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Home My WebLink AboutPermit Building 1991-07-09t HrsroLruTrAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: SPRINGFIELO e?2 rJ a JOB NUMBER 225 Fifth Street Springf ield, Oregon 97 477 ASSESSORS MAP: rrqL ? t <L .', rAx Lor BLOCK:SUBDIVISION DO /22- LOT: PHONE:h</,_03/2 STATE:OR ZIP:9zyzB _a CI A)az,ez, Zou^otouOWNER: ADDRESS s1Jora,oq-OWM DEMOLISH OTHER -x oDEL - Roorrrdd ADDRESS EXPI RES PHONE Oatuc< -€W CONTRACTOR'S NAME ELECTRICAL: MECHANICAL: CONST. CONTRACTOR # G EN ERAL: PLUMBING M I SE_ \ RANGE: * OF BDRMS: _ OFFICE U LAND USE: WATER HEATER ZONING CODE: FLOOD PLAIN * OF UNITS: SECONDARY HEAT: SQUARE FOOTAGE: OUAD AREA: * OF BLDGS: \\r OCCY GROUP: * OF STORIEST CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS f__l Temporary Electric L___l 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.ffi='ffiil 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. E Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting. ff 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.Drywall - Prior to taping. MOBILE HOME INSPECTIONS Underf loor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation K"Posl 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. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer -trench. a PrFor to f illing Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in Place. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Water Line - Prior to filling trench.[-l Fence - When completed. Rough Plumbing - Prior to cover. Slreet Trees - When all required trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. X t NEW 3R\!L E tI E r r r Curbcut &Approach - After forms ard erected but prior to placement of concrete. r Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type v - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E -: TFE PROPOSED WORK IN TH HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED E BUILDING PERMIT ITEM SQ. FT. Main Garage VALUE (A) 3ar2 16,72 ?60 ? X $/SQ. FT. /4,10 4.,ra Total Value Building Permit Fee State Surcharge Total Fee Carport 9zoe 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, regu ating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any prr>visions of said ordinances. zb."s iewed By v Plan Check Fee: Date Paid Receipt Number: Recei SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the Cit,r limits which are being improved. PLUMBING PERMIT FEE N FT. FT. FT. (c) Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surchqrge Total Permit *., MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and agree, that I have carefully examined the completed applicatirln 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 Springf ield, 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 project. 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 ilpproved set of plans will remain te at all times during construction. Si ont , MISCELLANEOUS PERMITS State Surcharge r Sidewalk - ft Curbcut - ft Demolltion State Surcharge Total Miscellaneous Permits (E) Mobi,le Home .,.;.+ State,'lssuante lri... . TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 46.73 lt '! (" AMOUNT RECE ED VALIDATION RECEIPT NUMBE DATE PAID RECEIVED BY oZ?.z-,z/z/q,/ VAtei ' ITEM Fixtu res Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Permit No: Address: lssued Date: OFFICE USE ONLY STATEMENT: INFORMATION NOT]CE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in t applicable blanks, and initial box 1 and either box 2A or 2B.: I own, reside in, or will reside in the completed structure. 2 My general contractor is Contractor registration number I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR A I will be my own general contractor. lf I hire subcontractors. ! will hire onlv subcontractors reoistered with the Construction Contractors Board. lf I chanoe my mind and -do hire a oeneral contractor. I will contract with a contrattor -who is reoistered wlth the Constructibn Contractors Board and I will immediately-notify the office issuing this building permit of the name of the contradtor. I hereby certily that the above information is correct and that I have read and understand the Information Notice to Properly Owners about Construction Responsibilities on the reverse side of this form. v f-?/ Datenature o m ppt ca CONSTRUCTION CONTRACTORS BOARD 0244J 1190 COPY TO ]SSUING AGENCY PERMIT FILE TO APPLICANT @s B. (.