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HomeMy WebLinkAboutPermit Building 1991-05-13RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK:jo+ LIa orrJ 7S rt* h, JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 ASSESSORS MAP t-? 03 3b 14 TAX LOT:t5660 LOT:BLOCK SUBDIVISION zlPSTATE: PHONE:1Lc..1L 1L-T>u-rc Src-r<-r-,t s+.)OWNER ADDRESS: CITY: NEW .- REMODEL ADDITION DEMOLISH OTHER i DESCRIBE WORK: ADDRESS EXPIR PHONE \taort *CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: PLUMBING: GENERAL: CONST. CONTRACTOR # RANGE: g OF BDRMS: _ OFFICE USE _ LAND USE: ZONING CODE: FLOOD PLAIN WATER HEATER: I OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: # OF BLDGS OCCY GROUP: S OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24hour recording. AII inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:OO a.m. will be made the following work day. REOUIRED INSPECTIONS Temporary Eleclric Rough Mechanical - Prior to cover. Final Plumhing - When all plumElog work is complete. Site lnspection - To be made after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover 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 framing lnsp. K Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Kl Framing - Prior to cover, Other Foundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and installation of unit. Blocking and Set-Up - When all blocking 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 filling trench.Electrical 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 Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. tr Rough Plumbing - Prior to cover. o(L r E E i;ffin!"i,llin'.'-oins - Prior ffi Drvwatr - prior to tapins. E E fl r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E rS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? NO lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: BU!LDING PERMIT ITEM SO. FT. X $/SO. FT.VALUE LL,5b A,L),1 J b5-@(A) D,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, 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. Plans Reviewed By Date Recei pt Numbe 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 Fixt u res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE 20,oo ,o, dl) N FT. FT. FT.5C (c) l, 6u et,6) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/lnserti Fireplace Unit Dryer Vent MECHANICAL PERM!T (D) N0 Mechanical Permit lssuance State Surcharge Total Permit Fu rnace Exhaust Hood Vent Fan 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 certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this proiect. I f urther 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 will remain * 3 on the site all times during Signatu Date struction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 8G,v3 7oo f3 RECEIVED BY a=/'.2 AMOUNT RECEIVED DATE PAID VALIDATION: RECEIPT NUMBER