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Home My WebLink AboutPermit Building 1997-12-05SPRTNGFIELt)TESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK:a- JOB NUMBER 225 Fifth Street Springfleld, Oregon 97 477 TAX LOT na7A"D. ASSESSORS MAP: I lor - BLocK:SUBDIVISION OWNER;PHONE: ADDRESS::>* I ,J. /z CITY:{,t STATE:ZIP: I f ADDrroN DEM.LT.H orHER DESCRIBE WORK: NEW- REMODEL AODRESS EXPIRES ELECTBICAL:6t3-gfri -e1 kz. p,fl Lts Z?arat CONTRACTOR'S NAME MECHANICAL: /-%9r CONST. CONTRACTOR #,i PHONE GENERAL: PLUMBING - OFFICE USE - OUAD AREA: * OF BLDGS: SECONDARY HEAT SQUARE FOOTAGE: ,T OF BDRMS: -_- CONSTR. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: * OF STORIES: ZONING CODE: FLOOD PLAIN: WATER HEATER: - RANGE: To request an lnspecilon, you must call 726-3769. Thlmade the same worklng c,ay, lnspections requested n Temporary Etectric E Foollng - After trenches areexcavated. f-l qte tnspecrion - To tre madc l\u ;ii;r';;;;iion, or, prior to Fi"t# Erecrricar - prior to settlng forms. [--l Underslab ptumblng/ Etectrical / - Mechanlcal - prloi to cover.Electrical Servlce - Must beapproved to obtaln permanent electrlcal power.E ls ls a 24 hour recordrng. Ail rnspecilons requested before 7:00 a.m. wilr beafter 7:00 a.m. wlll be made the following work day. REOUIRED INSPECTIONS Rough Mechanlcat - prlor tocover. f-l ftreptace - prior to factng.J materlals and framing lnspl E tt"-,ng - Prlor to cover. [-l Masonry - Steet tocatton, bond - beams, grouilng, E Foundatlon - After forms areerected but prlor to concreteplacement. Rough Plumblng - prlor to Wall/Celling lnsutatlon - prlor tocover. [l Unaerground pluu to'rr,ii;;;;t.'-olng - Prlor ,)F1ol*an _ prtor to raptns. Underlloor plumblng/ Mechanlcat - Prlor to lnsulailon or clecklng. Post and Beam - prlor to floorlnsulatlon or decking. Floor lnsulation - prior todecklng. n Wood Stovo - Afler lnstallailon MOBTLE HOME INSPE TTONS lnserl - After flreplace approvqland tnstallailon of unlt. l-_l Alocking and Ser.Up _ When ail - Drocklng ls complete. Plumbing Connections _ Whenhome has been connected towater and sewer.fl Sanltary Sewer - prlor to fililng - trench. Curbcut & Alrproach - Aftertorms are erected but prior toplacemont of concrete. [l Storm Sewer - prior to filltngu trench. Sidewalk & Driveway - Afterexcavation ls complete, formsand sub-base material in place. f] ly;;:l:lne - Prtor to fiilins l-_l rence - when coi,rpteted x cover.Streel Trees - When all roqulrodtrees are planted. Electrical Connection _ When P-,::!Llp, set.up, and ptumbtnfinspecilons have been approvedand the home is connected tothe servlce panel. Flnal - After all requiredrnspectlons are approved andpor:.hest sklrUng, decks, andventlng have been lnstalled. ?) / 707 7q 4 - NLiq Q Flnat Plumblng - When a1F(.plumblng work ls complete. ffiflnat Elecrrlcat - When ailr-+electrlcal work ls complete. fift'inat Mechanlcat - When ailf- rnechanlcal work ls complete. ffiflnal Bultdtng - When ail -rcqulred lnspecflons have beenapproved and bulldlng iscompleted. l--l ottrer Lot faces Lot sq. ttg. Lot coverage Topography Total helght Lot Typt_ - lnterior - Corner - Panhandle - Cul-de-sac P,L.HSE GAR ACC N S E ! IS THE PROPOSED WORK TN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTEFI? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. BU I LDI NG LUE,LAN 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, includlng 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. Plan Check Fee Date Paid Receipt Number:- ReceivecJ By Plans Reviewed By Date Total Value Bulldlng Permit Fee State Surcharge tZ f +,y'f Total Fee (A) VALUE 2nJt('l '--/@rF *#4t' 2rO aO ':; t SQ. FT. X $/SO. FT. BUILDING PERII|IT ITEM Main Garage Carport /le SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Residentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home .7o.u / .{" + ,10 3 2(o FEE (c) lo Nc FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge 2.nao<z-g!-- - FT. Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanical Permit lssuance state Surcharge ' 7f + '4f Total Permit (D) MECHANICAL PERMIT 26?e 2z1), />@ zo_:1 /,2 o Furnace Exhaust Hood Venl Fan No/ By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I lurther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work described herein, and that NO OCCUPANCY wlll be made of any structure wlthout permission of the Buildirrg Safety Divislon' I further certily that only contractors and employees who are ln compliance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln Slgnature ZDate on the site at al durlng co tlon. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk -- ft Curbcut _.- ft Demolitlon State Surcharge Total Mlscellaneous Perlnits (E) ZC/?L z AMOUNT RECEIVED RECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned)4-* APPROVED: Systems Development Charge ls due on all undeveloped properties within the City limits which are being improved.