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HomeMy WebLinkAboutPermit Miscellaneous 1992-7-6 , JOB NUMBER SPRINGFIELD e; RESIDENTIAL PERMIT APPLICATION 92CJ92::;2._ 225 Fifth Streot Springfield, Oregon 97477 Inspecllons: 726.3769 Office: 726.3759 sy: LOCATION OF PROPOSED WORK: -;;2 ;::;.. -~ 7 m 17 i AI /?D7. ;:j("~ 42-. n '-J!J-t) ~ TAX LOT: SUBDIVISION: ASSESSORS MAP' BLOCK' LOT' PHONE: 7~t:.. - EBh/' I /-..b f', (' tfl , ADDRESS' ;J:')(") 9 j/}I} -4//1/ CITY: 5f' ~t-ilf1+i e.1 J RDshe IYl OWNER: ST: STATE: (() rE . ~ ZIP' (.J.,,,,IF-lr <~./r() I cuL DESCRIBE WORK: -U~..A.U NEW REMODEL )( OTHER ADDITION DEMOLISH CON ST. CONTRACTOR' PHONE EXPIRES ADDRESS CONTRACTOR'S NAME GENERAl.: __ PI.UMBINGS::-C7:_E/~ MECHANICAl.' ELECTRICA' . P.fJ, !3.t<>X l'?96 OFf-IE"0 S7S7/f Cl.-J()-'l3 9.3$::riJ./SIa L - OFFICE USE - FLOOD PLAIN' ZONING CODE:_ LAND USE: OUAD AREA' . OF UNIT'" . OF BLDGS: . OF BDRMS' CONSTR. TYPF' OCCY GROUP' . OF STORIES: SECONDARY HEAT: HEAT SOURCE: SQUARE FOOTAGE: RANG'" WATER HEATER' 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 day. Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Flnol Plumbing - Wilen all plumbing worl< Is complete. o Rough Mechanical - Prior to cover. o Temporary Electric D Rough Electrical - Prior to cover. D Site Inspection - To be made after CXl;8vatlon, but prior to selling forms. D Final Electrical - When all electrical work is complete. o Final Mechanical - Wilen all mechanical work Is complete. o Undcrslab Plumbing/Electrical/ Mechanical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Final Building - WllQn all required inspections hllVC been approved and building is completed. o Footing - After trenches are excavated. o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond bean,ls, grouting. o Framing - Prior to cover. OOthor D Foundation - Aflor forms are erecled but prior to concrete placement. o Wail/Ceiling Insulation - Prior to cover. Underground Plumbing - Prior to filling trench. o o Drywall - Prior to taping. MOBILE HOME INSPECTIONS Undorfloor Plumbing/ Mechanical _ Prior to Insulation or decking, o o Wood Stove - After installation. o Blocking and Set.Up - When all blocking Is complete, Post and Beam - Prior to floor Insulation or decking. o o Insert - After fireplace approval and Installation of unit. o Plumbing Conneclions - Wilen home has been connected 10 water and sewer. o Floor Insulation - Prior 10 dockinu. o Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sanllary Sewer - Prior to tilling trench, o Electrical Connection - Wlwn blocking, set-up, and plUlflblllU Inspections have been approvml and the home Is connected to the servlco panel. o Sidewalk & Driveway - After excavatIon Is complete, forms and sub-base material In place. o Storm Sewer - Prior to filling Ircnc:h. ~. Water line - Prior to filling ~onch. o Fence - When completed. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. o Street Trees - When all required trees are planted. o Rough Plumbing - Prior to cover. J Lot faces Lot Type' Interior Lot sq. ltg. Lot coverage Corner TOlJography Panhandle Total height Cul.de.sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Galage Carport Tolal Value Building Permit Fcc SI<1le SUlcharne Total Fce (A) . . THE PROPOSED WORI< IN THE '.: .ISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, Illls application must be signed and approved by the Historical Coordinator prior to permil issuance. Setbacks P.L. HSE GAR ACC -- S N ---- W E ---- VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanilary Sewer FT. Water FT. /00 Storm Sewer FT. Mobile Home Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance Stale Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mohile Home Slale Issuance Stolo Surchnrgo Sidowalk lt Curbcul ft DC,"olltion Slale Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding olectricel) (A, B, C, 0, and E Combined) FEE 4.0. tr<> 2..<N> 42-0<> 42.00 APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition ttlatlhe said construction shall, in all respects, conform to tho Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildlnns, and may be suspended or revokct.l at any time upon violation of any provisions of said ordin,1nces. Plan Clleck Fee' Date Paid: Receipt Number: Received By: Plans Reviewed By Dale Systems Development Charge Is due on all undeveloped properties within the Cily limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed applicntlon and do hereby Ci~rtj(y ttlat all information hereon is true and correct, and I furl her certify that any and all work performed shall be done in accordnnce with the Ordinances of the City of Springfield, ;lI1d the Laws of the State of Oregon pertaining to the worl\ described herein, and ttlal NO OCCUPANCY will be ",..)(.Ie of any structure without permission of the Building Safety Division. I further certify that only contractors and cmployees who are In compliance Witll ORS 701.055 will bc used on this project. I further agree to enSllre that all required Inspections are requested at the proper tIme, that each add res:..; Is readable from the street, that the permit card Is locatml a\ the front of the property, and the clpproved set of pl.JI1:~ will romain on the site ~t /'Jmes during constrt,clion. 'I SignatulQ~' ( C/"Y';t.€ tJ, Dale !/4?:L/ 2- VALIDATION: 5"~~ ( DATE PAID ---7::.? - '7;?-- AMOUNT RECEIVED ..4.2 a\!> ~~ .... -- .. RECEIPT NUMBER RECEIVED BY