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HomeMy WebLinkAboutPermit Building 1994-10-31SPRINGFIELE' ESIDENTIAL ERMIT APPLICATION lnspections: 726-3709 Office: 726-3759 i .. ?fr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 R P LOCATION OF PROPOSED WORK:6 ASSESSOBS MAP;,.?-a-aS--z,/TAX LOT: LOT:BLOCK:SUBDIVISION NEW - BEMODEL ADDITION DEMOLISH OTHER - PHONE: ztPz?fSTATE:eDCITY: DESCRIBE WORK: ADDRESS: OWNER: MECHANICAL: ADDRESS EXPIRES PHONECONTRACTOR'S NAME ELECTRICAL: PLUMBING: GENERAL: CONST. CONTRACTOR # VA/ QUAD AREA:3R:C-i,tl- OFFICE USE - * OF BLDGS: RANGE: C OF UNITS: LAND USE:FLOOD PLAIN WATER HEATER: I OF BDBMS: SECONDARY HEAT: SOUARE FOOTAGE: CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: * OF STORIES: zoNrNG coDE: [-DP- To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REQUIRED !NSPECTIONS Temporary Eleclrlc Rough Mechanlcal - Prlor to cover. Flnal Plumbing - When alt plumbing work is complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Rough Electrlcal r- Prlor to Flnal Electrlcal - When all electrical work is complete.3cover, E Underslab Plumblng/ Electrlcal/ Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. Flnal Mechanical - When all mechanical work ls complete. ry Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. tr Flnal Buildlng - When all requlred lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.|-\fl Framlng - Prlor to cover.'f\m Foundallon - After forms are erected but prlor to concrete placement. Other Wall/Celllng lnsutatlon - Prlor to cover. Underground Plumblng - Prior to lllllng trench.Drywall - Prlor to taplng. MOBILE HOME TNSPE TIONS Wood Stove - After lnstallatlon tl lnserl - After flreplace approval and lnstallatlon of unlt. [--l glocking and Ser.Up - WheJr ailH blocklng is complete. Curbcut & Approach - After forms are erected but prlor to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prlor to fllling trench.Electrical Conneclion - When blocklng, set.up, and plurgbing lnspections have been approved and the home is connected to the service panel. Slorm Sewer - Prlor to fllllng trench. l-_l SiOewalk & Drlveway - After.4 excavation ls complete, forms and sub-base materlal ln place. Waler Llne - Prlor to filllng trench.[--l Fence - When completed Slreel Troes - When all requlred trees are planted. Final - After all required lnspectlons are approved and porches, skirtlng, decks, and venting have been lnstalled. [-] Rough Plumblng - Prlor toL-' cover- 2.* ?{Z-,/€?z* q t tl l--l Underlloor Plumblngl Mechanlcat Prlor to lnsulatlon or decklng. [--l Post and Beam - Prior to floorlJ lnsulatlon or decklng. [-] Floor lnsulallon - Prior toU decklng. E l E tl P.L.FISE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac 1 lS THE PBOPOSED WORK tN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: ,/2./o ltl.Q ctru.Y6 (A)rL IVALUEX $/SO. FT. s7 5.G. j.'13+ s% 5.qT Carport A6,q Main Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls 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 upon violation of any provisions of said ordinances, rofu/s^1ewed ByP €??t By: f diie- Plan Check Fee: Date Paid Receipt Number: SYSTEMS DEVELOPMENT CHARGE (SDC) (B)/.6o Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved. ITEM FixLures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) FT. FT. No FT. PLUMBING PERMIT Plumblng Permit State_ Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuahce State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed applicatlon and do hereby certify that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCy will be made of any structure wlthout permission of the Building Safety Divislon. I further certi{y that only contractors and employees who are ln compliance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that oach address ls readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln 7 on the site at all times durin g construction Slgnature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E)C6 TOTAL AMOUNT DUE (excluding electrtcat) (A, B, C, Q and E Comblned) f?O.oz RECEIPT NI DATE PAID AMOUNT R RECEIVED 3a BY VALIDATION: UMBER ECEIVED ., -. l:. ri o ,/a) ^I