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Home My WebLink AboutPermit Building 1993-9-3 ~ '1 .RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD . '2~ S"7 ,. ~S".- JOB NUMBER' 225 Fifth Street Springfield, Oregon 97477 ,. .m~~ /6? LOCATION OF PROPOSED WORt<' ~ .~.,.~ .~#/..,<,/ ~~-~ ASSESSORS MAP' /7-y;J~~;!,,=?-CSc> OWNER:.#~ ::5/.A""A-';L~..7"""" ADDRESS" -'5'~ . , ~;r.L2? . I , DESCRIBE WORK' ~c;z'~.t::.E ..4?'~.r'_ ~'&;/!?t h;~AY~,~::'-~e-- LOT' CITY: NEW REMODEL BLOCK' STATF' &';r.:f . ADDITION DEMOLISH OTHER ,. TAX LOT' <::'~ ~ ~ SUBDIVISION: PHON'" 7Y::;>-.72~"", ZIP: ~Y/8 CONST, CONTRACTOR' CONTRACTOR'S NAME ADDRESS GENERAL: (,/~~~h . PLUMBING: cJP.;~~v'~ -. MECHANICA" ELECTRICA" ,,::::::"W~~ EXPIRES PHONE _ A WL ,.~,... ,.. - OFFICE USE - QUAD AREA: LAND USF' FLOOD PLAIN: . OF BLDGS: . OF UNIT'" ZONING CODE:_ OCCY GROUP' CONSTR, TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspectlons 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. -- o J'emporery Electric D Site Inspection - To be made after excavation, but prIor to setting forms. D Underslab Plumblng/ElectrlcalJ Mechanical - Prior to cover. o Footing - After trenches are excavat~d. o Masonry - Steel location, bond beams, grouting. D 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 deckll')g. -. \~ , . , . .:./ o Floor Insulation - Prior to decking, .. . ' o Sanitary Sewer - Prior to filling , trench. D Storm Sewer - Prior to filling trench. . o Water Line - Prior in. flillng trench. . . o Rough Plumbing - Prlor~o cover. . -. REQUIRED INSPECTIONS o ~~~e~~ Mechanical ~.~'rl'orto , D 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. D Framing - Prior to cover. o Wall/C'elllng Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stove - After 1~~t?"a!l~n. . D 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. D Fence - When COmf?l~ted. '. D Street Trees - When all required trees are planted. ,. . o Final Plumbing '- When all plumbing work Is complete. D 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. o Other MOBILE HOME INSPECTIONS I'Yt Blocking and Set. Up - When all ~ blocking Is cO!'11plete. ~ Plumbing Connections - When home has been connected to water and sewer. Ii/1 Electrical Connection - When L....4-I blocking, set-up. and plumbing Inspections have been approved and the home is connected to the service panel. [lJ Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. J . .HE PROPOSED WORK IN THE ,.. '. lot faces lot Type Setbacks I PL- ACC I " HISTORICAL DISTRICT, OR ON lot sq, fig, Interior HSE GAR - -- ; IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Topography Is I and approved by the Historical Panhandle Iw Coordinator prior to permit issuance. Total height Cul-deosac - , - , , "'-...~ " IE ..... , , "- . , , , APPROVEP' BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, VALUE BUILDING VALUE, 'PLAN CHECK AND BUILDING PERMIT Carport '. This permit is granted on the express condition that the said constructlorFshaU, in all respects, conform to the: Ordinance adopted by the' City 01 S'pringfleld, inclu'ding the Development Code, regulating "ttie constru~tion and use of buildings, and may be suspended.or revoked at any time upon violation of any provisions of'sald ordinances. Main Garage Plan Check Fep' '. Date Paid: Total Val ue Receipt Number" Building Permit Fee Received By: State Surcharge 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. SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Wate, FT, Storm Sewer I Mobile Home' FT, /5-- Plumbing Permit State Surcharge /5-':- Total Charge (C) .';:?~ ./'5:~ . MECHANICAL PERMIT Furnace Vent Fan N' 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 01 any structure without permission of the BuildIng Safety Division. I further certify that only contractors and employees who are In compliance with GAS 701.055 will be used on this project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit 1, /~.-c:> .::a::>. c;; 6 ~ '2:J> 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 a 0 ad set of plans will remain on the site at all tl s dur 1\ o~tlon, n Signature I~ ~ Date _<J - ,3. (D) MISCELLANEOUS PERMITS Mobile 'Home State Issuance State Surcharge Sidewalk It Curbcut fI Demolition 'I State Surcharge VALIDATION: RECEIPT NUMBER /eP/c":; Y '7-~,~3 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~.~5 /Yb. ~ DATE PAIl'" AMOUNT RECEIV'''' /R".8. _0 RECEIVED BY ~~ ,,,,. Total Miscellaneous Permits (E) 'I ~ ~ ~ ,,~ ~ ~ ~ ~ ~ ~ I 7~ l", - ~I ' .:) , < ~ E-r~,7: ~c. ;?>/:I/ Ychtr~r- H~6D~/ l~1 YbC> ):?'#Y'~r:- ~/'7tP - t - ". ..., .. '5'/ . , I " . t .. ~ ,. I. . 1- ~ I , .