/Ceiling lnsulation - Prlor to cover. fore 7:00 a.m. will be Final Plumbing - When all plumbing work is comPlete. Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical worl< is comPlete' Final Building - When all required insPections have been approved and building is completed. Other -_--_.--. l--l Drywall - Prior to taoing l-l Wood Stove - After installation lnsert - After fireplace approval and installation of unit. Curbcut & APProach - Af ter forms are erected but Prior to placement of concrete. Sidewalk & DrivewaY - Af ter excavation is comPlete, forms and sub-base material in Place. l--l Fence - When comoleted. Street Trees - When all required trees are Planted. MOBILE HOME INSPE TIONS Blocking and Set'UP - Wlten all blocking is comPlete. Plumbing Connections - When home has been connected to water and sewer. Electrical Connection - When blocking, set'uP, and Plumbing inspectaons have been aPProved and the home is connected to the service Panel. tl Final - After all required inspections are aPProved and porches, skirting, decks, and venting have been installed. fl r tl E E tl tl L_lr E r r Lot faces Lot sq. ftg. Lot coverage TopograPhY Total height Lot Type S tbacl<s PL.HSE GAB N J ACC lnterior Corner Panhandle Cul-de-sac E, ,S THE PROPOSED WORK IN THE -HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTEB? - lf yes, this application must be signed and aPProved bY the H istorical Coordirlator prior to permit issuance' APPFIOVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantcd on the express condition lhat the said consiruclion shall, in all respects, conform to the C)rdinance adopted by the City of Springfield, irrclr'rding tlte Developrrent Cocie, regtrlating tlre construction antl ttse of buildings, an<J may bo suspenclecl or revoketl at any time upon violation of any provisions of said ordinarrces' DatePlarrs Rcvicwed [3Y Plan Chcck Fce Date Paid Receipt Nutrbcr: Receivecl BY VALUE 6,o (A)_Lb'3?- fr ____,b?>_. loQe--!': BUILDING PERMIT Total Value Builrling Pcrnrit [:cc St;rte Surchargc Total Fec SQ. FT. X $/SO, FT.ITEM Main Garage Carport Systems Developrrtcrrt Charge is clue on all undeveloped properties within the City lirlits which are being improvecl'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Hotne 'SOlf-!rgtg-iA!*f- Plumbing Permit State Sr.trcharlle Total Ch;rrge PLUMBING PERMIT FEE (c) N0 FT. FT. FT. :-D j5.oP -4r:o-r ---'l ta-t 42. ao Woorl Stove/ lnsert/ Fireplace Unit Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By signature, I state and agree, that I have caref ully examined the completed application and do hereby certi{y that all information hereon is true and correct, and I f urther certif y that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertaining to the work described trerein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division' I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther agree to ensure that all requircd inspections are requested at tl-re proper time, that each address is readable from the street, that the permit card is located at the front Date o fnaSi of tlre propertY,arrcl t + -> d sct of 1'll:rn:; will retrtaitr ction.d u ringon the site at all ti MISCELLANEOUS PERMITS Mobile Home Stale lssuance State Surcharge Sidewalk .- -- ft Curbcut ---- ft Demolition Stale Surchargc Total Miscellaneous Perrnits (E) VALIDATION: RECEIPT NUMBER - q}=EEL DATE PAID AMOUNT RE,CEIVED RECEIVED BYTOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q ancl E Combined) -!S-"" 2_7-: _e&fi