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HomeMy WebLinkAboutPermit Building 1992-09-17i J, JoBNUMBE^ 7u23? 225 Fifth Street Springf ield, Oregan 97 477 SP'lII\.GFIELf) SUE]DIVISIONBLOCK: 7 ?-15't- gr-7tsr, tu rAX Lor: -AE- LOCATION OF PROPOSED WOBK ASSESSORS MAP: LOT: RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office; 726-3759 ztP: * 11-yz,(irAl E: A {Z- r Gr- S D/ Pr-roNE: 7'{ b,:zh__ _ CITY: ADDRESS OWNER: NEW -- FIEMODEL ADDITION DEMOLISII OTI]ER DESCRIBE WORK: EXPIRES PHONEADDRESSCONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONS'T. CONTRACIOFl / GENERAL: PLUMBING # OF UNITS # OF BDRMS _ OFFICE USE - LAND USE: - -FLOOD PLAIN: ---,. ZONING CODE: WATER HEATER CONSTR, TYPE: _ HEAT SOUFICE:, OF STOFIIES: --- OCCY GBOUP:- --- SECONDARY I-]EAT SQUARE FOOTAGE: OUAD AREA: r OF BLDGS: RANGE: To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspoctions requested l;elore 7:00 a'm. will be rnade the same working day, inspections requested after 7:00 a.rn. will be rnaclc the followin.c; work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanical - Ptior trr cover.l [:irral Pltrrrrbirrg - Wlren all plutrrl..rirrl; wr.rrk is cotnplete. Sile lnspection - To be nladc af ter excavalior-r, but Prior tr.r settingl fortt'ts. Rough Electrical - Ptior tr.r l Final Electric:rl - Wlrcn all elcclrical wot l< is t;t-rtttplele.cover. Underslab Plunrbing / Electrical / Mechanical - Prior to cover. Electrical Service - Mu:;t Irer approved lo obtairr pcllrtan(rrll electrical powcr. t_l Final Mecharrical - When all nrecltanical worl< is cornplele. Footing - Af ter trenches are excavated.L]Final Building - Wltt-'n all required inspections lrave bcen approved and building is conlplete(i. Fireplace - Prior to facing materials and frarning lnsP. Masonry - Steel location, bond beams, grouting. [-l Frarning - ['rior to covcr. lxl orr,",A""g -T-Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling llrstrlaliot't - [)riot lcr cover Underground Plumbing - Prior to filling trench.l-l orVwall - Prior to laui rrg MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After inst;Ill;rtiotr Posl and Beam - Prior to floor insulation or decking.lnsert - A{ter f ireplace apptoval and lnsl:rllation of utrit. Blockirrg and Set-UP - When all blocking is complete. Floor lnsulation - Prior to decki ng.Curbcut & APProach - After forms are erected but Prior lo placement of concrete. LJ Plunrbirrg Contrectiorrs - Wllcn horne has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.I I Electrical Conrreclion - WhcnL-J trlocking, scl-up, and plunrbing inspcctiot'ts ltave ltct-'n approved and the hotnt: is connecteci lo the service parrel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is contPlete, forms atrd sub-base lnaterlal itr plar:l Water Line - Prior to filling trench. Fence - Wlten comPleled Rough Plumbing - Prior to cover. Streel Trees - When all recluired trees are Planted. Final - After all reqttired inspections are aPProved and porches, skirting, decks, and venlinq have been installecl. 3r E tl fl t:] fl r I E tl Lot fitt;es Lot sq. ltg. Lot coveragc TopographY Total height I ot lygru 1,,11'1ior (-or|tr:r [)il tt ll;r t t cl I u Cul clc-sac Sr.rtbacks }.ISE GAR ACC I HE PROPOSED WORK IN THE Fr-srontcal DrsrFllcr, oFt oN Tl-tE tllSlonlcAL REGISTER? ..-- -..--.. lf yes, this applicntion rnust be signed ancl approved bY the H istorical Coordinator prlor to permit issuance. APt'ROVED BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance aclopted by the City of Springfield, including the Development Corle, regulating the construction and use of builclings, ancl may be suspended or revoked at any time upon violation of any provisions of said ordinances. Dat(][]lans llevicwed []Y Plan Check Fee: Date Paid Rer:eipt Number: Ilcceivt",d By: BUILDING PERMIT VAI-UE Lg(^) 6o tv SQ. FT. X $/SO. FT.ITEM ruLin Garage Carport Tot;tl V;llue t3uil<lirrg Pcttrtit [:ctr State Sltt r<;l r;tt t;cl l'otal Fr,lc td/_a,__op_ 7n 1' 1,1, Systerns Developntcnt Charge is clue on all undeveloped propcrties within the City limits whictt are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS F E"b- (c) FT No FT. Residential Biith(s) Plumbing Perrrlit Stale Surcharge Total Charge Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT ITEM [- ixl u res trJ. Wood Stove/ lnsert/trireplace Unit Dryer Vent (D) NUVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hoo(l By signature, l state and agrec, that I have caref ully examined the completed application and do hereby certify tlrat all infornration hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Spritrgfield, and the Laws of the State of Oregon pertalning to the work described Irerein, ancl that NO OCCUPANCY will be nlacle of any structurc without perrnission of ttte Builcling Safety Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this pro ject. I f urther agree to ensure that all recluired inspections are requested at the proper time, that each address is readable from the street, that the permit carcl is located at the front of the property, and the approved set of plans will remain Signature Date 7 ufl construct ionon the site at ti fir MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -,--- ft Curbcut -- --- f t Dernolition State Strrcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER b41< DATE'AID 4-t17 *72 "4.b"AMOUNT RECEIVET) TOTAL AMOUNT DUE (exclt-tding clectrtcal) (A, B, C, f), ;rncl [: Cotttlrincri) 4,b-Z RECI:IVED BY A- ua^t . t?t. r! -.1 E