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HomeMy WebLinkAboutPermit Miscellaneous 1997-2-3 OWNER: ~ ~ev;f\c:\\1\.llU'lfL- \\1\Nl.\&' ADDRES~'C\ \ \ aID \.Ji\rose. A~ CITY: -,q.J~. ~ . STATE: f.),\ Q '0,tr{'\ DESCRIBE WORK' llt1 tvl,41 t ()\n r' Q , NEW REMOD~ 1fDDIT~N DEMOLISH RESIDENTIAL PERMIT APPLICATION '-e Inspections: 726.3769 Office: 726.3759 LOT: SPRINGFIELD BLOCK: OTHER . CG~ JOB NUMBER en D2.Ol 225 Fillh Street Springfield, Oregon 97477 12./ TAX LOT: m\nl SUBDIVISION' PHONEI4\~ l\()?- _ ZIP: {.\14-17 ADDRESS CON ST. CONTRACTOR' PHONE CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANIC~~ o{Wf- ~r~} ELECTRICA' ' QUAD AREA' . OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER: EXPIRES '1 '1 (Pl.1 I D. ~ \L{1 454. 9-brt - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: _ HEAT SOURCE: RANGE: _ FLOOD PLAIN: ZONING CODE:__ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an InspectIon, you must call 726-3769. This Is a 24 hour recordIng. All Inspections requested before 7:00 a,rn. will be made-the same working day, Inspections requested after 7:00 a,m. will be made the following worl< day. D Temporary Electric D Slle Inspection - To be made after excavation, but prior to setting forms. D Underslnb Plumbing I Electrical f MechanIcal - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Un'derground Plumbing - Prior 10 filling trench. . D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or deckIng. D Floor Insulation - PrIor to decking. D Sanitary Sewer - PrIor 10 filling trench. . I o Storm Sewer - PrIor to filling trench. D Water Line - Prior 10 filling trench. D Rough Plum'blng - Prior to cover. REQUIRED INSPECTIONS ~. Rough -M't!chnnlcol - PrIor to cover. ~ D Rough Electricnl - Prior 10 cover. D Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - PrIor to facing materials and framing Insp. D Framing - Prior to cover. D Wall/e'clllng Insulntion - PrIor to cover. D Drywall - PrIor to taping. D Wood Stove - Arter Installatfon. D Insert - After fireplace approval and InstallatIon of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is completc. forms and sub.base material in place. D Fence - When completed. D Street Treos - When all requIred trees are planted. o Final Plumbing - When all plumbing w~:HI( is complet.c. D Finnl Electricnl - When all electrical worl< Is complete. GC{,O...I CE(FinOI ~nnlcal- WIlen all mechanical worl< Is complete. ": o Final Building - When all requIred InspectIons have been approved and building Is completed. DOthcr MOBILE HOME INSPECTIONS o Blocking and Set.Up - Wilen all btockln~J Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set.up. and plumbIng inspectIons have been approved and tile home Is connected to the service panel. ) D Final - Arter all required inspections are approved and porches, sldrtlng, decks, and ventIng have been installed. Lot faces Lot Type Lot sq. Itg. Interior Lot coverage Corner Topography TOlal helghl Panhandle Cul.de.sac BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Tolar Fcc (A) . '..,. " .HE PROPOSED WQRK iN THE . "HISTORIGAL DISTRIGT, OR ON THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Historical Coordinator prIor to permit issuance. I P.L. IN Is \W IE Setbacks IHSEIGAR'ACG' I I ~ VALUE " (B) SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Residential 8ath(s) N' Sanitary S~wcr FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' WOOd Stovellnscrtl Fireplace Unit Dryer Vent Mechanical Permi I Issuance Stale Surcharge --I aCb Total Permit (0) MISCELLANEOUS PERMITS Mobile Home Slate Issuance State Surcharge Sidewalk II Curbcut II Damoll lion ~tate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricol) (A, B, C, 0, ond E Combined) FEE f S6.D IO,vU __/.ao ~~Q &if). :Jl) APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the Gily 01 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. Plan Check Fee' Dote Pold: Recel pt Number' Received By: Plans Reviewed By Dale Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certHy 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 perlalnlng to the work described herein. and thai NO OGGUPANGY will be made 01 any structure without permission of the Building Safety Division. I further certify that only contractors and employees who arc In compliance with OAS 701.055 will be used on this project. I further agree lo ensure that all required Inspections are requested at the proper time, that each address Is readable from tho 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 ~urir1 c/,struction. Slgnatur~~d~ '" r: Dato VALIDATION: "';\ ;\ \ I~ RECEIPT NUMBER- ra \v DATE PAID .:J., ~:q 7.. AMOUNT RECE~ -;;;0. ~1D RECEIVED BY , ) 1 J)'l.,)