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HomeMy WebLinkAboutPermit Building 1993-05-25Ay I( -l* S}'FlINGFIELO RESIDENTIAL PERMIT APPLICATION lnspectiorts 726'3769 Office: 726'it759 LOCATION ()F PROPOSED WORK: h, JOB NUMBER 4 Snzz 7 225 Fifth Street Springfield, Oregon 97 477 TAX LOT:t4oz- Z o 3 4z-ASSESSORIi MAP: - - SUBDIVISION LOT:BLOCK PHONE 7tPSTATE: c 7 7u77o oWNER: - TE?J>L 'a/ CITY: --- - ADDRESS: J5?7- M ruEw I - REMoDT:L --- nDDlrloN DEMoLISH orHER DES()RItsE NORK: EXPI RES ul^<eL. Roj ca-u*rlo Gs4 '{t.6 -/f€13t q)oCONTRACT()R'S NAME G EN F.RAL: MECHANICAL: -- PHONE / {6 si€yADDRESS 37i)3 CONST. CONTRACTOB # _ OFFICE USE - oCC'/ GRoTJP -- , OF STORIES RANGE: FLOOD PLAIN: ZONING CODE SECONDARY HEAT: SOUARE FOOTAGE: # OF BDRMS: -="-==.-CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS WATER HEATER: To requcst irn inspection, you must call 726-3769 This is a24hour made the same working day, inspections requested after 7:00 a m recording. All inspections requested before 7:00 a'm' will be will be made the following work day' REQUIRED INSPECTIONS TemporarY Electric Rough Mechanical - Prior to cover. Rough Electrical - Frior to cover. Final Plumbing - When all plumbing worl( is comPlete. Site lnspection - To be made af ter excavatron, but Prior to setting {orms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover' Final Etectrical - When all electrical work is comPlete' Electrical Service - Must be approved to obtain Permanent electrical Power. Final Mechanical - When all mechanical work is comPlete. Footing - Af ter trenches are excavated.l'--l Fireolace - Prior to facing U materials and framing lnsp. Final Building - When all required insPections have been approved and building is completed. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erectr:d but Prior to concrete placement. Underground Plumbing - Prior to lillrng trench. Underlloor Plumbing / Mechanical - Pr'or to insulation or decking' Framing - Prior to cover' Other []Wall/Ceiling lnsulation - Prior to cover. E f-l DrYwall - Prior to taoing MOBILE HOME INSPECTIONS |_-l Wood Stove - After installation Post and Beam - Prior to floor insulirtion or decking'lnserf - After f irePlace aPProval and installation of unit' Blocking and Set'UP - When all blocking is comPlete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior to placement of concrete. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub'base material in Place' Plumbing Connections - When home has been connected to water and sewer. SanitarY Sewer - Prior to filling trencll.Electrical Connection - When blocking, set'uP, and Plumbing . inspections have been aPProved and the home is connected to the service Panel. )ty'=,orn, Sewer - Prior to filling zlA.itt"n"n. Water Line - Prior to filling Fence - When comPleted trenc n Final - After all required insDeclions are aPProved and oorches, skirting, decks, and venting have been installed'Rough Plumbing - Prior to Slreet Trees - When all required trees are Planted.n covel z-c A OUAD AREA: * OF BLDGS: E fl E E E if E tl r fl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior -- Corner - Panhandle - Cul-de-sac IS\+IE PROPOSED WOFIK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEN? lf yes, this apltlication must bo signed and approved by the Historical Coordinator prior to permit jssuance. APPROVED: P.L.HSE GAR ACC N S E VALUE (A) X $/SQ. FT. Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. BUILDING VALUE, PLAN CHECK AN D BUILDING PERMIT This permit 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 buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinarrces. Plan Check Fee: __ Fleceipt Number:__ -- oJte--Ptans nlFeweo el Date Paid Received By: /v/* SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is clue on all undevelopecl properties within the City limits which are being im1:roved. FEE {f.oo 7S (c)€{6 FT. FT. Residential Bath(s) Plumbing Permit State Surcharge Total Charge PLUMBING PERMIT ITEM Fixtu res N0 Sanitary Sewer Water Storm Sewer Mobile Home ADDITIONAL COMMENTS MECHANICAL PERMTT Fu rnace Exhaust Hood Vent Fan No Wood Stove/ lnsert / Fireplace Unit Dryer Vent (D) Mechanical Permit lssuance State Surcharge Total Permit By signature, I state and agree, that I have caref ully examined the completed applicalion and cJo hereby certify that all information hereon is true and correct, and I f urther certily that any and all work performecJ shall be done in accordance with the Ordinances of the City of Springfield, ancl the Laws of the State of Oregon pertaining to the work clescri bed herein, and that NO OCCUPANCy will be m;rde of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this project. I further agree to ensute that all requircd inspectionp are requested at the proper time, that each acldress is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans r,vill renrain gnatu 5-JSDate on the site at ull tl mes ion.g const MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -_- ft Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) VzTOTAL AMOUNT DUE (excluding etectricat) (A, B, C, D, and E Combined) <4,79-_- VALIDATION: FIECEIPT NUMBER -DATE PAID AMOUNT RECEIVED - 5:Z r-"3zr- ZZ RECEIVED BY =-=- ,-, FT. 2ao /