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Home My WebLink AboutPermit Building 1991-06-21INGFIELD RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED ASSESSORS MAP: LOT: & JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT: BLOCK:SUBDIVISION STATE: OWNER ADDRESS: CITY: PHONE: ztP DESCRIBE WORK: NEW- REMODEL ERADDITION DEMOLISH ,S NAME ADDRESS EXPIRES PHONE MECHANICAL: GENERAL: CONT CONST. CONTFIACTOR # e- \ RANGE:WATER HEATER: - OFFICE USE _ ZONING CODE: FLOOD PLAIN SECONDARY HEAT: SOUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: + OF BLDGS: CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS To request an inspection, you must call 726-3769. This is a24hour recording. AII inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQU!RED INSPECTIONS fl Temporary Electricll Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover, Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireptace - Prior to facing materials and framing lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. - Prior to cover. Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[-l Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set.Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Line - Prior to filling trench. Fence - When completed. Street Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Rough Plumbing - Prior to cover. or r r[ratNt/:. ELECTRICAL: t # OF BDRMS: - E E E r E r E E E Other - r E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac ks P.L.HSE GAR ACC N S E THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the H istorical Coordinator prior to permit issuance. APPROVED BUILDING PERMIT ITEM SQ. FT.X $/SQ. FT.VALUE Main Garage Carport Total Value Building Permit Fee State Su rcharge Total Fee (A) 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 adopted by the City of Spri ngfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid Receipt Numbe Received By: Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE N0 FT. FT, FT. Plumbing Permit State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N0 Mechanical Permit lssuance State Surcharge Total Permit (D) By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information 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 Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this project. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain site at imes during constructio MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION: RECEIPT NUMBER DATE PAID, AMOUNT FI FIECEIVED i BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 15'15 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent Note: Oregon Law, ORS.701-055(4), lequires residential building permit applicantsyLo ale not registered with the Construction ContractorsEbard to'iign thefollowing statement before the building permit can be issued. Licensed Ardhitectand Engingg!'gppticants, exempt from registration under oRS 701.010f), neednot submit this statement. This statement will be filed with tne permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 2Bi: Permit No: Address: Date: OFFICE USE ONLY: $TATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES I own, reside in, or will reside in the completed structure. My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. 1 2. i A. OR gn re CONSTRUCTION CONTRACTORS BOARD 0244J 1190 I will be my own general contractor. H I hire subcoltractors, I will hire only subcontractors reoistered with theConstruction Contractors Board. lf I change mymfnO anO -Oo nire a odnelatcontractor, I will contract with a contrattor'who is reoistered wlth theConstruction Contractors Board and I will immediatelv-notifv the officeissuing this building permit of the name of the contraitor. I hereby certify that the above information is correct and that t have read and understand the lnlormation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. t u/, lq rd*e 7 \,IfHITE @PY TO ISSUING AGENCY PERM]T FILE PNX COPY TO APPLICANT @s lssued B. V I \ T* I \ rp./ti. II - r-N -- :1, -- -t i i ,-.> - i--1- n _9 LI -x a, \'l 03 Clty Hdl Sprlngtol4 Orgon Development Seryices OFFICIAL BECEIPT Rec'd From Address lutuil /;s rSsqata / A oa) ,7t a,oun,Received cll# 717 ' 24 LJ 972 0( &\D r \. I ( ( (*