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HomeMy WebLinkAboutPermit Building 1998-1-21 (2) . (J~ ~td aJdH Su~WH 1 . . SPRINGFIELD RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ".' , ., .. ,,', / .,; .. l'~.~,., *' .. ~ D..t;:i/ .:2UP 4L S- , Ie; r/ /) LOCATION OF PROPOSED WORK: r<)b&J ASSESSORS MAP' /70 233 1- ~.t0 LOT: BLOCK: OWNER: {,-~V ~ ../')p.b~ ADDRESS: c;-~ ,J)CU... 'i 1./ Sp-v1'7JIJt;t d Il~.~~_ ~.p .hd- / ~L(b CITY: STATE: DESCRIBE WORK: NEW REMODEL ADDITION DEMOLISH OTHER . JOB NUMB~R _c:; g 66 7 c., 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION: ~ PHONE: _!l..ff? 93 (" Co ZIP: 9 7 V? 3 " . CONTRACTOR'S NAME GENERA' . ADDRESS CONST. CONTRACTOR # EXPIRES ..... PHONE ,.. PLUMBING: p..s:r q'/ Z/ .56= /J t!l e:f~Y , MECHANICAl' ELECTRICAL: //~373 ... ~--.. 1.7-9 fI / ~7 J .s2$3 - OFFICE USE - I aUAD AREA: LAND USr:. FLOOD PLAIN: # OF BLDGS: # OF UNITS: ZONING CODE: OCCY GROUP: CONSTR. TYPE: # OF BDRMS: # OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATER:. RANGr:. 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, REQUIRED INSPECTIONS o R~ugh M.echanlcal .:.:. Prior to cover. o Temporary Electric D Site Inspection - To be made AI D Rough Electrical - Prior to after excavation, but prior to ''''''''' cover. setting forms, l'; V Ill"~ . . 7r;.~ \"'.. up. . . o Underslab Plumbing/ Electr~n Z'~A...L Electrical Service - Must be Mechanical - Prior to co~r, ltO~ ~l9lP~~ved to obtain permanent 04f4t rc.>~D: el94l~cal power. ' o Footing - After trench~ ~4'C U4'I>. ~p. excavated.. '80 ~-'F1f€lSlm~8'~r to facing .O~y~~tprra~):!d rr~}Ig Insp, o Masonry - Steel location, bond ~~~f "'f8~M ~~,.u ~ Jtta beams, grouting.. ~amlntpb\1R.rlcS(JtlncsC?~rt . . ~~ ~~ . o Foundation - After forms are ,.c-O~ 'l' erected but prior to concrete 0 Wail/Ceiling Insulation _ Prior to placement. cover. o Underground Plumbing - Prior to filling trench. o Drywall - Prior to taping. o Underlloor PlumbIng/Mechanical 0 Wood Stove - After I~stallallon. - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking, . . '0 Insert - After fireplace approval and Install all on or unit. o Floor Insulation ~ Prior to decking, . ,0 Curbcut & Approach - After . forms are erected but prior to placement of concrete, o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. . o Sidewalk & Driveway - After excavation Is completo, forms and .sub-base material In place. o Water LIne - Prior to filling trench. o Fence. - When completed, . 0 Rough Plumbing - PrIor to cover, o Street Trees - When all requIred' trees are planted, . ~ Plumbing - When all plumbing W9rl< Is complet.e, o Final Electrical - When all electrical work Is complete, o Final Mechanical - When all mechanical work Is complete. o FInal Building - When all required Inspections have been approved and building Is completed. D Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer, . o Electrlcaf'Connectlon - When blocking, set.up, and plumbing Inspecllons have been approved and the home Is connected to the service panel. ( o Final - After all required Inspections are approved and porchos, sklrllng, decks, and venting have been Installed, Lot faces . Lot Type . .. ,:~ ... .. "Y :.t 'fl' .~~. ' ;' ii ;{ ~,; !' , ~. ~ , ~ ., ' ~ f1 rl-~; "~~I ., ~ ", .jCj' :, . ~, , . ~ '( .THE,PROPOSE~ WORK tN THE. "..HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. . " Setbacks ' HSE GAR ACC. Lot sq, ftg. Interior I P.L. IN Is Lot coverage Corner Topography Total height Panhandle ' Cul-de.sac W " ,E APPROVED: BUILDING VALOE, .PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said . constr!Jctlon 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. BUILDING PERMIT :i ITEM SQ, FT. '. '..~.. !j \; X $/SQ, FT, = VALUE Main Garage " Carport Plan Check Fee: Date Paid: Total Value Building Permit Fee Receipt Number: Received By: Slale Surcharge Tolal. Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 1. Plans Reviewed By Dat~ Systems Development Charge Is due on ail undeveloped properties within lhe City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT, FT. FT. Storm Sewer Mobile Home Tolal Charge (C) 1/ j\',- ;;S 1- )'/~ 5f1-~ , ;;)D , J Plumbing Permit Slate Surcharge MECHANICAL PERMIT Furnaco .'~ : Vent Fan NO. By signature, I. state and agree, that I have carefully examined , the corrypleted ,al?pllcatton and do hereby certify that all . Infortpation .hereon Isirue. ~nd correct, and I further certify . "'.\"1 .'that any and all work perfcfrmed shall be done In accordance . ~, .' , ' ~ . ~. ~ \', .. .' ".,::;~;: Vflth the Ordlnanc,~s of the City of Springfield, and the Laws ". ,of the Slate .of Oregon pertaining to the work described ',\1" .. . .. ... ,,1.\".." ,.' ~,,: . 'herein, and that NO OCCUPANCY will be made of any 0' " ~. ::::,1\ . ." ."., .~.' structure without permission of the Building Safety Division, .~., ':: .1 I further certify that only contractors and employees who . are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood Stove/lnsert/ Fireplace Unit Dryer Vent Mechanical Permit Issl,{ance State Surcharge Total Permit (D) . I MISCELLANEOUS PERMITS Mobile Home State 18suance State Surcharge Sidewalk ft Curbcut fl Demolition State Surcharge 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 alts ~Ime durlnlil oonet 0 Signature ~ I\.e.. .jV Date, / --Z/- 9 Y .~ VALIDATION: RECEIPT NUMBER )Z-S =3 F DATE PAID / - ,;;21- l' <t A I:J' d"a AMOUNT RECEIVED --+P I CL:> RECEIVED BY ~. . Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined)