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Home My WebLink AboutPermit Demolition 1996-8-21 v RESIDENTIAL PERMIT APPLICATION Inspecllons: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: ~/ ~~17 ~ ASSESSORS MAP' /?-vt:>2-?o/ -~.o/ LOT' BLOCK: OWNER: (#-~~;~../~~~y.. ADDRESS' -:'-;--::2~ ,~.n-/./ .~~ ~. CITY: ~/'_-;;:.;r: A~~ STATE: c:::>;t? DESCRIBE WORK: ~t!!> . ,-JOB NUMBER ~~/ 225 Fillh Slreet Sprlnglleld. Oregon 97477 TAX LOT: ~s~ SUBDIVISION' PHONE: ~e;t7'~2B'#i ZIP: <9-' Y':? Y' ~~r~.-.7' ~~?:?,:~.zp9~7-> ADDITION DEMOLISH YOTHER ;?~ NEW REMODEL CONTRACTOR'S NAME GENERAL:~~~ PLUMBING' MECHANICAl' ELECTRICAL: ADDRESS CONST. CONTRACTOR' PHONE EXPIRES t.. ~I~ )/J\'( y "'1.\ QUAD AREA: .. OF BLDGS: OCCY GROUP: . OF STORIES:__ WATER HEATER: - OFFICE USE _ LAND USE:_ . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: __ 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. Alllnspecllons requested before 7:00 a.m. will be made the sarno working day, Inspections roquested nftcr 7:00 a.m. will be made the following work day. o Temporary Eloctrlc o Slto Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing I Elcctricnll Mechanical - Prior to cover. o Footing - After trenches are excavated, o Masonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prior to concrete placement. p Underground 'Plumbing - Prlor to filling trench. o UnderUoor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior 10 (Wing trench, o Storm Sewer - Prior to 1Illlng trench. j o Water Line - Prior to fitllng . trench. o Rough Plumbing - ~rlor to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Servlco - Must be approved to obtnln permanent electrical power. o Fireplace - Prior to facIng materials and framing Insp. .0 Framing - Prior to cover. o Wall/C'olllng Insulation - PrIor to cover. o Drywoll - Prior to taping. o Wood Stovo - After Installation. o Insert - Attor fireplace approvel and Installallon of unit. o Curb cut & Approach - After (orms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - WtlOn completed. o $treol Treos - Wh~n all requIred lrees are planted. o Flnol Plumbing - When all plumbing w9rl< Is complet.e. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final BUilding - When all required InspectIons have been approved and building Is completed. CH Olhor y~l!'~ .<<~ MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to waler and sewer. o Electrical Connection - When blocking, set-up, and plumbIng Inspec nons have been approved and Ihe home is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and ventIng have been Installed. LOI faces LOI Type . Interior Lol SQ; ltg. Lot coverage Corner Topography Total height Panhandle Cul-de.sac ., ie THE PROPOSED WORK IN THE. HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior \0 permit issuance. Setbacks I P.L HSE GAR ACC IN Is Iw IE BUILDING PERMIT ITEM SO. FT. X $/SO. FT. = VALUE Main Garage Carport Tolal Value Bulldlng Permit Fee Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FIxtures Residential Bath(s) N' Sanitary S~wer Water FT. FT. Storm Sewer FT. Moblle Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mech~nlcal Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Moblle Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surchargp Total Miscellaneous Permits tE) . . .- TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) " FEE .-J 41 . oe:> p; :~ /qW e!I!L , . APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ThIs permit is granted on the express condltton that the said construction shall, In all respects, conform to the Ordinance adopted by "the ,Clly 01 Springlleld, Including the Development Code, regulatlng the construe lion and use of buildings, and may be suspended or'revoked at any limo upon violation of any provisions of said ordinances, . - Plan Check Fee: _ Date Paid: ReceIpt Number' Received By: Plans Reviewed -'!:iY-_u----- Date Systems Development Charge Is duo on all undeveloped properties within 1Ile City limits which are baing Improved. ADDITIONAL COMMENTS By slgnalure, I stale and agree, Ihall have caroluliy examined the completed application and do hereby certify thaI ali InformatIon hereon Is true and correct, and I further certify that any and all work performed shari be done In accordance with the OrdinanclJs of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and th~1 NO OCCUPANCY will be made of any structure without permission of the Building Safely DIvIsIon. I furl her cerllfy that only contractors and employees who arc In compliance with ORS 701.055 will bo used on Ihls projecl. I (urther agree to ensurQ that alt required Inspections are requested allhe proper time, thai oach address Is roadablo from the street, that the permIt card Is located at the front of the property, Dnd the approved set of plans will remain on the site at all times during construction. Slgnature~0~.-~J1g~ / Date go - LI-==U~ VALIDATION: RECEIPT NUM8ER ? .::2"~Y"30 DATE PAl" ~"2/'~ AMOUNT RECEIVED /-'1 <9'Y RECEIVED BY ~J.o~" - /1':- ;