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HomeMy WebLinkAboutPermit Building 1993-2-5 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . . 9s0/,~9 , SPRINGFIELD JOB NUMBER , " I " !,' ,j,: i " ~ t ,.' ' ~,I I 225 Fifth Street Springfield. Oregon 97477 t@ S~-tlI9B LOCATION OF PROPOSED WORK: '><ASSESSORS MAP: /'707- 5335" :<;'3 2)1=1154 I C>~ TAX LOT: /30/ J.I..I1, 1Y 5 e N S~~88 LOT: BLOCK: OWNER: \l'tNCE J SUE. ADDRESS:' 5335 / D(1IS~ S 'r~I~~l'elA CITY: SUBDIVISION: PHONE: 'Z!i!J- dJ I S:J. , STATE: {j(L ZIP: 'l7J.t7B. S~~d DESCRIBE WORK: s-\o~~a ADDITION ~ NEW REMODEL CONTRACTOR'S NAME OlAfY'JJV GENERAL: PLUMBING: MECHANICAL: ELECTRICAl' ,- 0' DEMOLISH OTHER ADDRESS CONST, CONTRACTOR II EXPIRES PHONE ~ - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: it OF BLDGS: II OF UNITS: ZONING CODE: OCCY GROUP: CONSTR, TYPE: II OF BDRMS' , II 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 REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing work Is complet,e. K/1" Site Inspection - To be made 0 Rough Electrical - Prior to ~ after excavation. but prior to cover, ... setting forms, ""IN. SpI&<C~S o Underslab Plumbing/Electrical/ Mechanical - Prior to cover, o Footing - After trenches are excavated, o 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, ~ Post :!nd Beam - Prior to floor ~ insulation or decking. o Floor Insulation - Prior to deckl ng, o Sanitary Sewer - Prior to filling trench, o Storm Sewer - Prior to filling trench. . o Water LIne - Prior to filling trench. o Rough Plumbing - Prior to cover, ~ o 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. o Fireplace - Prior to facing materials and framing Insp, . I><f Final Building - When all , required Inspections have been approved and building is completed. ~ Framing - Prior to cover, o Other o Wall/Ceiling Insulation - Prior to cover, D Drywall - Prior to tapin,g. MOBILE HOME INSPECTIONS o Wood Stove - After installation, o Insert - After fireplace approval and installation of unit. o Blocking and Set.Up - When al! . 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. o Fence - When completed, o Final - After all required inspections are approved and porches, skirting, decks. and venting have been Installed. I J Street Trees - When all required trees are planted, , Lot f<!.ces Lot Type' Setbacks .,s 'rHE PROPOSED WORK IN THE '. ' I P.L. HSE GAR Accl HISTORICAL DISTRICT, OR ON \ Interior Lot sq. ftg. IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit .issuance, , Total height Cul-de-sac IE I APPROVED: BUILDING PERMIT ITEM SQ. FT.. '. .):( $/SQ, FT. = , . VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage Carport , This permit is granted on the express conditi,on 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. o! ; ~ Main ~ /2D ~/O IS; &/:::;'2 . ~- .. Plan Ch~ck Fee:" LPJ,'2O Date Paid: Total Value State Surcharge ~p-o /:10 ~q.4() SYSTEMS DEVELOPMENT CHARGE (SDC) ~ Receipt Number' Building Permit Fee Total Fee (A) Recei7;('h7~ PI~Reviewed I!fy- ~ -f1-93 - Date (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. PLUMBING PERMIT ITEM FEE ADDITIONAL COMMENTS c:::::;z1~ A4-~ 41JL(. ~&~ .~. /A) /te!/fIf,T /?J .4V~At<.F .f-ll:3t7'tIr 0/ ~ C;~ .k~,f) ,~~ ~,~ ,1?b 71lt 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 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 described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certi fy that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood StovellnsertlFireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) 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 se't of plans will remaiJ'1 . on the site t all t' es duri~nstruction, XSignat e ;..e..M (12 12'-:~- 9 ~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Date Curbcut ft Demolition State Surcharge PL-AJU, '?et// b:.U VALIDATION: /~.~ RECEIPT NUMBER I Y t;(o :).\ t?} \q~ .$4l1oU g~ Total Miscellaneous Permits (E) DATE PAID TOTAL AMOUNT DUE (excluding electrical) (A, B, c, 0, and E Combined) -4J 1r0 AMOUNT RECEIVED RECEIVED BY , .4