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HomeMy WebLinkAboutPermit Building 1998-06-03SPRTNGFIELO RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PFIOPOSED ASSESSORS MAP: LOT: ful;ta *fi, JOB NUMBEB 225 Fifth Street Springfleld, Oregon 97477 woRK:-20t- 17 4, BLOCK: TAX LOT:3qo7V SUBDIVISION 6{z- /e/<1'*"n PHON E: D,<STATE:ztP V ^,*lr l]" {€ 4 7+o + OWNER: ADDRESS: CITY: NEW - BEMODEL ADDITION DEMOLISH OTHER V-t (V'trt d""( U,Y,/11 DESCFIIBE WORK: ADDRESS tJ d/ NOTICE: 'ruflq-otraMlT tO-f,rr\? CONTRACTOR'S NAME Lt, MECHANICAL: ELECTRICAL: PLUMBING: GENERAL: CONST, CONTRACTOR ' ANY 180 s{f rtff,f{puse: COMMENCED OR IS ABANOdfiftFFItr - # OF BDRMS: BANGF-:WATER HEATER: ZONING CODE: FLOOD I)LAIN: # OF UNITS QUAD AREA: I OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPEr HEAT SOURCE: To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All inspections requested before 7:00 a.m. wlil be made the same worklng day, lnspectlons requested after 7:00 a.m. will be macle the followlng work day. REQUIRED INSPECTIONS [--l Temporary Electrlc Rough Mechanlcal - Prlor to cover. Final Plumbing - When all plumbing worl( is complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. E Underslab Plumblngl Electrical / Mechanlca! - Prlor to cover. Electrlcal Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanlcal - When all mechanical work ls complete. E Footlng - After trenches are excavated.Final Building - When all required lnspectlons have been approved and building is completed. Flreplace - Prior to facing materlals and framing lrrsp. Masonry - Steel locatlon, bond beams, grputlng, Foundatlon - After forms are erected but prlor to concrete placement. Framlng - Prlor to cover. Other Wall/Celling lnsulallon - Prlor to cover, Underground Plumblng - Prior to fllllng trench.l-_l orywall - Prlor to taping MOBILE HOME INSPECTIONS Underlloor Plumblng I Mechanlcal - Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon. Post and Beam - Prior to floor lnsulatlon or decklng.lnsert - After flreplace approval and installation of unlt. Blocking and Set.Up - When alt blocklng is complete. Floor lnsulation - Prior to decklng.Curbcut & Approach - After forms are erected but prlor to placemcnt of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanltary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the service panel. Slorm Sewer - Prlor to fllling trench. Sidewall< & Drlveway - After excavation is complete, forms and sub-base material in place. Waler Llne - Prlor to filling trench. Fence - When cci-,rpleted. Street Trees - When all requl trees are planted. Final - After all required inspections are approved andporches, skirting, decks, andRough Plumbing - Prior to cover.lng have been lnstalled. l"1o 3)t, t\ 5i'.'t{''({ 7o?*tz< THIS PERMIT SHALL EXPIRE IF THE WORK 2 EXPIBES .: PHONE tl E tl tl E (tr tl tl E fl it , Lot faces Lot sg. ftg. Lot coverage Topography Total height tbacks (IS THE PROPOSED WORK TN THE , HISTOFIICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prior to permit issuance. APPROVED: BUTLDING PERMIT { ITEM Main Garage Carport SQ. FT. X $/SQ. FT.VALUE Total Value Building Permit Fee State Surcharge Total Fee _LSI'' (.ff { (A)_il-l! rl 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 Springfietd, 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. Plan Check Fee Date Paid Receipt Numbe Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM Fixtures FEE Residential Bath(s)N. Sanitary Sgwer Water Storm Sewer Moblle Home FT. FT. FT. Plumblng Permlt State Surcharge Total Charge (c) ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit lssuance State Surcharge Total Permit (D) 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 f urther cerflfy that any and all work performed shall be done in accorrJance wlth the Ordinanccs of the City of Springfield, and the Laws of the State of Oregon perlaining to the work descrlbed herein, and that NO OCCUPANCy will be made of any structure without perrnission of the Building Safety Divislon. I further certify that only contractors and employees who are in compliance with ORS 701.0S5 wlll be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper time, that €ach address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will remaln on the site at all times during construction. Slgnatu Date 4 MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) VALIDATION RECEIPT NUMBER DATE PAID ET AMOUNT RECEIVED zd BECEIVED BY 0 fi), TOTAL AMOUNT DUE (excluding electrlcal) (A, B, C, Q and E Combined) P,L.I.ISE GAR ACC N S E Lot Type - lnterior - Corner -- Panhandle : - Cul-de-sac {ad"bryb--sa,ee__ Received By: