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HomeMy WebLinkAboutPermit Building 1998-1-12 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ~~ .'?\ ~} r ASSESSORS MAP: / 7~ 2.. .7 ~ D.o -", ..!', ~. . SPRINGFIELD . JOB NUMBER 9$&J-~J . . . . \ .~ " ", ':' /.~" ., W /52. 225 Fifth Street Springfield, Oregon 97477 . TAX LOT: n /.? en" . . . o. l \' - - ~,., , ". ' ") . I ... . . BLOCK' SUBDIVISION: ,.. ~#/~~/CA .~ I' 2 ~7~ Ti}LflJL ~'e,7'J.\ STATE: ~ . LOT' ,; 9W!'JER: , . ADDRESS: CITY: ,'., .' PHONE: q35'-~76Z- ZIP: 9. 7~ ~ 7 DESCRIBE WORK: . '/114' ,'5t!?~ /AJ ;/JMR: " NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME GENERAL: .PLUMBINC3: .~~ -L~. kJlI{~ , , ~ MECHANICAL: ELECTRICAL' '. .. It' If' DEMOLISH ADDRESS' . CON ST. CONTRACTOR # /21)11 ~. //~e;~,. EXPIRES .~~. PHONE . ('fIt/.. ' ~~/~ .7-2:171 1//' I~'A~ - ~'7.J../. . ': / ,~ ,.p. -'," 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. o Temporary ~Iectrlc \ D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are ,excavated. . D Masonry - Steel location, bond . beams, grouting. o Foundation ~ After forms are erected. but, prior to concrete placement. o Underground Plumbing - Prior to filling trench. , 0 Underfloor Plumbing/Mechanical . - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or deckIng. D Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to Hlllng trench. . o Water Line - Prior to filling trench. D Roug~ Plumbing ~ Prior to cover. . . REQUIRED INSPECTIONS . . . o Rough Mechanical - Prior to cover. o Final Plumbing - When all .plumblng W9rl< Is complet.e. D Rough 'Electrlcal - 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. o Fireplace - Prior to facing materials and framing Insp. D Final Building - When all required Inspections have been approved and building Is completed. o Framing - Prior to cover. D Other o Wail/Ceiling Insulation - Prior to . cover." . o Drywall - Prior to taping. MOBilE HOME INSPECTIONS D Wood Stovo - After Installation. o Insert - After fireplace approvlll and Installation or unit. - ~ I><LBlocklng and Set-Up - When all ~Iocklng Is complete. . o Curbcut & Approach - After . forms are erected but prior to placement of concrete. "'1'71 Plumbing Connections - When ~home has been connecte~ to . water and sewer. . . D Sidewalk & Driveway - After excavation Is complete, forms and'sub-base material In place. k71' Electrical Connection - When ~ blocking, set-up. and plumbing Insp~ctlons have been approved and'the home Is connected .to'" ~ the service panel. D Fence- When completed. ~Flnal - After all required .. Inspections are approved and . . arches. skirting; decks, and . ,venting have .been Installed.: o is,t~eet Trees - When all required . trees are planted. . , Lot faces !t . ..:.'. 'L~t' ~pe ' ."" , ~ .~.. 'j" '. ,~' :\,i. " ,. '" :. "" . \ .;.-1, ,'~' .~\!;!i';. " j'-) , . 1.:.. ':! 'rit:'..,:~r,i:-. -I', ~ l.ftJ';'P~" t'll'.'~' .:, .'.~~~;-:. \. .~::\ ,': "'~...' ,.:. :, :',~';':i.~:~~,l/'~,':""';, . t' ", ," ~ :. Setbacks ' , -. .,\.. to': , h:~L. .. I' N Is' Iw IE HSE GAR Acd ... ( IS THE,PROPOSED WORK tNTHE _ . '''''HISTOI:lICAL DISTRICT, ORON THE HISTORICAL REGISTER? '" Lot sq. ftg. . . -' Interior Lot coverage .' , ~ Corner >r ~" Panhandle ': If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Topography Total height Cul.de'sac 0, ~. . APPROVED' ~., " BUILDING. PERifllT ':f1. ,':'?il ;~, ITEM sa. FT. X $/sa. FT. '" VALUE BUILDH~-G VA10E,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 adopted by the City, of Springfield, Including the Development Code, regulating the constru.ctlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Carport \/ Plan Check Fee: Date Paid: Total Value Receipt Number: Building Permit Fee State Surcharge Total Fee Received By: ' (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 ~,4-JAfUL6 ~3,~/fj FEE Fixtures Residential Bath(s) N' Sanitary S!3wer Water FT. FT. FT. Storm Sewer Mobile Home / .1). /rYO Plumbing Permit Total Charge (C) 1.2.'0 /6 4'0 State Surcharge I ? r- ..,. , ~J J MECHANICAL PERMIT Furnace Vent Fan NO By signature, I state and agree, that I have carefully examined the completed application and db hereby certify that all Information hereon is true and correct, and I further certify that any and ali work performed shall be done In accordance with the Ordinancl;1s 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 Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge State Surcharge Sidewalk ~!-S" T ~,') -L05~ ~.I'J 0-0 ~fP 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. ~I~nat",e ~ _ ~_ :d',L D~te /J'~/?/f'/ , / . / Total Permit . (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Curbcut It It I Demolition / I~<.~ -#~,~() VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED State Surcharge Total Miscellaneous Permits (~) TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, D, and E Combined) RECEIVED BY ~ .. N 00 New Chain Le.ence Across Rear 4' High x.rox. 62' long " '.1. . " N M ,. mE,t liJ!cP . A@JW",,' ft1'- '. ... ", I 'f- I 'il'- m I Ir__:-. -- rr I ~ . :... 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