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HomeMy WebLinkAboutPermit Building 1991-07-16IELD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: ?fr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 oe TAX LOT:01too 3Ro i. SFRI LOT:BLOCK:,.SUBDIVISION ct-ARt< SrnmANs PHON E tN Qci.ADDRESS:oSTATE: OWNER: CITY:ScwrSnLlac)ZIP:n\l3 -L+Onu i^ L lSlA Sccrrse" REMODEL ADDITION DEMOLISH OTHER C x DESCRIBE WORK: NEW EXPI RES PHONEADDRESSCONTRACTOFI'S NAME G EN ERAL:D:s- Srnrurtris cELECTRICAL: -t -qx lwa3aq9qq N 4+h S?- 5?J83 3 DPrfS Pl l-rryr8rrrlc, trcf atCAtMc KelJerr Firr." MECHANICAL: PLU M BI NG CONST. CONTRACTOR # E_- OFFICE LAND USE: '# OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: FLOOD PLAIN ZONING CODE: * OF BDRMS: WATER HEATER: SECONDARY HEAT SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: QUAD AREA: # OF BLDGS To request an inspection, you must call 726-3769. This is a24hour recording. All 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. REQUIRED INSPECTIONS ffr"-norary Etectric r Rough Mechanical - Prior to cover.K'Final Plumbing - When all plumbing work is complete. Site lnspection - To be made after excavation, but prior to setting forms. K Rough Electrical - Prior to X Final Electrical - When all electrlcal work is complete.cover. x Underslab Plumbing/ Electrical / Mechanical - Prior to cover. [Vf Electrical Service - Must beA "pproued to obtain permanent electrical power. x Final Mechanical - When all mechanical work is complete. IYl-Footing - After trenches areG excavated.K K K Fireplace - Prior to facing materials and framing lnsp. [Y(Pinat Buildins - When alllC required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover, E-Foundation - After forms are '/L-i$ erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. K J} Underground Plumbing - Prior to f;iling trench.ffi DrVwall - Prior to taPing MOBILE HOME INSPE TIONS 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. E Floor lnsulation - Prior to decki ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. [VICanitary Sewer - Prior to fillingGl 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. X1-water Line - Prior to filling4s trench. Fence - When comPleted. Rough Plumbing - Prior to cover. Trees - When all required Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed.B rl are planted. t1 o?Lbfr ia+l q TiCF r r E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v V lnterior - Corner - Panhandle - Cul-de-sac Setbacks Lq0 JL .v THE PROPOSED WORK IN THE 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 2y P.L.HSE GAR ACC N 7'' S /5je E 7tr' x $/so. FT.VALUE ad,L, (A7, r'(A) &qc Itut,uTotal Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport 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 Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time p Date Paid Beceipt Num Received By: Plan Check Fee: upon violation of ions of said ordinances. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) t/ ::6,1J Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE /6c. od (c);E,oc FT. FT. FT. No g- PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent 4.;c> 7'cc; lf.oo /o,oo :4 .oD +3.99(D) ]t ,fo N0 3CO Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood 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 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 ORS 701.055 will be used on this project. I further 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 Signatu Date of the property, and e approved pl ill remain on the site at all during con MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exctuding etectricat) (A, B, q D, and E Combined) DATE PAID RECEIVED AMOUNT VALIDATION: RECEIPT NUM A ID PIa{g-nbviewed 6y- "l{,eL /60. co g,M