HomeMy WebLinkAboutPermit Miscellaneous 1991-12-27
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
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SPRINGFIELD
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: 4954 Daisv
ASSESSORS MAP" \ J ()r:4.\-<-..-<..... ~ ~
LOT: '
OWNER~ellene Walker
ADDRESS: 4954 Daisv.
CITY: Sprinafield
()/7 ;=;) 7
BLOCK:
TAX LOT:
SUBDIVISION:
PHONE: 747-9777
STATE:
ORE
ZIP: 97478
DESCRIBE WORK:
Heap pump system
NEW
REMODEL X
ADDITION
OTHER
CONTRACTOR'S NAME
GENERAL:
PLUMBING'
MECHANICAL.Comfort Flow Heatina 855 W. First. Euaene 97402 #460 . 6/30/92
ELECTRICAL: C&S
DEMOLISH
ADDRESS
CONST,
CONTRACTOR #
PHONE
EXPIRES
342-8101
.
- OFFICE USE -
QUAD AREA: LAND USF' FLOOD PLAIN:
I/OF BLDGS: 1/ OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR, TYPE: 1/ OF BDRMS:
1/ OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: 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.
D Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms,
o Underslab Plumbing/Electricall
Mechanical - Prior to cover,
o Footing - After trenches are
excavated. ;
D Masonry - Steel location, bond
beams, grouting.
D Foundation'- After forms are
. . erected but prior to concrete
placement.
D 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
deckl ng.
D Sanitary Sewer - Prior to filling
trench,
D Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench,
D Rough Plumbing - Prior to
cover,
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover,
D Final Plumbing - When all
plumbing work Is complete. '
o Rough Electrical- Prior to
cover.
D Final Electrical - When all
electrical work is complete,
.
o Electrical Service - Must be
. approved to obtain permanent
electrical power.'
D Final Mechanical - When all
mechanical work Is complete.
D Fireplace - Prior to facing
materials and framing Insp,
o Final Building - When all
required Inspections have been
approved and building is
completed.
D Framing -. Prior to cover.
D Other
D Wall/Ceiling Insulation - Prior to
cover,
D Drywall - Prior to taping, .
MOBILE HOME INSPECTIONS
. .
o Wood St()ve - After installation.
.1
o Insert ~ After fireplace approval
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.
D 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.
D Fence - When completed.
o Street Trees -When all' required
trees are planted.
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
-
- .
Lot faces Lot Type Setbacks tTHE PROPOSED WORK IN THE
Lot sq, ftg, Interior I P.L. HSE GAR Accl ISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
S and approved by the Historical
Topography Panhandle Coordinator prior to permit issuance.
Total height Cul-de-sac W
IE
APPROVED:
BUILDING PERMIT
ITEM SQ. FT, X $/SQ. FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
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, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Garage
Carport
Plan Check Fee:
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
Received By:
State Su rcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(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
,State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Total Permit
____ (gt_ _
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In
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.16
?S,1S
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 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.
, I
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsertlFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
MISCELLANEOUS PERMITS
Mobile Home
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, and the approved set of plans will remain
on the site at all times during construction.
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State Issuance
State Surcharge
Sidewalk
ft
Date
Curbcut
ft
Demolition
State Su rcharge
. VALIDATION:
,
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111 OJ~
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RECEIPT NUMBER
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electriCal)f7/1fJ,1C;
(A, B, C, D, and E Combined)
DATE PAID
AMOUNT RECEIVED
RECEIVED BY