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HomeMy WebLinkAboutPermit Building 1991-5-15 RESIDENTIAL PERMIT APPLICATION, Inspections: 726:3769 Office: 726.3759 LOCATION OF P~OPO~D~~' ~?-; '35 ASSE~_$()R9. M..AP' \ ~ 1Lt}. 5~,", .~j ~ "' 't ,- e: SPRINGFIELD . 0(1[)4q1J JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ~,' \()5 . TAX LOT: fl , S~ .. ~ '. . ... "..:... .... .~., ,.,.', -,:>Ooq"' .{ . . LOT: " , . :. BLOCK: . . , . OWNER '-4W(,..H\t'Ll\Q '.'~. .. . Q~. _~. . STATE: _~ ~6 DESCRIBE WOR . <oh, If\t\KL . LO\c\ LU "'\ r 1-\ \l~_l-t NEW REMODEL" ~DITION . DEMOLISH OTHER CITY: SUBDIVISION: 1 PHON E: ZIP: C\ F4-e CONST. . ~~O;r,)' ' ~\f\\ ~~~C~O~ # (\~ \LlA -,tl~ ~,H , \\ CONTRACTOR'S N~ME GENERA,t ~ I~ ~ PLUM~ING:~Q MiA MECHANICAL: A_ C,J E.LECTRICAL: lV C{\O t>J I.. . . t ." '.. .. ~ ~ , ' ~ QUAD AREA: (~~~ . \ OCCY GROUP: R~ \ T', # OF BLDGS: # OF STORIES: WATER HEATER: 'f "-- OFFICE USE - \\ 7!n ( LAND USE: # OF UNITS: CONSTR. TYPE: HEAT SOURCI=' ~~ iBANGE: ~. EXPIRES PHONE 1'\1,,- lltj3 " If " .. "- . . ~. ' FLOOD PLAIN' ZONING CODE: lD~' . . I # 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. D Temporary Electric " ,D S,ite Insp.ection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/Elec~rical/ 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 Underground Plumbing - Prior to filling trench. o Underfloor Plumbing/ Mechanical ~ Prior to insulation. or decking. D Post and Beam - Prior to floor insulation or decking. D Floor Insulation - Prior to decki ng. D Sanitary Sewer - Prior to filling trench. ".. " ". . . D Sto'rm 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 cove~ ' , D ,Rough Electrical - Prior to . cover. D Electrical Service - Must be approved to obtain permanent electrical' power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. ...... -'" D Wood Stove - After installation. D Insert - After fireplace approval and installation of unit. , D Curbcut & Approach - After forms are erected but prior to placement of concrete. 0' Sidewalk. & Driveway - After excavation is compiete, forms and sub-base material in place. -' . - . o Fence :"':When completed. D Stree.t'Trees -: vilhoe,;'all'requi'r'ea trees are planted. . ' D Final Plumbing - When all plumbing work is~complete. .' . . . D Final Electrical - When all elect~i~al work is complete. ~. . ~ D Final Mechanical - When all mechanical work is complete. D Final Building - When all ' required Inspections have been approved and building is completed. D Other MOBILE HOME INSPECTIONS ~;' " ocking and Set-Up - When all ocking is complete. Plumbing Connections -, When home has been connected to water and sewer. , ectrical Connection - When blocking, set-up, and plumbing inspections have been approved' and the home is connected tf the s~~ ,Qqo\' inal - After all required inspections are approved and' porches, ski rling, decks, and venting have, been install.ed. , . I .' , . " ., THE PROPOSED WOR~:';~ ~:: Lot faces Lot Type Setbacks " . ' I I P.L. ACe I Lot sq. ftg. Interior HSE GAR HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER'? Lot coverage Corner If yes, this application must be signed Is I I , and approved by the Historical Topography Panhandle ,I w I. I Coordinator prior to permit issuance. i\ \ Total height Cul-de-sac IE I I APPROVED: \ \ \ BUILDING PERMIT ITEM sa. FT. x $/SO. FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main , I This permit is gral)ted. on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, inclu9in9 the Development Code, regulating the construction a'nd use of buildings, and may be suspended or revokEld at'any time upon violation of any provisions of said ordinantes. Garage Carport Plan Check Fee' Date Paid: Total Value Receipt Number' Building Permit Fee Received By: State Surcharge Total Fee (A) Plans Reviewed By Date , SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped I 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 Total Charge (C) 1S.~ )S. '75 Plumbing Permit State Surcharge MECHANICAL PERMIT Furnace Vent Fan NO 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 d~scribed '." 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 Wood Stove/lnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge MISCELLANEOUS PERMITS glcQS 11.5. ?'5 I. ') &5 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 wilf remain on the site at all times during constru~ : Signature 1'z.. 9- - ~d'Jz:..-~"'/ r7-/~- ~ r Total Permit (D) Mobile Home State Issuance State Surcharge Sidewalk ft Date Curbcut ft \. Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D!. and E Combi,ned) I~_ CO, VALIDATION: .-fJ/'v'\/ _ 0' RECEIPT NUMBER Q...LJLQC) 5'(~'~/ ~ j. .s..... j) L/ V' ~ CO, AMOUNTREr~'(7. ~- RECEIVED B (111 ~ ... -- DATE PAID State Surcharge Total Miscellaneous Permits (E) I I I I I I I I I I I I I I I I I I I I I I I I I I r I I I I I I I I I :-------1-- --1-----1 l-----C-=-i ---r-~-I-- ---1--- t-I~ -, / ~ L, I I . ~ I I I I I ' I ~_____._I , I-Itr) ,I " I. '~~~vl, I I I I I I ; I _ 1~n 'I I . 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