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Home My WebLink AboutPermit Building 1997-7-17 (2) DtAv,~ /IIIC((",r~ 7:J.... 'f ( v <. sf-La. ~ e.. >/1 n~Q,c;'~ (c1 , r / ' dVl vi) + rl-(1 ~,or REMODEL . ---. RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP:~~ LOT: OWNER: ADDRESS: CITY: DESCRIBE WORK: NEW SPRINGFIELD . -..---...... JOB NUMBER 97'/(<)76- v v I - ... 225 Fifth Street Springfield, Oregon 97477 ".' \ "l" ~ " ,;': . ://:.. "7 ?.. y ~4 .; , BLOCK: (.,.esr- 1 .; TAX LOT: SUBDIVISION: ~ (a. 17 e. 4 ( CJ 74CJn . .. PHONJ=' 7 Y Cf - 2.. 7 88 STATJ=. o~ ZIP: 9':f l( '1 f ADDRESS- f)~ CfA...-I,'(.e V('I' 01 ft..cf::- DEMOLISH OTHER dl"l n; {- CONST. CONTRACTOR " . ADDITION r~ pa I/o , LAND USE' FLOOD P~N: " OF UNITS: -NQ1\CE: E.~P\RE \\Z~~~~~E: CONSTR. TYPftH~C. PERM\1 S\-\~L:n 1\-\\S p~1 ~~.BMS' QR\lEO UN\)t'. (\t\\~O rU~ HEAT SOURC~_\ \1\-\ R \n "a"NO"$t:'OONDARY HEAT: RANGE: _ r.ot/ltJ\ENCEO ~t.p.\GO. . H" ,,~o OA'f r ,... - To request an Inspection, you must call 726-3769. This Is a 24 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. CONTRACTOR'S NAME GENERAL: OWtle.v PLUMBING' MECHANICA' . ELECTRICAL: QUAD AREA: " OF BLOGS' OCCY GROUP: " OF STORIES: WATER HEATER: o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. .. I2(J Footing - After trenches are ~ excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to deckl ng. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. EXPIRES ...., PHONE .-. - OFFICE USE - SQUARE FOOTAGE: REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing w9rl< Is complete. D Rough Electrical - Prior to cover. D Final Electrical - When all electrical work Is complete. o Electrical Service - Must be approved to obtain permanent electrical power. o Final Mechanical - When all mechanical work Is complete. o Fireplace - Prior to facing materials and framing Insp. . /' M Final Building - When all ~requlred Inspections have been approved and building Is completed. . ~Framlng - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Other o Drywall - Prior to taping. MOBILE HOME INSPECfIONS D Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Blocking and Set.Up - When all blocking Is complete. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Plumbing Connections - When home has been connected to water and sewer. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Fence - When completed. D Street Trees - When all required trees are planted. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces Lot ~ype'. ~ , . ~ '.,,, . . ...,::,. ~j':\f\' .. - ( IS THE PROPOSED WORK tN THE. ....HISTORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot sq. ftg. Interior Setbacks I P.L. HSE GAR ACC' IN Is Lot coverage Corner Topography Total height ~. Panhandle Cul-de-sac W E APPROVED' X $/SQ. FT. '" VALUE '. 'OJ t", -t BUILDING VAL(lE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMITi ITEM SQ. FT. ., .~ #lr'~ ~ ~~ 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. Main Garage Carport " Plan Check Fee: Date Paid: Total Value State Surcharge Is b'O ;20 /-0 ,?-/O SYSTEMS DEVELOPMENT CHARGE (SDC) Receipt Number: Building Permit Fee 17)7-11..r Received By: Total Fee (A) Plans Reviewed By Date (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ~ ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' .AJ;J ..A /1#;/ t/P'/ < Q1/~ ,~ , L/4Ja( Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan NO By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and I further 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 project. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further 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 on the site at all times during construc;~n. Signature V~~ p_ Yl1 ~ CL..._ ~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Date 7-/7-?r Curbcut ft Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~:~ VALIDATION: RECEIPT NUMBER . DATE PAID AMOUNT RECEIVED RECEIVED BY 2.~ 724 '7//'7/971 ., ~' 20 p~ ,-1( State Surcharge Total Miscellaneous Permits (E)