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Home My WebLink AboutPermit Building 1998-05-04!h.GFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WOBK; L afr, JOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 TAX LOT: s7 # ASSESSORS MAP:tl OL 7o ,)-r LOT BLOCK:SUBDIVISION: - PHONE: ZIP:STATE:CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS EXPIRES c-o.tb 1 PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING - OFFICE USE - WATER HEATER: ZONING CODE: FLOOD I)LAINOUAD AREA: r OF BLDGS: SECONDABY HEAT: SOUARE. FOOTAGE: , OF BDRMS: -- CONSTR. TYPEr HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: To request an lnspection, you must call 726-3769. This is a 24 hour recordlng. All inspectlons requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Temporary Electrlc Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When all plumbing work ls complete. Site lnspectlon - To be made after excavatlon, but prior to setting forms. Final Electrlcal - When all electrical work is complete. Underslab Plumblng/ Electrlcal / Mechanlcat - Prlor to cover.Electrical Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanlcal - When all mechanical work ls complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Final Building - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover, Foundatlon - After forms are erected but prlor to concrete placement.Wall/Celling lnsulation - Prlor to cover. Underground Plumblng - Prior to fllllng trench.J-_l Drywall - Prior to taplng Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon MOBILE HOME INSPECTIONS Jsl/Otocting and Set.Up - When al ,,)Ablocklng ls complete.Post and Boam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon ol unlt. Floor lnsulalion - Prior to decking. Plumblng Connectlons - When Curbcut & AJrproaclr - After forms are erected but prior to placement of concrete. lras been connected to water and sewer. Sanltary Sewer - Prior to fllling trench.leclrical Connection - WhenSidewall< & Driveway - After excavation ls complete, forms and sub-base material in place. ocking, set-up, and plumbing Stonn Sewer - Prior to fllling trench. lnspections have been approved and the home is connected to the servlce panel. Waler Llne - Prlor to filling trench. Fence - When coinpleted. Flnal - After all required ions are approved andBough Plumbing - Prlor to cover. Stroot Trees - When all required trees are planted. porches, sklrting, decks, and ventlng have been lnstalled. RANGE: E Other - [-l Rough Electrical - Prior tor_-_J cover. I I E E E E tl E E E E tl \ Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Typu - lnlerior - Corner - Panhandle ! - Cul-de-sac Se IS THE PROPOSED WORK TN THE . HISTORICAL DISTFIICT, OR ON THE HISTORICAL REGISTER? - ll yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) i:BUTLDING PER[,!IT , ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SQ. FT. X $/SQ. FT. BUTLDING \ALUC, PTRITI CHECK AND BUILDING PERMIT This pernrit is granted on the express condition that the sald 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 tlme upon violation of any provisions of said ordinances. Plans Reviewed By Date Heceipt Number Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home '5- lLo,7f t,/f /6?o FEE /.<6e/,- (c) Nc FT. FT. PLUMBING PERMIT FT. Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby cerilfy that all lnformation hereon is true and correct, and I further certlfy that any and all work performed shall be done in accorrJance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.0S5 will be used on lhls proiect. I further agree to ensure that all required lnspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front slg Date site at all tim d ng ion approved set of plans wiof the on the Wood Stove/ lnsert/ Fl replace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance state surcharge f,z Ct 3. tf Sidewalk - ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, O and E Combined) (D) /0ruoa ,y'o No oC Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood 6a VALIDATION RECEIPT NUMBER DATE PAIi) AMOUNT HECEIVED RECEIVED BY PL.HSE GAR ACC N S E rlit Date Paid: -ts3z" [1 MOBILT HOMI PKoZl55 31st 5t sPG. Scale V+3rt. *t/ SPACT- T { - 76 \otl 15',+ l-gt/7','5" [6' 31 tr E LECT RIC \ 0\l \ \ 10'9 lr 6'B ?T'6"- 26' llrcKo|lx lJil_L gV TLE ETWOOD Mode I 5443A 1o I 5 5o.f[, A"f r- Rt 1 G,' 19 30'_--1 #M A N o TH ER Drefrkl HonsU Fte6fwood 44rC" (* SHEI t '? !-(:) o I t o I I I I I OPT,6AROEN TUO I + a 1012" X |1',-lo" WAI.K-'N t CLOSEf Y IEz i.< tzrlo" x t2ro" MA5TER,gEDROOM LIYINO ROOtvl l9'-O" X tz'-O', ENT(ANCE 24',-O" &,6oIIEL 5443,A 3 BEDRC}OMS, 2 BATHS APPROX. 1.085 SQ. FT.[Ircr((SRfLHtJ#,*, FWt481APR97 ffi.* U(l t ( RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Offlce:720-3759 LOCATION OF PBOPOSED WOBK: IELED 57 LJOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97477 # ASSESSOBS MAP: TAX LOT SUBDIVISION: PHONE: ZIP:STATE:CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: ADDRESS 7c o , .t PHONEEXPIRESCONTRACTOR'S NAME GENEBAL: PLUMBING: MECHANICAL: ELECTBICAL: CONST. CONTRACTOR # r OF BDRMS: - OFFICE USE - WATER HEATER: ZONING CODE: FLOOD PLAIN:OUAD AREA: r OF BLDGS: SECONDARY HEAT: SOUARF. FOOTAGE: OCCY GROUP: * OF STORIEST CONSTR. TYPEr HEAT SOURCE: # OF UNITS: --- To request an lnspectlon, you must call 726-3769. Thls ls a24 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 Temporary Electrlc Rough Mechanlcal - Prior to cover. Flna! Plumblng - When all plumblng work ls complete. Slte lnspectlon - To be made after excavation, but prior to settlng forms. [_l Rough Etectrical - Prlor tol--J cover.Flnal Electrlcal - When all electrical work is complete, Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flna! Mechanlcal - When all mechanlcal work ls complete. l-l Footlng - After trenches are|J excavated.Flreplace - Prlor to faclng materlals and framing lnsp. Flnal Buildlng - When all requlred lnspectlons have been approved and building is completecl.Masonry - Steel locatlon, bond beams, groutlng. l-l Framlng - Prior to cover. Foundatlon - After forms are erected but prlor to concrete placement. Other Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prlor to fllllng trench.l--.l Drywall - Prlor to taplng. MOBILE HOME INSPECTIONS Underltoor Plumblnq/ Mechanlcal - Prlor to lnsulatlon or decklng.Wood Slovo - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng. and Set.Up - When all lnserl - After flreplace approval and lnstallatlon of unlt. n0 ls complete. Floor lnsulation - Prior to decklng. Plumblng Connectlons - When Curbcut & Approach - After forms are erected but prior to placement of concrete. e has been connected to water and sewer Sanllary Sewer - Prlor to fllling trench.I Connectlon - When Storm Sewer - Prlor to fllllng trench. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place.ln ocklng, set-up, and plumblng spections have been approved and the home ls connected to the servlce panel. Water Llne - Prlor to fllllng trench. Fence - Vvhen coi'lpleted. Flna! - After all required Rough Plumbing - Prlor to cover. lons are approved rtlng, decks, and andStr€et Trees - When all requlred porches, skltrees are planted ventlng have been lnstalled, LOT - BLOCK: RANGE: LAND USE: E E E E tl E tl tl fl tl t] \;r'\,1,; : Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnlerlor - Corner - Panhandle ! - Cul-de-sac ks i rs rne PHoPosED woRK tN THE ". HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit lssuance. APPROVED: VALUE (A) tflrt 'l Total Value Building Permit Fee State Surcharge Total Fee ':- & X $/SQ. FT. BUILDING PER ITEM SO. Main Garage Carport .'! ., .1. BUILDING \IALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express condiilon that the sald construction shall, ln all respects, conform to the Ordinance adopted by the Clty of Springfleld, inctudlng the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordlnances. Plans Reviewed By Date Plan Check Fee: Date Paid: Receipt Num Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties withln tlre City limits which are being improved. FEE ,?f /,(f /6?o /.A6e(, (c) Nt FT. Besidential Bath(s) Plumbing Permit State Surcharge Total Charge /f*I L'o PLUMBING PERMIT ITEM Fixtures Sanitary Sewer Water Storm Sewer Moblle Home ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan No Wood Stove/ lnsert / Fl replace Unlt Dryer Vent (D) Mechanlcal Permit lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon is true and correct, and I further certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCY wiil be made of any structure without pennission of the Building Safety Divislon. I further certity that only contractors and employees who are In compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable lrom the street, that the permlt card ls located at the front site at all ti sls )( Date approved set of plans wll maln ng theof on MISCELLANEOUS PERMITS Mobile Home State lssuance state surcharse f,z {* 3. tf Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Mlscellaneous Permits (E) /cf* -r n dlo4.) --e/e TOTAL AMOUNT DUE (excluding electricat) (A, B, C, Q and E Comblned)14?tr"4a VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY P,L.HSE GAR ACC N S E FT. FT.