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HomeMy WebLinkAboutPermit Miscellaneous 1996-5-31 RESIDENTIAL PERMIT APPLICATION .... '~ - SPRINGFIELD l1li: t@ LOCATION OF PROPOSED WORK' ij' ? .7 i..J - '-/ J 80 /J! o~ VI S1- ASSESSORS MAP,I /()1 ~ -;;S-:S2 Inspections: 726-3769 Office: 726.3759 LOT BLOCK' OWNER: r~;--e.,. /1.0 r Sir.? Of)lPAA ADDRESS: . .. '9 fJ 7 ~ I q ~ 7.-t K_ ~ 1I--P r, -I-" CITY: .c.- "; ~~~ DESCRIBE WORK' NEW REMODEL CONTRACTOR'S NAME GENERAl' PLUMBING: -.LJ ~ cf ~ MECHANICAl' ELECTRICAl' OTHER I~/ /,.l" "dO 'P~ CONST. CONTRACTOR' EXPIRES STATE: -4-1\ ADDITION DEMOLISH ADDRESS jJ /f/ ~ ~? v1 iI/ , / QUAD AREA: · OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER' - OFFICE USE - LAND USF' · OF 'UNIT'" CONSTR. TYPE: HEAT.SOURCE: RANGF' .- .. Q(o(}7L(?, JOB NUMBER 225 Fillh Street Springfield. Oregon 97477 ~/-1V rh eJJ . ~AX LOT: (J'{?t? I , SUBDIVISION: PHONF' .,g43~ J/~5 ZIP:j7 -J J '2-- . S-e--u <-- ?/~ PHONE A ~~ . 'll 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. 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 (ollowlng work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ 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. D Underground Plumbing ~ -Prior to filling trench, o Underfioor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking, ~ Sanllary Sewer - Prior 10 filling "trench, Storm Sewer - Prior to filling trench, O Water 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 Eleclrlcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facIng materials and framing Insp. o Framing - Prior to cover. -0 Wall/C'elllng Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stove - After Installation. o Insert - After fireplace approvel and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Drlvewav - After excavation Is compieto, 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 w~:HI< Is complet,e. 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 o Blocking and Set. Up - When 'all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking. set-up, and plumbing InspectIons have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. . ' .," " 1 ....,.... ~, Lot faces Lol r'1fI Sett>"cks IS THE PROPOSED WORK IN THE. I PL. ACC I ,"' HISTORICAL DISTRICT, OR ON HSE GAR Lot sq, Itg. Interior IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by Ihe Hlslorlcal Topography Panhandle Iw I Coordinator prior to permit Issuance. , Total height Cu/-de.sac IE I APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage Carport " This permit Is granled on Ihe express condition thatlhe said construction shall, In all respects, conform 10 Ihe Ordinance adopled by Ihe Cily 01 Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked al any time upon violation of any provisions of saId ordInances. Main Plan Check Fee' Date Paid: Total Value ReceIpt Number" Building Permit Fee Slate Surcharge Received ,By: TOlai Fee (A) Plans Reviewed By Dale SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the Clly IImlls which are being Improved, PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' ( 25,00 ! r:; . 6"0 -:{0,UO Sanitary S~wer Water FT.I../)[) Storm Sewer FT, FT. Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) LfO.un 2,00 1,2V j/ _?. ~:t) .- MECHANICAL PERMIT FurnacQ Vent Fan N' By signature, I stalo and agree, that I have carolully 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 01 Ihe City of Springfield, and the Laws 01 the State 01 Oregon perlalnlng to the work described herein, and'that NO OCCUPANCY will be mada of any struclure wllhout permission 01 Ihe Building Safety Division, I further certify that only contractors and employees who aro In compliance with ORS 701,055 will be used on this projecl. Exhaust Hood Wood Slovellnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) I further agree to ensure that all required Inspections are reQuested a~ the proper time, that each address Is readable from the slreel, that tha permit card Is located at the fronl of the properly, and the approved sel 01 plans will remain on the site at all times during construction. 'V Cd. slgna\2; .. ..,y~. "_V' F tCJ-U.e ~...... Dat(_' MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surcharge Sidewalk It Curbcut It DemolItion Slale Surchargp VALIDATION: , q ( RECEIPT NUMB~ 5 ~ ? 1- )<:7 DATE PAID J-.I/~ 0 AMOUNT RECEIVED . Vi j, 2. () RECEIVEO BY \~-- ~ Tolal Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding eleclrlcal) (A, B, C. 0, and E Combined)