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HomeMy WebLinkAboutPermit Building 1999-11-02SPRINGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Offlce: 726-3759 LOCATION OF PROPOSED WORK: ?? soe afi, JOB NUMBER 225 Fifth Street Sprlngf leld, Oregon 97477 77lZ Tl,,ttfoN /o ASSESSORS MAP:t?o LOT BLOCK: TAX LOT ooToo OWNER:PHONE: STATE:ZIP:CITY: ADDRESS: ' 71(7 q7 ?7 t ce(L TA,a ps/a y NEW - BEMoDEL 1t ADDrrroN DEMoLTSH orHER b7,(.o Z - 2r^/,rlrac u fl*tsDESCRIBE WORK: ADDRESS C/cn,J zac- (tt/ to a9 ' C/o../r- 4. t A,- CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICALI ELECTRICAL: .f PHONE 72 6- SJCa CONST. CONTRACTOR # EXPIRES /o zL, T /y'a,t THIS 1 tcil SECONDARY HEAT:to{ ceFl SQUABE. FOOTAGE: ZONING CODE: - OFFICE USE - WATER H TYPE:* OF BDRMS: ,\o$l\ HEAT SOURCE: RANGE: FLOOD I)LAIN OCCY GROUP: *,OF STORIES: OUAD AREA: * OF BLDGS: To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons reguested af ter 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS l--l temporary Electrlc Rough Mochanlcat - Prlor to cover. Flnal Plurrrblng - When altplumblng worl< is complete. Slte lnsp€ctlon - To be mado after excavatlon, but prlor to setting forms. l-l Rough Electricat - prtor tot----J cover.Final Electrlcal - When allelectrlcal work is complete. E Underslab Plumblng/ Electrlcal / Mechanlcal - Prlor to cover.E Electrlcal Servlce - Must be approved to obtaln permanent olectrlcal power, Final Mechanical - When allmechanlcal work is complete, - After trenches are f-l Flreptaoo - prior to facing - materlals and framing lnsp. Buildlng - When all ulred lnspectlons have been l-l Masonry - Steel tocatlon, bondu boams, groutlng. approved and building is completed. - Prlor to cover. n - After forms are Olher erected but prlor to concreteplacemont./Celllng tnsutatlon - prlor to l-l Unaerground plqmblng - prior.- to fllllng trench,I - Prlor to taplng Underlloor Plumblng / Mechanlcat - Prlor to lnsulatlon or ctecklng. MOBILE HOME INSPE TIONS Wood Stovo - Alter lnstallatlon. Post and Beam - Prlor to floorlnsulatlon or decklng.l-_| tnsert - After flreplace approval - and lnstallatlon of unlt. l-_l Blocking and Set.Up - When ail.J blocklng ls complete. Floor lnsulallon - prlor to decklng.Curbcut & A1:proaclr - After forms are eru:cted but prlor toplacoment of concrete. Plumbing Connectlons - Whenhome has been connected towater an<J sewer.l-l Sanltary Sewer - Prtor to fliltng - trench. l-l Storrn Sewer - Prlor to fllllng - trench. Sidewalk & Driveway - After excavatlon ls complete, for.msand sub-base materlal ln place. Electrical Connection - When blocklng, set.up, and plumblng rnspecuons have been approvedand the home is connected tothe servlce panel. [-l Warer Llne - prtor to fiillng - trench.l-_l Fence - lvhen coinpleted. Rough Plumblng - Prlor to cover. Flnal - After all requiredlnspectlons are approved andporchos, sklrtlng, decks, andventlng have been lnstalled. [-_l Street Trees - When ail roqutred - troes are planted. SUBDIVISION: - .- .1, !ou .t\ EE P.L.GAR ACC'HSE N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type * - lnterlor - Corner - Panhandle ! - Cul-de-sac (- IS THE PROPOSED WORK TN THE .- HrsroBrcAL DtgTRtcT, oR oN THE HISTORICAL REGISTER? lf yes, thls appllcatlon must be slgned and approved by the Hlstorlcal Coordlnator prlor to permlt lsguance, APPROVED: BUILDING LAN CHECK AND BUILDING P , E RMIT Thls permlt is granted on the express conditlon that the said construction shall, ln all respects, conform to the Ordlnance adopted by the City of Sprlngfleld, includlng the Development Code, regulating the constructlon and use of oulldings, and may be suspended or revoked at any tlme upon violation o Plan Check Fee: Date Paid Receipt Numb f any provifz slons of sald ordlnances. 3 Recelved fll:ATO Plans Reviewed By Date Systems Development Charge ls due on all undeveloped properties wlthln the City limlts which are belng lmproved. ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done ln accordance wlth the Ordinances of the Clty of Sprlngfield, and the Laws of the State of Oregon perlalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Bullcllng Safety Dlvlslon' I further certify that only contractors and employees who aro In compllance with ORS 701.055 wlll be used on thls prolect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property,the set of plans will remaln on the slte at imes rl constructlon Slgnature Date a,L* VAI.IDATION BECEIPT NUMBER 0 DATE PAID 11 AMOUNT RECEIVED SQ. FT. X $/SO. FT. = VALUE BUTLDING PERMTT ( t.gf(A) o(^ fi rou ,. ..1 @.rl ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ITEM Fixtures Residentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) N' FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge . FT. Wood Stove/ lnsert/Flreplace Unlt Dryer Vent MECHANICAL PERMIT (D) N0 Mechanical Permlt lssuance State Surcharge Total Permlt Furnace Exhaust Hood Vent Fan MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Comblned)RECEIVED BY t'/0 - , j. ,.r. ,.,t.,1:., tr/ov{'l f &/" o ( ,) (