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Home My WebLink AboutPermit Building 1995-4-5 LOCATION OF PROPOSED WORK: :-).3 ~5" .~ ~ ,XASSESSORS MAP: /7 t";9 .2. '3 "(" €) CD 'YLOT: BLOCK: OWNER: -0". f"I ~-^- 1n.~~ 011_ ADDRESS~ . ...QrilJ () L CITY: ~^' ~;.,J~I"'O ~D .~ ~- - ~\ ) fft,f;! ~)cr~ -.... RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . .' SPRINGFIELD -~~O/~% -' I;;?""r ,1 " ~ 1:t"Sf( JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 l\"t^ont ~^.~~o[);;n. q7<-f7 ~ VlfAX LOT: <::!::l / 3d I:) SUBDIVISION' ~ ^ ~ (.b f0.&. 1>J( DESCRIBE WORK: NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME l GENERAL: 77J "3~ ~~~~. PLUMBING: MECHANICA' . ELECTRICAL' PHONE:~-C)OOq , /.(/ , , STATE: nJ\._ /~~ ZIP: C(7 Y 7..) DEMOLISH ADDRESS CON ST. CONTRACTOR # PHONE EXPIRES - OFFICE USE - QUAD AREA: LAND USF' FLOOD PLAIN: /I OF BLDGS' # OF UNITS' ZONING CODE: OCCY GROUP' CONSTR. TYPE' II OF BDRMS: # 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. 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 Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing / Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated, . o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected' but prior to 'concrete placement; ~. o Underground Plumbing - Prior to filling trench. O Underlioor 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 filling trench. ' o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical ~ Prior to cover. D Final Plumbing - When all plumbing work Is complete. . , 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. D Final Building - When all required Inspections have been approved and building is completed. D Framing - Prior to cover. D Othor D Wail/Ceiling Insulation - Prior to cover. . o Drywall - Prior to taping. MOBILE HOME INSPECTIONS . . D Wood Stovo - After Installation. D Insert - After fireplace approval and Installation of unit. " 'J'-.......1' Blocking and Set.Up - When all ~ blocking Is complete, D Curbcut & Approach - After lorms are erected but prior to placement of concrete. ,.. 1><1 PJumblng Connections - When . ~ home has been connected to water and sewer. D Sidewalk & Driveway - After excavation Is compiete. forms and 'sub-base material in place. /' 1><.1 Electrical Connection - When (""'-'" blocking, set-up, and ,plumbing Inspections have been approved and the home is connected to the service panel. o Fence, - When completed. l5<1 Final - After all required .; .Jns'pections are approved and porches, skirting, decl<s, and venting have been Installed, '. D Street Trees - When all required trees are planted. .' , ." ". . ',,;. ,";.,.".;""1'.':\;.'" ,; l I";...,;;'.,:" ;~,'l ,-. .. "./", -,. '. ,:,..,,;.C'.\ .IS THEPROPOSED WORK,tN THE_ "HISTORICAL DISTRICT, OR ON . , THE HISTORICAL REGISTER? If yes, this application must b~ signed and approved by the Historical Coordinator prior to permit Issuance. , '" Lot sq.' ftg~ . . " Lot TY~. Interior " 'oJ, Lot faces , . Topography Total height Panhandle I P.L. IN Is Iw IE Setbacks ' HSE GAR ACC' Lot coverage Corner Cul-de-sac APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage Carport " This permit is granted on the expreGS 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, Main .' , Plan Check F.ee: "to' .' '''. 't~ '\ " ~ . Date Paid: Total Value Building Permit Fee Receipt Number: Received By: . State Surcharge Total Fee (A) . Plans Reviewed By Datli! 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 FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home /,e:; 6tO Plumbing Permit ~ State Surcharge , 7)" r, ~ .5" Total Charge (C) /.2.. D /~ LO 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 Ordinancl::s 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 wlil be used on this project. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge State Surcharge 5: 2..r -f- 7>, IS- -,lI:J5 () 0 2~ 0f0 J -~ .4.Q 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. Slgnat~;~'<0 n f\o I\^- ~ ,~ Q O...f'.. Total Permit (D) MISCELL.~NEOUS PERMITS Mobile Home State Issuance Sidewalk ft Date L/- ~ -q~ . Curbcut ft Demolition " Total Miscellaneous Permits (E) / -3 3 _ .,.co ,H-2 cGtt> , VALIDATION: RECEIPT NUMBER I ~a (-~ DATE PAID ~h-/r...r , I 1///4," 0 AMOUNT RECEIVED y- / RECEIVED BY ~ State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined)