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HomeMy WebLinkAboutPermit Building 1997-11-06GFIELDRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: JoB NUMBE " ? 7/ ,fgg 225 Fifth Street Springfleld, Oregon 97477 L BLOCK:SUBDIVISION CITY: ADD STATE: PHONE: ZlPi ? ADDITION DEMOLISH OTHER DESCRI WORK: NEW- REMO PLUMBING: MECHANICAL: ELECTRICAL: ADDRESS EXPIBES l PHONECONTRACTOR'S NAME GENERAL:fitdl)R CONST. CONTBACTOB # BANGE: - OFFICE USE _ WATER HEATER: ZONING CODE: FLOOD PLAIN:QUAD AREA: * OF BLDGS: SECONDAFIY HEAT: SOUARE- FOOTAGE: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS n Temporary Electric Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting lorms. Rough Electrical - Prior to Flnal Electrlcal - When all electrical work is complete.cover. Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover. Eleclrlcal Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanlcal - When all mechanical work ls complete. \#Footlng - After rrenches are ,Fexcavated.Flreplace - Prlor to faclng materlals and framing lnsp. )d rlnal Buitdlns - When att Arequired lnspectlons have been approved and building is completed.E Masonry - Steel locatlon, bond beams, grouting. fft"t'ng - Prlor to cover' M*"lllcelllng lnsulatlon - Prlor to )Acover. Xoo*"tl - Prior to taolns' Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prior to lllllng trench. MOBILE HOME INSPE TIONS Underlloor Plumblng / Mechanlcal - Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon. Posl and Beam - Prior to floor lnsulation or decking.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set-Up - When all blockln0 ls complete. Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home lras been connected to water and sewer. Sanitary Sewer - Prior to fllling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home ls connected to the service panel.E"::";l,.Sewer - Prior to rrrrins Sidewalk & Oriveway - After excavation is complete, forms and sub-base material ln place. Water Llne - Prlor to filling trench. Fence - When co.rlpleted. gitreet Trees - When all requlred trees are planted. Final - After all required inspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnstalled.Rough Plumbing - Prlor to cover. rAXLor: /ZaOb OWNER: , OF BDRMS: - LAND USE: # OF UNITS: - E E E E E E E T [--l otner flFloor lnsulation - Prior to decking. f] E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Ty, _ - lnterior - Corner - Panhandle ! - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E \ lS THE PROPOSED WORK tN THE - HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: c t^l fi\,ii',g -49A- &il- Total Value Building Permit Fee state surcharse /,?Z * ltt Total Fee (A) BUILDING PERMIT i VALUE 3 ,o-2 -t 7e f,a)(2 t ITEM Main Garage Carport SO. FT. X $/SQ. FT. This permit is granted on the express condiilon that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the Development Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any ilmeupon violation of any provisions of said ordinances. Plans Reviewed By , E Date Receipt Numbe Plan Check Fee Date Paid: Received By BUTLDING \ALUE AND BUILDING P i5lnru cHEcK RMIT SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE N' FT. FT. FT. (c) Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlnedthe completed apptication and do hereby cerilfy that alllnformatlon hereon is true anct correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed hereln, 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 ln compliance with ORS 701.055 wlll be usec, on thlsproiect. I further agree to ensure that all required lnspections are requested at the proper time, that each from the street, that the permit card ls Date _ on the site at all mes durln c ted Signature of the property,the approved plans ction. ls readable at the front will remaln MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk _ ft Curbcut _ ft Demolition State Surcharge Total Miscellaneous pennits (E) TOTAL AMOUNT OUE (exctuding etectricat)(A,B,qQandECombtned) )27? AMOUNT RECEIVF-D RECEIVED BY DATE PAID VALIDATION: FIECEIPT NUMBER