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Home My WebLink AboutPermit Building 1998-6-3 Le.oVVlrd ~ V f> n Hn . 51'L1 to 1)Cl~ 5\1 st. S Prlfl a-€idd \ ) ,2 lun , RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: OWNER: ADDRESS: CITY: DESCRIBE WORK: NEW REMODEL ADDITION . SPRINGFIELD .... 225 Fifth Street SprIngfield, Oregon 97477 HJOB NUMBER Q)(D2'7 ~ tDi # ~-t J BLOCK: Spy- in,q.-gel~ I , TA~LOT: SUBDIVISION: nC? q{Y7~ Ha.t'Y\o r , PHON~LII) '7W -tdfJ80 1 STATE: 01< . ZIP: ~Q ,-on DEMOLISH OTHER ~ :,loS h--on-t St . 11> (01 0 .5a\P.t'" oe g 1~3 · 'cf'~ - OFFICE~ ~o'\ ~:~ \~ LAND USE:-~! ~ ~<\. r;t '1\,'(''"' ~...' 'VI;.' # OF UNI#- .1,f"- ~~ .~\') <( . ~"\,; ,\'<"- o~y .(,c,~'C~~~<tfPF' ~~<v ^'~ a.~ \\~.c. ~'O N-.\J ()0REAt>S'Qluter-' ~ ~<o~ ~I,..v u'- c\), WATER HEATER: ;"\'il~"s\~~~~\ ~<-~ .. SQUARE FOOTAGE, To request an Inspectran, you must call 7~\~9?JrhIS Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections r~ested after 7:00 a.m. will be made the following work day. CONTRACTOR'S NAME GENERAL' PLUMBING' ~E~H.:N~CAL' :::~ ~eOo\'\"5 . :..Lfo \" ....leAL. O. . . ~ QUAD AREA' # OF BLDGS: OCCY GROUP: # OF STORIES: o Temporary ElectrIc D Site Inspection - To be made after excavation, but prior to setting forms. ,. o Underslab Plumbing/Electrlcall 'MechanIcal - Prior to cover. o Footing - After .tr.enches are excavated. , .: o Masonry - Steel location, bond beams, grouting. .. O Foundation - Aft'er forms are erected but. prIor to concrete placement. D Underground PlumbIng - Prior to filling trench. i ADDRESS' CONST. CONTRACTOR # EXPIRES PHONE ~-l8-9q '361-81Lll FLOOD PLAIN. ZONING CODE: # OF BDRMS. SECONDARY HEAT: REQUIRED INSPECTIONS , . o Rough MechanIcal -:. Prior to cover. o Final Pllimblng - When all plumbing W9rk Is complet.e. 0' Roug'h 'Electrical - PrIor to cover. o Final ElectrIcal - \N.hen all electrical work Is complete. t ~Mechanlcal - When all mechanIcal work Is complete. o ElectrIcal ServIce - Must be approved to obtain permanent electrical power. o FIreplace - Prior to facing materials and framIng Insp. o Final Building - When all required Inspections have been apprOVed and building Is completed. o Fra~lng - Prior to cover. ,!~:;:-; '.' . i. . D Wail/Ceiling InsJI\~pon - Prior to ./;, " cover. , ~ : . . " . ",'" " '!,',,:,.",, "';,:1 . . ',.' '..::. o Drywall - Prior to 't;~~ng. '~:., , .::.: , "':'<':r;":,' . ' . ',MOBILE HoME:': INSPECTIONS o O'ther . I,,':'" ... .. " ' :., .:;.... .' 'b. " ';';,:, . ." " ., .,.... . .. , . :;'" . " ,,' . O UnderUoor PlumbIng/MechanIcal' . - Prior to Insulation or decking. 0 Wood Stove - After Installation. O Post and Beam - Prior to floor , Insulation or decking. D Insert - After fireplace approval and Installation of unit. o BlockIng and Set.Up - Whe[l all blocking Is complete. i o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. D Water LIne - Prior to filling trench. O Rough PlumbIng - Prior to cover. 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 plurQblng Inspections have been approved and the home Is connected to . the service panel. o Fence....:. When cO,mpleted. 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. Lot Type. ...~. .,' '" . ...;i.~ ~j\';>~1'.:'\'.~. '.... '. . , . Setbacks ' Lot faces Lot sq. ftg. Interior I: P.L. HSE GAR ACC' I Lot coverage Corner N Is Topography Panhandle Iw Total height Cul.de.sac . IE " . THE PRO:POSED WORK.tN THE. ' .....HISTORICAL DISTRICT, OR ON ....THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED: . , , '.,. ~ .. , :" \. ., BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT . This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the Clty.of Springfield, Includll1g 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: D.i'te Paid: BUILDING PERMIT ITEM SO. FT. X $/SO. FT, = VALUE Main ., ,~<!~age " ',:::@ar~()ri;: '\. . .:.", " . . . - ~'. ":~.: ,: i';\:i:'~':,:; . .....'.., .,". ...., .. " \ \ ...., ..' . ",. '~.,l\', ' '.' l';~}. . Total ,Value '.. , \~!, Building Permit Fee '. Receipt Number: Received By: State Surcharge Total Fee (A) Plans Reviewed By Dat~ SYSTEMS DEVELOPMENT CHARGE (SDC) , (B) Systems Development Charge Is due on all undeveloped properties within the City limits wlJlCh are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS .. FEE ':.. Fixtures , 'v.! . . Residential Bath(s) NO .', .' r .. '. Sanitary Sewer FT. . Water FT. .' Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge .. Total Charge (C) (MECHANICAL PERMIT ::> Furnace Mechanical Permit Ilo.1,O IO'CD By signature, I state and agree, that I have carefully examined the completed application and do hereby certl fy 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. Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Issuahce State :Surcharge Total Perrnii (0) ;;;;, (0 , Q.O 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. SlgnaMe fhtu:. f!,oebJ, {~7hJr- 6. ~a .98 Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge SIdewalk ft ft Curbcut Demolition State Surcharge VALIDATION: " / RECEIPT NUMBER ?J b l5 S (0- '3 - Cj q AMOUNT RECEIVED, ifd-.&.;:yO ~ DATE PAID Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) RECEIVED BY ;.