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Home My WebLink AboutPermit Building 1995-5-1 LOCATION OF PROPOSED WORK: 533,':) ~SSESSORS MAP' J 7~"2 -~?-a:::::::> x('LOT: BLOCK: RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . SPRINGFIELD . 9~:>~'7' JOB NUMB~R ~9 9 7 - 225 Fifth Street Springfield, Oregon 97477 . fj'7'1 7 ? .s f'~ce 50 Sprlt'l6j.(l:./) O/"7r-J- I r I ' / TAX LOT: t::::'13~ . . . Deu'S Y I - 5-fftd- SUBDIVISION: ~WNER' D",dJ.J---- J .._,.,,- ADDRESS: ..!:J 335 ~ITY: S fL' 'V1i (Ii ., IVI'l }~" n/"1./5V / s-I {r'd I,} I~ . PHONE: 7't1f - ,;205i( .5 pr, Vlq f..<- Ij C}Yt' 9- . I / . ./ - ZIP: ,/7r7 F ~ -.- 5J';;;c -e SO I \ STATE: ~nvl'o, . _ Cj On/I (8W'~~) DESCRIBE WORK: f\l.J i () a / (O'f'.pl>"f"f - ( . ADDITIONJ / .5~<<HtU7l I . DEMOLISH .OTHER NEW REMODEL CONTRACTOR'S NAME OUJ~~~- GENERAL" '"' PLUMBING: MECHANICAl' ELECTRICAL:. or ADDRESS CONST. CONTRACTOR /I , EXPIRES PHONE - OFFICE USE - QUAD AREA: LAND USE' FLOOD PLAIN: /I OF BLDGS' /I OF UNITS' ZONING CODE: OCCY GROUP: CONSTR. TYPE: /I OF BDRMS: /I OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGF' SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons 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/ Electrlcall Mechanical - Prior to cover. ri71 Footing - After trenches are I..,.CJ 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. O Underfloor Plumbing/Mechanical -, Prior to Insulation or decking. . o Post and Beam - Prior to floor Insulation or decking. 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. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical ~ Prior to cover. o Final Plumbing - When all plumbing w9rl< Is complet.e. D Rough' 'Electrical - Prior to cover. D Final Electrical - When all electrical work Is complete. D 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. IZI Final Building - When all , required Inspections have been approved and building Is completed. D Framing _. Prior to cover. o Other D Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. MOBILE HOME INSPECTIONS . . D Wood Stove - After Installation. D 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. o 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 Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. o Street Trees - When all required trees are planted. . Lot faces , Lot ~y. _ Interior - Lot sq. fig. Lot coverage Corner Topography Total height Panhandle Cul-de-sac . ',~': . " ':. ; ~ '.:.; :.: :"':'",' :".f " ~;: l~"~:>' ji, :if'{f~' , : /., <. " ;]1:1. ) . .IS THEPROPOSED WORK tNTHE_ HIST081CAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks . I .1 HSE GAR ACC' I P.L. IN Is Iw IE BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. == VALUE r~~ 2.6 6'~.~ ;$- 1-~ ~~~ Main " Garage Carport '2 !iJ1rS /ytf /~ It? I~/o ~ Total Value Building Permit Fee State Surcharge Total Fee (A) , . , . , ;Z')1v-E~ ~~3o. ye> '~ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM 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 Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELL.~NEOUS PERMITS Mobile Home . State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition State Surcharge ~/PP ~~A~/Y 7'C$ , -,- Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE ~S~ 1 ~~CJ:S' I I I APPROVED: - BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the expre'SS condition that the said construction shal" 'In all respects, conform to the Ordinance adopted by the City of Springfield, in<;ludlng 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: '. ~2_.F57 Date Paid: Receipt Number: 'j Re~ j A. . ~/?.<:1 ...p-;'~~lewedBt ., ~ Date S~tems 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 Ordinancl;lS 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 per card Is located at the front of the property, n the a ro"ed ~et~f I will remain on the site at II tl eS,d rln~ con u I Signature " t"UIot!~/ Datef!)av I /11:;-' / I . VALIDATION: RECEIPT NUMBER DATE PAID JrJ/9~ '~///.9J- /l~;::' AMOUNT RECEIVED RECEIVED BY .