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HomeMy WebLinkAboutPermit Building 1994-07-01SPR|hlGFIELO JoB NUMBE ^ a /49 Z 225 Fi{th Street Sprlngfleld, Oregon 97477 RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Offtce: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT TAX LOT:O ?>a SUBDIVISION: _ - BLOCK: PHONE: ZIP:STATE: o/f 7z OWNER: ADDRESS: CITY: DEMOLISH OTHER DESCRIBE WORK: NEW-- REMODEL ADDITION ADDRESS EXPIRES PHONE I CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: CONST. ,CONTRACTOR # # OF BDRMS: r OF UNITS: FLOOD PLAIN RANGE: QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: OF STORIES: ZONING CODE: CONSTR. TYPE HEAT SOURCEI _ OFFICE USE - LAND USE: WATER HEATER:- To request an lnspecflon, you must call 726-3769. Thls ls a24 hourmade the same worklng day, lns pectlons requested after 7:00 a.m recordlng. All lnspections rerquested before 7:00 a.m. wlll bework day.wlll be made the followlng REQUIRED INS PECTIONS l--l remporary Etecrrlc Rough Mechanlcal - prlor tocover.Flnal plumb ing - when ail Slte lns plumblng work ls complete.pectlon - To be made Rough Elec[lcat - prlor tocover. after excavatlo n, but prior tosettlng forms.Final Electrlcal _When allelectrlcal work is complete. $:*:ir"," It"i :P i5, :c, r, c a, / Footlng - After trenches areexcavated. M_asonry - Steel locailon, bondoeams, grouilng. Electrlca.t Servtce - Must be l--l t-,lll Mechanlcal _ When a1approved to obtaln oermanent .J mechanicai wo? rs ctmprete.electrlcal power. f-l Ftreptace - prlor to factno - materlals and framlng lnsp] ffi Framtng - prlor to cover. f] y-l!!r"etung lnsutailon _ prtor to - cover. B DrVwall - prtor to taptng. E ['l;i,3Jifl?? ";,.yJ i?,,x,, o, " napproved and bullding lscompleted. fl Foundatlon - After forms are - erected but prlor to concreteptacement. Underground plumblng _ priorto fllllng trench. Undertloor ptumblng/ Mechanlcat - prtor to lnsulailon or decklng. Post and Beam - prlor to floorrnsutailon or decklng. Floor lnsulatlon - prlor todecklng. Sanllary Sewer - prtor to fllllngtrench. Wood Stove - After lnstallatlon. lnserl - After flreplace approvgland lnstallatlon of unlt. Curbcut & Approach - Afterrorms are erected but prior toplacement of concrete. Sldewalk & Drlveway _ Afterexcavation ls complete, formsand sub.base materlal in place. Fence - When completed. MOBILE HOME INSPECTIONS E l-l Blocking and Set.Up _ When all.+ blocklng ls complete. Plumblng Connections _ Whenhome has been connected towater and sewer. t] ;:""'S.Sewer - Prtor to nnrns Eleclrlcal Connection _ When p-,9:Ki19, set-up, and ptumblngrnspections have been approvedand the _home is connected torne servlce panel.l--l y:t:t Ltne - prtor to fiiltns - trench. Rough plumblng - prtor tocover.Slreel Tre6s - When all requlredtrees are planted. Flnal - After all requiredrnspecuons are approved and .?-or9.hu"l sklrilng, decks, andvenung have been lnstalled. a )4:- tl E tl [--l oth"t _ 1,., .. l' : ];)r Lot faces Lot sq. ftg. Lot coverage TopograPhY Total helght Lot Typev- - lnterior - Corner _- Panhandle - Cul'de-sac tb 1- ;o THE PROPOSED YVCRK IN THE - HISTORICAL DISTRIfi, OR ON THE HISTORICAL REGISTER? - lf yes, this appllcatlon must be slgned and aPProved bY the H lstorlcal Coordinator prlor to permlt issuance' APPROVED: GAR ACCP.L.HSE N S W E BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permit is granted on the express conditlon that the said consiruction shall, in all respects, conform to the Ordinance .Jopi"O by the City ol Springfield, including the OLretopment Code, regulating the construction and use ol Uuf f Oini", and may bJ suspended or revoked at any tlme upon violation of any provisions of said ordlnances' Plan Check Fee: Plans Fleviewed BY Date Receipt Numbe Date Paid Received BY: BUILDING PERMIT VALUE .?2(A) SO. FT, X $/SO. FT. {P.e ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Systems Development Charge is due on all undeveloped piopertles wlthln the Clty limlts whlch are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC) . (B) ADDITIONAL COMMENTS ITEM Fixtures Resldential Bath(s) SanitarY Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE FT. FT. (c) Plumblng Permit State Surcharge Total Charge Wood Stove/ lnsert/Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed applicatlon and do hereby certlfy that all ln(ormatlonhereonistrueandcorrect,andlfurthercertlfy 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 hereln, and that NO OCCUPANGY wlll be made of any structure wlthout permission of the Bulldlng Safety Divislon' I further certify that only contractors and employees who are ln compllance with ORS 701'055 will be used on thls proiect. I further agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front the approved set of plans will remaln Slgnature Date site at rlng constructlon. of the on the MISCELLANEOUS PERMITS Mobile Home State fssuance State Surcharge Sldewalk _-- ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Permits (E)/2"=oDATE PAID AMOUNT RECEIVED BECEIVED BY VALIDATION: RECEIPT NUMBER TOTAL AMOUNT OUE (excluding electrlcal) (A, B, C, D, and E Comblned) FT.