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Home My WebLink AboutPermit Building 1992-2-10 v l/L.Ce ) c JiJtJN5e=>,A..:J L: 3' ,-., c:- /1' ',J ~~) ADDRESS: "-? JO 1-,)/9-/.5-~ . X X: CITY: c~f212./-.U ~.f'F~.d J ST~TE: L!J'6! ~~ ~/ DESCRIBE WORK: /Y111c~#~e-/(/T O~Af;k)le f~C-e--.J ~ . ..~ .. '>/ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT' OWNER' NEW REMODEL ADDITION DEMOLISH OTHER...Y~ CONTRACTOR'S NAME ADDRESS 1/1 GENERAl' .A'('ffg' L?d~ &bU/Ie/Y ~ '){ / ')/ PLUMBING: MECHANICAL: ELECTRiCAL: QUAD AREA: # OF BLDGS' OCCY GROUP' # OF STORIES: WATER HEATER' - SPRINGFIELD ~ 225 Fifth Street Springfield, Oregon 97477 JOB NUMBER O;:)'OI3S QOt, ;C:;iA ~ o -# ~5? ~~~s \1 a:l:2.,~CO TAX LOT: 0/300 BLOCK: SUBDIVISION: PHONE: 7j/"6-562.1 . . . ZIP: 9Y~7 J? CON ST. CONTRACTOR # hf,9,S'~ EXPIRES PHONE 6~9- ~g, ?V7'95 e:;- - OFFICE USE - LAND USE: Ir~o 1 FLOOD PLAIN: ZONING CODE' # OF UNITS: CONSTR. TYPE: # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: HEAT SOURCE: RANGE: 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 saJl1e working day, Inspections requested atter 7:00 a,m, will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. 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, 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, . o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover, o Rough Mechanical - Prior to cover. o Final Plumbing - When all plumbing work Is complete, 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. o Fireplace - Prior to facing materials and framing Insp, o Final Building - When all required Inspections have been approved and building is completed. o Framing - Prior to cover, o Other D Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, MOBILE HOME INSPECTIONS o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Blocking and Set.Up - When all blocking Is complete, o Curbcut & Approach - Atter forms are erected but prior to placement of concrete. I2S1 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. [2SJ 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 Street Trees - When all required trees are planted. ~ Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed, I Lot faces Lot Type _ Setbacks a THE PROPOSED WORK IN T~'E .. Lot sq, ltg, Interior I P,L. HSE GAR Accl HISTORICAL DISTRICT, OR ON IN THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed S and approved by the Historical Topography Panhandle Coordinator prior to permit issuance. Total height Cul.de.sac W E APPROVED: I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. = VALUE Main 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. Garage Carport Plan Check Fee: Date Paid: Total Value Va.lv.J2,. Receipt Number: Building Permit Fee Received By: State Surcharge ,. Total Fee (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 FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home I~'.DO Total Charge' (C) IS ,00 /7::, )5.15 Plumbing Permit State Surcharge 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:Js 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 furt,her certify that only contractors and employees who are In compliance with ORS 701.055 will. b~ used on this project. Exhaust Hood Wood Stove/lnsert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Mobile Home IOS.OO . .:10.00 S.Js 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, ~nd the approved set of plans will remain . 'on the site at all times ding c struction. Total Permit (D) MISCELLANEOUS PERMITS Sidewalk ft Date ~ -/ ()- State Issuance State Surcharge Signature . f Curbcut ft Demoll tion State Surcharge VALIDATION: Total Miscellaneous Permits (E) J~as -U:LL()O RECEIPT NUMBER DATE PAID ;:)./11"1 I t;"i AMOUNT RECEIVED ~ ILl 1_ lflB ~/lO no TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) RECEIVED BY - I J..-t-:.I, ' I , r , , I '_' I , , I , I I I ' I I I , I I I r , , I , . 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