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Home My WebLink AboutPermit Miscellaneous 1992-12-22 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 , e .. JOB NUMBER q ~ l~ 225 Fifth Street Springfield, Oregon 97477 SPRINGFIELD LOCATION OF PROPOSED W~K: 46L./{7 _ D,c;/s y ASSESSORS MAP: \71u~.~~'/ '~ ' LOT: - TAX LOT: -f) ~C) BLOCK: SUBDIVISION: 8~/9~~ , ' ... //O/,:j ~ OWNER: J2?1'9e'.K::::. ADDRESS: 4'(; l/ .7 <pg;:= L} CITY' PHONE: '7~7 28/0 STATE: rJr- 97 Y7k ZIP: DESCRIBE WORK: LA o.J:::u E:rL'-^ nO. r~ NEW REMODEL \ ADD,T;'.. DEMOlisH CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: .J#;Rt/,.t3(/ if' ,56Jn . ,.1 ELECTRICAL: ,', OTHER ADDRESS CON ST. CONTRACTOR # PHONE EXPIRES ~6 & d /lJR/I1I )F:-~' 5$68.::2- Oo/Zt9/92- 7Y'p 7677 - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: # OF BLDGS: . , # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS' # OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGF' SQUARE FOOTAGE: To request an Inspection, you must call 726-3769, T.hls 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. o Temporary Electric D Site Ins'pectlon - 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. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. ' o Floor Insulation - Prior to decking. , o Sanitary Sewer - Prior to filling trench. o Slorm 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 Final Plumbing - When all plumbing worl< Is complete. , , , " D Rou.gh Electrical - Prior to cover. . o Final Electrical - When all electrical work Is complete. o Electrical Service - Must be approved, to obtain permanent electrical power. o Final Mechanical - When all mechanical work Is complete. o FIreplace - Prior to facing materials and framing Insp. o Final Building - When all required Inspections have been approved and building Is completed, o Framing ~ Prior to cov.er, o Other o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. ' MOBILE HOME INSPECTIONS ,0 Wood Stove - After Installation, o Insert - After fireplace approvQI and Installation of unit. o Blocking and Set.Up - When all blocking Is complete. o Curbcut, & Approach .- After forms are erected but prior to placement of concrete. o Plumbing Connections - When home has been connected to water and sewer, o Sidewalk & Driveway - After excavation Is 'complete, forms and sub-base material In place. o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Fence - When completed. o Street Trees - When all required trees are planted. . o Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed, . Topography Total height Panhandle .j ,.... ;~I)" \ :~...~,.. ' ':,~ ,,~lr'! -4,!J ,;it ;.', :~~ j,:;.~,.,l,f:.,. I '. .~:tt 1, '.: .~ ' -, '. .' .l.',~., .f..' '- -,i,~ .. ... ~...._ ." ;>' ,-.~ "~,' < ,...'1. .,',h'" "",':''1'''1>,'''' .,' ''',' '; , l' ; 'y...'. ~: 1-'''\ '. ,. I . ....."l .,. f.''''. . . "~,i', ~t'l'- ~ ';' : "\<,1..,'.\ '.: j -::'t .:4 ~'. i ._ . '," ",: Setb~ck'S "J..". .S THE PROPOSED WORK IN THE I P.L. HSE GAR ACC HISTORICAL DISTRICT, OR ON " ,I N THE HISTORICAL REGISTER? If yes, this application must be signed I S and approved by the Historical I Coordinator prior to permit Issuance. W IE APPROVED' " Lot faces Lot :Typee Interior Lot sq. Itg. Lot coverage Corner Cul.de.sac, BUILDING PERMIT ITEM sa, FT. x $/SO. FT. = . VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Carport " ~ This permit is granted on the express condition that the said construction shall', in all respects, conform'to the Ordinance adopted by the City of Springfield; Including the Development 'Code, reg'ulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, Main Garage " Plan Check Fee: Date Paid: Total Value Receipt Number' Building Permit Fee Received By: State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS D~VELOPMENT CHARG~ (SDC) (B) Systems Deyelopment Char,ge 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 State Surcharge, Total Charge (C) MECHANICAL PERMIT Furnace ( Exhaust Hood Total Permit (D) (5 . oS) fD /JJ ,'):5 c9 5 .0_<) . 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 wlth'the Ordinanc~s of the City of Springfield, and the Laws of the State of Oregon 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 ORS 701.055 will be used on this project. Vent Fan NO Wood Stove/lnsert/ Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge MISCELLANEOUS PERMITS Mobile Home I further agree to requested at the from the street, of the rt on th site al Sidewalk It Date sure that all required Inspections are oper time, that each address Is readable at the permit card Is located at the front nd the pp ved set 9f plans will remain nes d ng tlon. State Issuance State Surcharge Slgnatu ( Curbcut It Demolition State Surcharge VALIDATION: RECEIPT NUMBE1 f){f1 ~ DATE PAID ./J .~.8;- ~~ AMOUNT REC'i.IV~Ji /\.11'\ -;])5, .2 ') RECEIVED BA~ .J - Total Miscellaneous Permits (E) " V\:::-' IK TOTAL AMOUNT DUE (excluding electrical)0/<2> ~ L..:> (A, B, C, 0, and E Combined)