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Home My WebLink AboutPermit Building 1993-04-15SPRI'{GFIELt) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3765 Of{ice: 726-3759 LOCATION OF PROPOSED WORK: ASSESSOBS MAP: )z l^ JoB NUMBE^ au/?s 225 Fifth Street Spri ngfield, Oregon 97 477 TAX LOT: SUBDIVISION J r ^T. BLOCK: PHONE ZIP:STATE f.-- C 'lr'/t -21 3) I 72/77fir+CITY: ADDRESS OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: MECHANICAL: --_- PHONEEXPIRESADDRtrSSCONTRACTOR'S NAME CONST. CONTRACTOR # G EN ERAL: PLUMBING _ OFFICE USE _ LAND USE: g OF BDRMS: r OF UNITS: FLOOD PLAIN WATER HEATER: SECONDARY HEAT: SQUABE FOOTAGE: OUAD AFiEA: # OF BLDGS ZONING CODE: OCCY GROUP: , OF STORIES RANGE: CONSTB. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:o0 a'm' will be made the same working day, inspections requested after 7:00 a.m' will be made the following work day' REOUIRED INSPECTIONS Temporary Electric Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete. Rough Electrical - Prior to [-_l Drywall - Prior to taoing Wood Stove - After installation lnsert - After firePlace aPProva! and installalion of unit. Curbcut & APProach - After (orms are erected but Pricr to placement of concrete. Sidewalk & DrivewaY - After excavation is comPlete, forrns arrrl sub-base material in Place. Fence -- UJhen comcleted Street -lrees - Wnen all requircd tI.),.ii are ili ;r'.ted' Final - After all required inspections are aPProved and oorclres, skirting, decks' and venring f\ave been installed' Site lnspection - To be made after excavation, but Prior to setting forms. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Fourtdation * After foi'rns ai'c erected but Prior to concrete placement. Underground Plumbing - Prior to {illing trench. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. Post and Beam - Prior to floor insulation or decking. Floor lnsulation - Prior to decki ng. Sanitary Sewer - Prior to f illing trench. Storm Sewer - Prior to filling trench. Water Line '- Prior to filling trench. cover. Electrical Service - Must be approved to obtain Permanent electrical power. Fireplace - Prior to facing materials and framing lnsP. Framing '- Prior to cover. Wall/Ceiling lnsulalion - Prior to cover, Final Electrical - When all electrical work is comPlete. Final Mechanical - When all mechanical work is comPlete. w Final Building - When all required insPections have been approved and building is completed. Other MOBILE HOME INSPECTIONS Blocking and Set'UP - When all blocking is comPlete. Plumbing Connections - When home has been connected lo water and sewer. Etectrical Conneclicn - When block!ng, set-uP, and Plumbing inspections have been aPProved and the home is connected to the service Panel. fl Rough Plumhing - Prioi \c L-_-l cover x r r _1 tlr E E tl tlr tl Er tl r r E rl Lot faces Lot sq. ftg. Lot coverage Topograpny Total height Lot Type et ks IYI HE F'ROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thrs application must be signed and approved by the H istorical i.-'our,;ri'ratOr prlor i,l pei;'irii is:jlrance. APPROVED: ACCln terior Corner Panhand!e Cul-de-sac S L ]-ltr P.L.FISE N GAt.I BUILDING PERMIT ITEM SQ. FT. Main Garage Caroorttu@ VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee /**---.2, BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is grantcd on the express condition that the said construction slrall, in all respects, conform to the Ordinance ;rdopted by thc City of Springfield, including the Develol;ment Code, regulating the constructicin and use of buildings, an<i nray be suspended or revoked at any time upon violation of any provisions of said orciinances. Plan Chcck Fee: - Plans Rcviewed By Date Datc P;-rid llecei pt N u rn lrc r Rc<;erved By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Doveloprrrerrt Charge is due on all undeveloped properties within thc City linrits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. Fi PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, 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 certity that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws crf the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any stnrctrlre without permission of the Btrildinq SafetV Division. I further certify that oniy contractors and employees who are in compliance with ORS 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 front Signature Dale .?J rin will remainsety, anof the propert on the site at MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut --_--- ft Demolition state surcharge Total Miscellaneous permits (E) ToTAL AMoUNT DUE (exctu.dins etectricaD 6r2f(A, B, C, D, and E Combined) RECEIPT NUMBER.-_ VALIDATION DATE PAID AMOUNT RECEIVED. RECEIVEDEY.--_ FT.