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HomeMy WebLinkAboutPermit Building 1993-01-04SP]lI,tGFIELD RESID ENTIAL PERMIT APPLICATION lnspections; 726-3769 Office: 726-3759 LOCATION OF ASSESSORS MAP: LOT I E+E BLOCK: JOB NUMBER 225 Fifth Street Spring f ield, Oregon 97 477 TAX LOT SUBDIVISION a6Q-u44PHONE: EoengxlL STATE: lv\ O{1-ZIP: J L.aB g r^)*Y CITY: ADDRESS: OWNER: aq -?4 I T<RPDESCFIIBE WORK: ADDITION DEMOLISH OTHERNEW- REMODEL CI CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: ADDRESS PHONE CONST. CONTRACTOR ,'EXPIRES {74.b 1GENEBAL: PLUMBING RANGE: # OF BDRMS - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN: * OF UNITS: QUAD AREA: I OF BLDGS: SECONDABY HEAT: SQUARE FOOTAGE: OCCY GROUP: I OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspectlon, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. wlll be made the same working day, inspections requested after 7:00 a.m. will be made lhe following work day. REQUIRED INSPECTIONS Temporary Etectric Rough Mechanical - Prior to cover. Final Plumbing - When allplumblng work is complete. Slte lnspectlon - To be made after excavation, but prior to setting forms. [-l Rough Electricat - Prior totJ cover.Final Electrlcal - When all electrical work is complete. Underslab Plumbing/ Electrical / Mechanical - Prior to cover.Eleclrical Service - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Fireplace - Prior to facing materlals and framlng lnsp. Flnal Bulldlng - When all required lnspectlons have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting. fl framtng - Prlor to cover. Foundallon - After forms are erected but prlor to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taping MOBILE HOME INSPECTIONS Underlloor Plumblng / Mechanical - Prior to insulation or decking.Wood Slove - After lnstallatlon Posl and Beam - Prior to floor insulatlon or decking.lnsert - After flreplace approvql and installation of unit. Blocking and Set.Up - When all blocklng is complete. Floor lnsulalion - Prlor to decking.Curbcul & 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 Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Slorm Sewer - Prior to filllng trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler Line - Prlor to filllng trench. Fence - When completed. Slreet 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. Q:+oq { E tl E tl tl E E E E E D tr Other -EtI E EE Lot faces Lot 5q.'ftg. Lot coverage Topography Total height Lot Type--- - lnterior - Corner - Panhandle - Cul-de-sac. - S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON TH E H ISTORICAL FIEGISTER? - lf yes, this application must be signed and approved by t he H istorical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E VALUE 3'?Sg- lStL ,7S I s ,'r((A) X $/SO. FT. Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition lhat the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Developrnent 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. Beceipt Number:- Plans Fleviewed By Date Plan Check Fee: Date Paid Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumblng Permlt 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 rn ace 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 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 certi{y 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 front of the property, and the approved set of plans wiil remain Date on the site at all ti y' signature tion MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - {t Curbcut -- ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A, B, C, D, and E Combined) s.-lg VALIDATION: REcErPr NUMBER oo1tt1 AMOUNT RECEIVED RECEIVED BY DATE PAID