HomeMy WebLinkAboutPermit Septic Tank 1997-2-4
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LOCATION OF PROPOSED WORK' fO ({ ;;;;;;;;;Plau)v
ASSESSORS MAP: -Uh'?., '2, Cj 2.. I!!J./... '
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOT'
'.
SPRINGFIELD
b
BLOCK:
OWNER:(J'o///e CrJlle/\.'<\
ADDRESS: ' tbl/ R" A ,0 .,0 r- Pc.<. I' 1/, D 'h, I
"" . f
CITY:<~Jr-l^~~~1 e I.rO _ STATE:
DESCRIBE WORK: .:seu.. ~e r +< <::> 'e~ I r
NEW REMODEL ADDITION DEMOLISH
CONTRACTOR'S NAME
(")r-
OTHER
.
"
JOB NUMBER
or 702(~(
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
LIU?<;7JV _
SUBDIVISION:
PHONF'
ZIP:
97 -177
ADDRESS
CONST,
CONTRACTOR'
PHONE
GENERAl'
PLUMBING: =K~ ~r 4,~ ~L-R-\~I'-"/' B-1 1
MECHANICA" (02 Ibfr<\ G+-\trf Una?,u~^
ELECTRICAl'
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE: _
HEAT SOURCE:
RANGE: _
EXPII,ES
~~~{..
711(,,2.. /-/(rqf5
h8:Y-/7/1
FLOOD PLAtN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SQUARE FOOTACE: ....__
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 worl~ day.
D Temporary Electric
D Site Inspection - To be made
after excavatIon, but prior to
setting forms.
D
Underslab PlumbingJ Electricall
MechanIcal - Prior to cover.
D
Footing - After trenches are
excavated.
D
Masonry - Steel location, bond
beams, grouting.
D
Foundation - After forms are
erected but prior to concrete
placement.
D Un'derground Plumbing - Prior
to filling trench,
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - PrIor to floor
Insulation or decking.
D Floor Insulation - Prior to
decking,
~anltary Sewer - Prior to filling
trench.
, I
O rm Sewer - Prior to filling
trench.
D Waler line - Prior to filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
o Rough Electricnl - Prior 10
cover.
D Electrical Service - Must be
approved to obtain perrnnnent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - PrIor to cover.
D Wall/Cetllng Insulation - Prior to
cover.
D Drywall - Prior to taping,
D Wood Stove - After fnstalln!lon.
D Insert - Afler fireplace approval
and InstallatIon of unIt.
D Curbcut & Approach - After
forms are erected but prior to
placement of Concr(!W.
D Sidewalk & Drivewav - After
excavation Is complete, forms
and sub-base material In place.
D Fence - Wtlen completed.
D Streel Trees - When all required
trees are planted.
D
Final Plumbing - When [Ill
plumbing worl( Is complct.c.
o Flnnl Electric,,1 - WIlen all
electrical worl< Is complete.
o Final Mechanical - When all
mechanical worl( Is complete.
.,.::
D Flnnl Building - When all
required Inspections have been
approved and buildIng Is
completed.
D Other
MOBILE HOME INSPECTIONS
D Blocking nnd Sel.Up - When all
brockln~J Is complcte.
D Plumbing Connections - When
home hns been connected to
\Vater and scwer,
D Electrical Connection - When
blocking, set.up, and plumbing
lnspecllons hnve been approved
and 1I1e home Is connected to
the service panel.
D Final - After all required
inspectIons are approved and
porches, sl<lrllng, decks, and
venting have been Installed.
. " _HE PROPOSED WORK iN THE
Lot faces Lot Typo Setbacks
I P.L. 'HSE'GAR'ACCI .., HISTORICAL DISTRICT, OR ON
Lol sq, ltg, Interior IN I THE HISTORICAL REGISTER?
Corner II yes, this appllcallon musl be signed
Lot coverage Is I
, and approved by lhe Hlslorlcal
Topography Panhandle \W I Coordinator prior to permit Issuance.
Total height CuJ.do.sac IE ~
APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/ SQ, FT,
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopled by the Cily of Springfield, including the
Development Code, regUlating the construction and use of
buildings, and may be suspended or revokod at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee'
Date Paid:
Total Value
Receipt Number'
Building Permit Fcc
Received By:
State Surcharge
Total Fcc
(AI
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(6)
Systems Development Charge is duc on all undeveloped
properties within tho City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wcr
Water
FT.
;)0
2L)lf()
FT.
Storm Sower
FT.
Mobile Home
Total CIlargc
(C)
JL;. (]V
),25
, 7~:MJ{)
Plumbing Permit
Stato Surcharge
MECHANICAL PERMIT
Furnace
Venl Fan
N'
By signature, I state and agree, that I have carefUlly examined
the completed application and do horeby cerllfy that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accordance
wllh the Ordinances of the Cily of Springfield, and the Laws
of tho Stato of Orogon pertaining to the work described
herein, and thai NO OCCUPANCY will be made 01 any
structure without permission of Ihe Building Safety Division.
I further certify that only conlractors and employees who
are In compliance with ORS 701.0~5 will be used on this
project.
Exhaust Hood
Wood StovellnscrtlFlreptaco Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permll
(D)
I furlher agreo 10 ensuro that all required Inspections are
roquested at the proper time, that each address Is readable
from Ihe slreet, that the ocaled at the front
of the erty, and th approved set 01 pia will remain
on the site t times ring construe k
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Slgnatuf<>
Date "-11 ,!}..1-
(
Curbcut
ft
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
;D.(J()
VALIDATION: '0 ~h
RECEIPT NUMBER ~ i(f.-.(:
DATE PAID 2~ L(~q7
AMOUNT RECEIVE~ 7, o-b
RECEIVED BY ~
?tate Surcharge
Total Miscellaneous Permits (E)