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HomeMy WebLinkAboutPermit Building 1993-1-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD LOCATION OF PROPOSED WORK: ./'?ce? ,/(p#M/ ~ ASSESSORS MAP' / '7-P"?-"3"~-S'2 . LOT: BLOCK' 0~~C ~ ~~~'.:;;'C7'?- OWNER: ADDRESS' CITY' DESCRIBE WORI<' NEW REMODEL CONTRACTOR'S NAME GENERAL' PLUMBING' MECHANICAl ~&:v;pr:f6~ ELECTRICAl' QUAD AREA" # OF BLDGS: OCCY GROUp. # OF STORIES: WATER HEATER' STATIO. ADDITION DEMOLISH OTHER . . JOB NUMBER "9 7f ~:-c>/ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: t:....; ~ 7<:5 / SUBDIVISION' PHONF' "* J ZIP' ADDRESS CONST. CONTRACTOR # PHONE REQUIRED INSPECTIONS (XI Rough Mechanical - PrIor to cover. 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. o Framing - Prior to cover. o Wail/Ceiling .Insulation - Prior to cover. o Drywall - Prior t? taping. o Wood Stovo - After Installation. o Insert - After fireplace approvQI and Instal/at Ion of unit. o Curbcut & Approach - After . fCl[ms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. EXPIRES :?"~z,~~~~ -S.~b~_ ;. I' ,-, , ..2 ~-93. ?l.I4-~:> , . . 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 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. - OFFICE USE - LAND USE: # OF UNITf" CONSTR. TYPE: HEAT SOURCE: RANGE: o Final Plumbing - When all plumbing w9rk Is complet.e. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electricall 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. o Underground Plumbing - Prior to filling trench. o Underfloor PlumbIng/Mechanical - Prior to Insulation or deckIng. o Post and Beam - Prior to floor Insulatlon or decking. o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. . o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. D Final ElectrIcal - When all electrical work Is complete. r17l Final Mechanical - When all !,..l\.J mechanical work Is complete. o Final BUilding - When aI/ 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. ., THE PROPOSED WORK IN THE ""HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this appl/cation must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot faces ~ot ;ype. Setbacks I P.L. I I I Lot.sq. ftg. Interior HSE GAR ACC IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul-de-sac, IE BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT VALUE Main Garage Carport " Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath{s) NO Sanitary Sewer FT Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace o/;f1-5 Exhaust Hood ~-- Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit /1J /,I'f , /~-:- ~ /.0, -'" .7S- "25: 7S""' Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobl/e Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) APPRO\(ED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . This permit is granted on the express condition that the said construction shall; in all respe"CIS, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisIons of said ordinances. Plan Check Fee' Dale Paid: Receipt Number Received By: Plans Reviewed By Date ,. - Systems Development Charge Is due of"! all undeveloped properties within the 'city limits which are being improved. ADDITIONAL COMMENTS 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 wll/ be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are in cO'!lpliance with ORS 701.055 will be used on this project. 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, CJ the approved set of plans will remain on the site at times du.ring ns n. Signature ~ { Dale J 1'I/9"J, ---#- I I - VALIDATION: RECEIPT NUMBER DATE PAID 71~6 (-e.,/-"7? :;:; 2. "5:_75 -:/?~ -> , AMOUNT RECEIVl=n RECEIVED BY"