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HomeMy WebLinkAboutPermit Sewer Connection Record 1992-8-25 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 . SPRINGFIELD If /7 J7o~ "2-'5 ~Ke\ 32- LOCATION OF PROPOSED WORK' '"", ASSESSORS MAP' LOT: BLOCK' OWNER:~~';J}-1( 11- A-c.C~6--r1.7U-14-1V OJ" <C:~ ~ 1~6C/.C- , /0/" ADDRESS: -1.2r>l-CLfI-""'- of <-"- CITY:, ,c..,?V'.~ ~\'~ C~ STArE: (\Y' e DESCRIBE WORK' ~jJl.lvr-.R old. ""4.......l-{ 13.'\"1 I NEW REMODEL ADDITION DEMOLISH . 92//P;s JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 TAX LOT: SUBDIVISION' / ~ Cj'OD PHON'" ) 210. 7g-tl> ZIP: c,. 7'-1 n OTHER ~ (J '-."-' .;e6';f1ktcc CONTRACTOR'S NAME /l)Ctv~5T CONST. ADDRESS CONTRACTOR' LC/l-1S~r/L:... flfe.15L~E I J L '-to 7 t GENERAL: PLUMBING' MECHANICAL' ELECTRICA' ' OUAD AREA' . OF BLDGS: OCCY GROUP: " OF STORIES: WATER HEATER: _ - OFFICE USE - LAND USE: . OF UNITS: CONSTR, TYPE: _____ HEAT SOURCE:_, RANGE: EXPIRES J/~/73 PHONE (;, <';-3 8C81 i FLOOD PLAIN' ZONING CODE:_ . .OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: 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 (lay. in:;pcctlons requested after 7:00 a.m. will be made the following work day. I~ Temporary Electric D Sito Inspection - To be made after excavation, but pdo. to selling forms. o Underslab Plumbingl Electrical I Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Stel.~1 location, bond beams, grouting. o Foundation - After forms arc erected but prior to concrete placement. o Underground Plumbing - Prior to filling t,ench. o Under'loor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decl(ing. o Floor Insulation - Prior to decking, lv1' Sanitary Sewcr - Prior to filling ~rench. o Storm Sewer - Prior to filling trench. o Watcr Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. , o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - PrIor to facing materials and framing Insp. o Framing.- Prior to cover. o WalltCciling Insulation - PrIor to cover. o Drywall - Prior to taping, o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all requIred trees are planted. - o Final Plumbing - When all plumbing worl( Is complel.e. D Final Eloctrlcal'- Wilen all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - WllCn all required InspectIons have been approved and bulldlnQ is completed. o Other MOBILE HOME INSPECTIONS .!' o Blocking and Set-Up - When all blocking Is completc. o Plumbing Connections - When home has been connected to . water and sewer. 'I ',I .j. 'J:. o Electrical Connection - When blocking, set-up. and plumbing inspections have been approved and the home is connected to the service panel. " '.. 1~': 1:.: .. " ,. ; o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been installed. .. ~. 'J.. ~{: '3 :1 LOI faces Lot sq, ftg, Lot coverage Topography Total height Lot Type. Interior Cornor Panhandle Cul-de-sac BUILDING PERMIT ITEM SQ, FT. X $/SQ, FT, Main Garage Carport Tolal Value Building Permi! Fcc State Surcharge Total Fcc (A) Selbacks I P,L. HSE GAR ACC .$ THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? N ----- ---- If yes. thl::; application must be 5lgncd anti ilpprovcd by the Historical Coordinator prior to permit Issuance. ~---- W IE VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan FT. .c: 50 ' FT. FT. (e) Dryer Von t Wood Stove/Insert/Fireplace Unit N' Mechanical Perml t Issuance State Surcharge Total Permit Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) lA, B, C, D, and E Combined) FEE 25.O'D J.2} 2/:,.'- S" ~.2.S"' APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition 1I1at the said construction shall, in all respects, conform to the Ordinance adopled by the Gity of Springfield, including the Development Code, regulati'ng the construction and use of buildings, and may be suspended or revoked at any time upon violation of any' provisions of said ordinances. Plan Clleck Fee: Date Paid: Receipt Number' Received By: Plans Revicwe(J By Dale Systems DeveloplIlcnt Ch<-.H~le is due on all undeveloped . properties within the City limits which are beinu improved. ADDITIONAL COMMENTS By signature, I stale and agree, thaI I have carefully ex~mincd the completed application and do hQleby cerlify lhnt nil information hereon is Irue and correct, an(j I furlher certify thai any and all worJ( pcrforrnc(j shall be done in ilGcordnncc wilh lhe Ordinance~; of Il1e Cily of Sprln{lfidd, and thu Law~; of the Stale of Orenon pertaining to the wotlt de:;cribcd heroin, ,lI1d tllat NO OCCUPANCY will 'be lll;l(lc or any structure witllOut permission of the Building S;]fcly Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree 10 ensure that all required inspections arc requested at the proper time, that each address is readable from the street, thai the permi! card is located at tile front of the property, and the approved set of plans will remain on the site at all times durin construclio. A,gnaturn f1)() - Oat" 0/2 '5;9 2- VALIDATION: REGEIPT NUMElER ~L5- ~./:~~~ L I 2..r 2 . --1 ~'l DATE PAID AMOUNT RECEIVED RECEIVED ElY