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HomeMy WebLinkAboutPermit Building 1999-4-30 I' -~e , , RESiDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ortlce: 726.3759 ASSESSORS MAP' LOT' SPRINGFIELD , BLOCK' STATE: ~P... - JOB NUMBER Cjt:! ()S"8-7 225 Fifth Street Springfield, Oregon 97477 TAX LOT' 007..0() SUBDIVISION' PHONE: '7%- 091-S- ZIP: Q?L/'7R ADDRESS CON ST. CONTRACTOR' EXPIRES '.~ PHONE CONTRACTOR'S NAME GENERAl' PLUMBING' MECHANICAL: thA~U,~ 4/10 D/~mpi~~q?'f1X' 1f":J5?9() - OFFICE USE - ATTENTION'O're " f.oJJoW rules !Icl~~ g~law re9uires vnw" Notitication CIi!~er~J.~he ,?regon Utility '1/ UflH 952-Q01-QQ.l n th;:;'- ';J,v"" a... ..t:I1 ronh 11090,. You maycc,SHT.R' TY~!i~ OAR ll'i?-001 calling the llffitU~~S ot the rules by numoer tor the 0 '. !.o """,,"une . C tJ'l~ v,w.son Utlilly NotificRtiM en 6r~j.'g0ll-332'2344\ . ELECTRICA' . QUAD AREA: . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER' ~~~'7~~' FLOOD PLAIN' ZONING CODE:_ . OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE: To request an Inspection, you must call 726-3769. ThIs Is a 24 hour recording. All Inspections requested before 7;00 3.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 Temporary Electric D Site Inspoctlon - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ 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 placemont. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and 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. ~. ugh Plumbing - Prior to o~~ri.: .jot'.:. ..;. ". . ~ .' . ~ , r/-.'" " o Rough Mechanical - Prior to cover. " ' D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. (0 --;;Ja' Plumbing - When all ~mblng wt;>rk Is complet.e. D Final Electrical - When all electrical work Is complete. r~a' Mechanical - When all ~echanlcal work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. o Framing - Prior to cover. @t rf:~'..' O her 'I cl 1')"""",/ / I o Wail/Ceiling Insulation -,Prior to cover. o Fireplace - Prior to facing materials and framing Insp. o Drywall - Prior to t~plng. . '" o Wood Stovo - After Installation. o Insert - After fireplace approval and Installallon of unit. o Curbcut & Approach - After forms are erected but prior to placement ot concrete. o Sidewalk & Driveway - After excavation Is completo, forms and sub-base material In place. c;::J Fence - "'..,hen cOiy'pleted. D Street Trees - When all required trees are planted. MOBILE HOME INSPECTIONS o Blocking and Set. Up - When all blocking Is complete. o PlumbIng Connoctlons - 'When home has been connected to water and sewer. o ElectrIcal Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces " Lot Type . Interior I PL. IN Lot SQ. flg. . ' Lot coverage Corner Topography Total height ,. Panhandle S Cul.de.sac W IE .; BUILDING PERMIT ITEM SQ. FT. 'f ., X S/SQ. FT. - VALUE Main Garage " Carport Total Value Building Permit Fee State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Ir Fixtures Residential Beth(s) /'.. Spnltary S~wer Water N' FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit I) ~ 'rr' f 7J It, hi State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Ven I Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent 64-( ~/ I. Mechanical. Permit I f',o...> Issuance lih ();> <61'"'" 7)' :2-C;.LA State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fl Curbcul fl Demollllon State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) :,,- '...: :."~,;I~ \' . \.\ I~E PROPOSED WORK trl THc:'~, 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' I I "I I' APPROVED' . . , 'I 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 City of Springfield, Including the Development Code, regulallng the construcllon and use of buildings, and may be suspended or revoked at any lime upon violation of any provisions of said ordinances. Plan Check Fee' Date Paid: Receipt Number' Received By: Plans Reviewed By . Date Systems Developmenl Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS I Va. \U e'_ t I ~ 66.00 By signature, I state and agree, that I have carefully examined the completed appllcallon and do hereby cerllfy 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 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 will be used on this project. I further agree to ensure that, all required Inspections are . -requested.al'lhe'prope,,'lIme/that9ach-address.ls readable from ttie street. that the permit card Is located at the front of the properly, and the approved set of plans will remain on the site at all times during construction. Signature ~l-~() ~PPt40/l N- Date Ld..,c; fOUl I~ . VALIDATION: RECEIPT NUMBEf (J 3 ~ 7 (.,. ( DATE PAir, '-I / ~4 7'7 AMOUNT RECEIVED '-{2 ~ l( () / RECEIVE~ BY tJ/ tJ~