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Home My WebLink AboutPermit Building 1996-04-01nlsro eruTtAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED ASSESSORS MAP: FIELE, LOT - BLOCK: JOB NUMBER 225 Fif th Street Spring f leld, Oregon g7 4Z? a TAX LO'I: SUBDIVISION: - /ka <- '4ru PHONE: or?STATE:ZIP: \4 I L) ,r/)A fz L/ 7x ?./]J&4,6o J / l/i*o, r ADDRESS CITY: DESCRIBE WORK:4/a ao NEW - REMODEL ADDITION DEMOLISH OTHER I RES PHONE/"y,v c 1 S-zS- X ?r0-ot72 CONTRACTOR'S NAMESat MECHANICAL: ELECTRICAL: CONST. CONTRACTOR #ADDRESS G, r.74< t-o.(GENERAL: PLUMBING RANGF-: / OF BDRMS _ OFFICE USE _ WATER HEATER: FLOOD PLAIN SECONDARY HEAT: _ SOUARE FOOTAGE OUAD AREA: r OF BLDGS: LAND USE: OCCY GROUP: r OF STORIES: CONSTR. TYPE HEAT SOURCE: # OF UNITS: _--ZONING CODE: 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 sanle worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS [--l Temporary Electrlc Rough Mechanical - Prior to cover.tl Flnal Plumbing - When altplumblng worl< ls complete. Slte lnspection - To be madc after excavatlon, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framing lnsp. f/ rnat Buitdlns - When ail - required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng, l-Df Framlng - Prlor to cover. fJWdttCelllng lnsutatlon - prtor tot-tLl cover. Foundatlon - After forms are erected but prlor to concrete placement. Other Underground Plumblng - Prior to filllng trench.Drywall - Prlor to taping MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal - Prior to lnsulation or decklng.Wood Stove - After lnstallatlon. Posl and Beam - Prlor to floor insulatlon or decklng.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When alt blocklng is complete. Floor lnsulallon - Prlor to decking.Curbcut & A1:proach - After forms are erected but prior to placemcnt of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f illing 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 fllling trench.. Water Llne - Prlor to filling trench. Streel Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and ventln.g have been lnstalled. Rough Plumbing - Prior to cover. . i: I 2OWNER: E E tl tl tl E il E E E tl E tl E[--l Sidewalk & Driveway - AftertJ excavation ls complete, forms and sub-base materlal in place. [--l Fence - lVhen completed.ll GAR ACCPL.HSE N S E Lot faces Lot sg. ftg. Lot coverage Topography Total height Lot Type - - lnterior - Corner - Panhandle - Cul-de-sac I-TS THE PROPOSED WORK iN.IHE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the cxpress condition that the said 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 time upon violation of any provisions of said ordinances. Plans Roviewcd t3y Date Receipt Numbe Plan Check Fee: Date Paid Fleceived By: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT, Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City linrits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home (c) FEE N0 FT. FT. FT. PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fl replace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caref ully 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 Springfield, 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 proiect. 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 front of the property, and the approved set of plans will remain I,lkure on the s times during constructlon. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk _-.- ft Curbcut -_-_ ft Demolition State Surcharge Total Miscellaneous Pennits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) Am\q BY ECEIV VALIDATION: RECEIPT NUMBER DATE P,AID AMOUNT R FIECEIVED _3\_9 Permit #: Address ou,",4'\ 'QtoIssued Statemert: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701-055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I andZ, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. i 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion 5!5 343,A.. My general contractor is I will instruct my general contractor that all Contractor regis. # who work on the structure must be registered with the Construction Contractors Board. OR 38. I will be my own general contractor If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately noti$ the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Owners about Construction Responsibilities on the reverse side of this form. ,ak s ignature of permit applicant) (White copy to issuing agency perrnitfile, pink copy to applicant) N (Date)