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Home My WebLink AboutPermit Building 1992-7-8 O?JI//A /l i:Y 'u0))('') ) "7"'7/, ./Y7 A-u } 0/ .- ~r) A1i) RESIDENTIAL PERMIT APPLICATION Inspections: 7126.3769 Office: 726.3709 ), LOCATION Of PROPOSED WORK' /7ns ASSEssor~s MAP: LOT: OWNER: ....__ ADDRESS: CITY: /'1rt0 Sr-., .JvI~/L} ~ I ;?T: BLOCK' STATE: /JU DESCRIBE WORK: 7>M.m~ r Av.r NEW REMODEL ~THER CONST, %~~Af~R . ADDITION DEMOLISH CONTRACTOR'S NAME ADDRESS GENERAL _.JotW_c::i6u~_4.-f2L~5~ PLUMBING:.. ___._ MECHANICAL' ELECTRICAL' QUAD AREA: . OF BLOGS: OCCY GROUP: II OF STORIES: WATER HEATI~R' - OFFICE USE - LAND USE: . OF UNIT'" CONSTR, TYPE: HEAT SOURCE: RANGE: IB NUMBER 9r7/rJ),5' 225 Fillll Street Sprln9f1eld, Omllon 97477 TAX LOT: C)/5'oo SUBDIVISION: PHONE: 74/ - 24"?,:;- ZIP: '7 ?G::> ~~ V EXPIRES _1/22hJ , , PHONE ~73-Zm 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 {l,m, will be mBclc ttlC same working day, Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric D Site Inspection - To be made aller eXI:avalion, but prior 10 sctlina torms. o Undcrslab Plumbing/Electricall Mechanical - Prior to cover. o Footing - After trenches are excavalud. . o Masonry - Stce:! location, bond boalns, orouting. o Foundation - Afler torms arc erectecl but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical _ Prior 10 insulation or decking. CI ~ost a,:,d Beam -. Prior to floor IIlsulutlon or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. I I Wuter Lino - Prior to filling trench. o Rough Plumbing - Prior 10 cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D Rough Elecllical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - PrIor to facing materials amJ framing Insp. %Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After installation. o Insert - After fireplace approval ancl Installation of unit. o Curbcul & Approach - After forms are erected but prior 10 placement of concrete. I:=J Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. o Fence - Wlwn completed. o Stroet Trees - When all required trees are planted. o Final Plumbing - WIH,m all plumbing worl( Is complete. o Final Electricnl - Wllt..:n nil electrical work is cOlllplcle. o Finnl Mechnnlcal - When alt mecllantcal work Is cOlllpletc. ~inal Building - When :111 ;~:~'reQllired inspecttons hnve been approved and bllildinU is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up ....:. When all blocking Is complete. o Plumbing Connections - Wilen home has been connected to water and sew'er. o Electrical Connection - WllUll blocking, set.up, anel plulIllJinu inslJcctions l13ve been approvlJ(1 and the home is connected to the service panel. o Final - After all required inspections are approvc(J and porches, skirting, decl(s, and venting have been installed. Lot faces Lot Type. Setbacks J: THE PROPOSED WORK IN THE Lot sq, fig, Interior I PL. HSE GAR ACC I ISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by tile Historical Topography Panhandle Iw I Coordinator prior to permit issuance. Total height Cul-de.sac IE I APPROVED' BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main "Ill/A) . This permit Is granted on the express condition ttlat the said constructlon shall,ln all respects, conform to tile Ordinance adopted' by the City of Springfield, including tllO Development Code, regulating the construction and use of buildings, and may be suspended or revol(ed at any time upon violation of any provisions of said ordinances. Garage Carport Plan Check Fee' Total Value #5A9~ J~~ .7S" /,~ 7S- SYSTEMS DEVELOPMENT CHARGE (SDC) Date Paid: Receipt Number' Building Permit Fee Received By: State Surcharge Total Fee (A) Plans Reviewed By Dale (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) NO Sanitary Sewer FT. Water FT, Storm Sewer FT., Mobile Home Plumbing Permit Stale Surcharge Total Charge (C) 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 ?regon 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 OAS 701.055 will be used on this project. Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Ven t Mechanical Permit Issuance State Surcharge Tolal Permit (D) I further agree to ensure that all required inspections arc requesled 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 set of plan:; will remain on the sIte at 1m cUon. MISCELLANEOUS PERMITS Mobile Home Sidewalk It Date :;:;.----: ~~ State Issuance ~ignaturf' ' I "'2 / State Surcharge Curbcut It Demolition State Surcharge VALIDATION: RECEIPT NUMBER :;-../$:;-- ~.q/92. ''25,7S /~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ;s'.7$' DATE PAID AMOUNT RECEIVED RECEIVED BY Tolal Miscellaneous Permits (E)