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HomeMy WebLinkAboutPermit Building 1998-3-19 . RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 e SPRINGFIELD . JOB NUMBER 9~ ~~1If!; 225 Fifth Street Springfield. Oregon 97477 - p~~? '7 LOCATION OF PROPOSED WORK: ~3~~ - ....' ASSESSORS MAP:. J7~.~-r!)4f> ~H~ /b~}'>~#" . ~~~5- Vfr~7-/ ~~ - -5?~ ,-1/, . STATE: ~, , -/ DESCRIBE WORK: ff~ ~~~r~~/ ~~~~C ~/J/~~>'" ' LOT: OWNER' ADDRESS: CITY' NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME GENERAL: ~# .. PLUMBING' ,M,1~ .. MECHANICAL: ELECTRICAL: //f?;://~ QUAD AREA- # OF BLDGS: OCCY GROUP: # OF STORIES: WATER HEATER: ~.?:'/~#~ TAX LOT: 0 /;itS>c> BLOCK: SUBDIVISION: -. PHONE: ?2~~6g~ t?~. ZIP: ~ I DEMOLISH ADDRESS CON ST. CONTRACTOR # 8g$~_ . ,/ EXPIRES _::'\ PHONE "':<7p.~ ?Y'?~~ ,/ ~~.../~~ - OFFICE USE - j LAND USE: FLOOD PLAIN: # OF UNITS: CONSTR. TYPE: ZONING CODE: # OF BDRMS: HEAT SOURCE: RANGE' 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 Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/ Electrlcal/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erE!cted but prior to concrete placement. D Underground Plumbing -:- Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to Hlllng 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 W9rl< Is complet,e. D 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. o Final Mechanical - When all mechanical work Is complete. D Fireplace - Prior to facing materials and framing Insp. D Final Building - When all required Inspections have been approved and building is completed. D Framing - Prior to cover. D Other . D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. MOBILE HOME INSPECTIONS D Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. rN1 Blocking and Set.Up - When all L,(l!.J blocking Is complete. D Curbcut & Approach - After forms are erected but prior to placement of concrete. IA1 Plumbing Connections - When L-Lf home has been connected to water and sewer. D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. r:7I Electrical Connection - When LA-! 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: rv1 Final - After all required l/Af-J Inspections are approved and porches, skirting, decks, and venting have. been Installed.' Lot faces 'L~t~ype. :1. .~ '. '.., .~ < .' < . . ....;\ , . :. "" ,.,~ :. ,1. .;>:~ '\}", . '(;\:i~ -'j "., ," f~.~ "~ ~~:.. . ..' .'" ".! ':, ~.': ',: :'." .{}l ,'.;-i' '.'.,' . '. ". ....,.1 " '" Setbacks . HSE GAR ACC' Lot sq. Itg. I P.L. IN Is Interior Lot coverage Corner , l' Panhandle . Topography Total height Cul-de'sac W E " BUILDING PERMIT,"i. }; 't ITEM SQ. FT. X $/SQ. FT. = VALUE Main Garage Carport ~ '<d ~7/.40/ '. / ~-t/ t,lb~ ::<'2.:>6 /:;!$. ~ 1'3') 1:'.'13 t-- '/. / "-_ ,. - ~.J: ~_ SYSTEMS DEVELOPMENT CHARGE (SDC) Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer FT. Water FT. Storm Sewer FT. ~blle Home /~ /f~~~~ /5':..I~ ~..';? J':; · ~--r- /6~~ Plumbing Permit State Surcharge Total Charge (C) . MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stovellnsertl Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home -H'.~ ~"? tI!tP ~ -:?.;; ~./5 State Issuance State Surcharge Sidewalk r5 r~ It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) _/-'3~ ~ .~/./9 TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~~S THEPROPOSED WORK tN THE. 'HIST08ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this applicatIon must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED: "" .~.'\~.. .~ ~.t. BUILDING VALOE, 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 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. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. , ADDITIONAL COMMENTS 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 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 times during construction. DatI' Signature . VALIDATION: RECEIPT NUMBER 29 /~~ . . DATE PAID r/9~ AMOUNT RECEIVED ~~'7# 39 RECEIVED BY ~ -