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Home My WebLink AboutPermit Demolition 1993-02-09SPFrI'\lGFIELO RESIDENTIAL PERMIT APPLICATION lnspections:726'3769 Of{ice: 726'3759 h, JOB NUMBER 225 Fifth Street Spri ngfield, Oregon 97 477 3{f ///n^-ZLOCATION OF PROPOSED WORK: ASSESSOHS MAP: (D.o/-TAX LOT: r nr. BLOCK SUBDIVISION 7 qe - 7*(1PHONE: /24-STATE: C .r-2- tur ztP 27q?? .2 // CITY: ADDRESS: OWNER: NEW --- REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK PHONEEXPIRES CONTRACTOR ELECTRICAL: AME CONST. CONTRACTOR d O EN ERAL: PLUMBING RANGE: * OF BDRMS: _ OFFICE USE _ FLOOD PLAIN WATER HEATER: * OF UNITS: SECONDARY HEAT SQUARE FOOTAGE: OUAD AREA: # OF BLDGS LAND USE: ZONING CODE: OCCY GROUP: # OF STORIES CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a 24 hour recording' All inspections reques made the same working day, inspections requested after 7:00 a'm' will be made the following work ted before 7:00 a.m. will be day. REQUIRED INSPECTIONS Rough Mechanical - Prior to cover. Final Plumbing - When all plumbing work is comPlete' Site lnspection - To be made after excavation, but Prior to setting forms. Rough Electrical - Prior to Finat Electrical - When all electrical work is comPlete.c ove r. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical Power. Final Mechanical - When all mechanical work is complete' Footing - After trenches are excavated.Fireplace - Prior to facing materials and f raming lnsP. x Final Building - When all required insPections have been approved and building is completed. Masonry - Steel location, bond beams, grouting.Framing - Prior to cover Other Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.l--l Drywall - Prior to taPing Underlloor Plumbing/ Mechanical - Prior to insulation or decking.|--l Wood Stove - After installation' Post and Beam - Prior to floor insutation or decking.lnsert - After firePlace approval and installation of unit. Blocking and Sel'UP - When all blocki ng is comPlete. 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. Sanitary Sewer - Prior to f illing trench.Electricat 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. Water Line - Prior to filling trench. Fence - When comPleted. Rough Plumbing -- Prior to cover. Street Trees - When all required trees are planted' Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. T ADDRESS f_-l TemporarY Electric ll r EE E tl tl E E tl E MOBILE HOME INSPECTIONS E tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL. - -, THE PROPOSED WORK IN THE HISTORICAL DISTFIICI, OR ON THE HISTORICAL REGISTER? - if yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APIJROVED:E riSE GAR N ACC S BUILDING PERMIT ITEM SQ. FT. X $/SO. FT.VALUE (A) Total Value Building Permit Fee State Surcharge Total Fee 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, inctuding the Development CoCe, regulating the construction and use of buildings, and rnay bre suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Rcviewed By Date Date Paid Recei pt Number: Received By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties witlrin the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (r,, FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge N0 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 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 descri bed lrerein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I f urther certify that only contractors and employees who are in compliance with ORS 70i.0S5 will be used on this prolect. I f urther agree to ensure that all requirecl inspections are requested at the proper time, that each acldress is readable f rom the street, that the permit card is located at the f ront of the property, and the approved set of plans will remain Sig natu re Date O ronon the site at times during c MISCELLAN EOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Total Miscellaneous Permits (E) Curbcut --- ft Demolition State Surch TOTAL AMOUNT DUE (excluding etectricat) (A, B, C, D, and E Combined)\ DATE PAID AMOUNT RECE RECEIVED BY VALIDATION: RECEIPT NUMBER Pian Check Fee: _=___- FT.