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HomeMy WebLinkAboutPermit Building 1991-8-31 OWNER' l'~:))'~.l1\ ~~.Y to ~ ADDR:6fS' \" )~_ l Y"'\(Itt Q n. / ,~ , ~ CITY: ('{ STATE: f...'>L!Q < 1-- . . 1 h 0 )~( 1IlL fOUl / Jl ) . ADDITION - D~OLlSH , OTHER- RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOT: NEW DESCRIBE WOR CONTRACT~rAML GENERAL' eJt.. {\g , PLUMBING' MECHANICAI'C\ . ~~.ECTRICAI' }- JA. 't{. t't'I -. SPRINGFIELD -BLOCK: . 8: Q/ocr13 JOB NUMBER, I 225 Fifth Street Springfield, Oregon 97477 0510 I r X"QO TAX LOT: SUBDIVISION' PHONE:r4-{fJ .,}r(G{SS ZIP: / Lf7179' \ g~rrt:~S 'l~ CONST. CONTRACTOR' EXPIRES 4Y1:~~'r( yOOf'L""') QUAD AREA: . OF BLDGS' OCCY GROUP: . OF STORIES: WATER HEATER' - OFFICE USE - LAND USf' . OF UNIT'" CONSTR. TYPE: HEAT SOURCF' RANGF' 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.m. will be made the same working day, Inspections reQuested after 7:00 a.m. will be made the followIng work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbingl Electricall Mechanical - Prior to cover. o Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to insulation or decking. D Post and Beam - Prior to floor insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. D Rough. Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing lnsp. D Framing - Prior to cover. rii\wall/ceiling Insulation - Prior to r cover. pDrywall - Prior t~ taping. ., D Wood Stove - After installation. o Insert - After, fireplace approval and installation of unit. o Curbcut & Approach - After forms are erec'ted but prior to placement of concrete. , 0 -Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. 'D Fence - When completed, . 0 .Street Trees - When all requi'red' trees are planted. . , D Final Plumbing - When all plumbing work Is complete. D Final Electrical - When all electrical work is complete. D Final Mechanical - When all mechanical work is complete, 7f:Jal Building - When all required inspecti,ons have been approved and building Is completed, " :::J Other MOBILE HOME INSPECTIONS D Blocking and Set-Up - When ali blocking /s 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 the home Is connected to the service panel. ' D Final - After all required inspections' are approved and . porches, skirting, decks, and venting have been Installed. Lot faces . Setbacks .IS THE PROPOSED WORK IN THE Lot Type Lot sq. ftg. Interior I PL HSE GAR ACC I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Top09raphy Panhandle Iw I Coordinator prior to permit issuance. Total height Cul.de.sac IE I APPROVED: . '. BUILDING PERMIT ITEM SQ, FT. X $/SQ. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT I I, '. 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 Spring'fleld, 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. \ pian Check Fee' Garage Carport Date Paid: Total Value Receipt Number: Building Permit Fee Rec~ived By: State Surcharge Total Fee (A) Plans Reviewed By Date (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 Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Fu mace Vent Fan N' 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 certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Exhaust Hood Wood StoveJlnsertlFireplace 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 tlme; 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 site at all times durln~ c/structlon. Signatu~~""'-- d~___ Date! J;l-~! ~~- /' I MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge VALIDATION: Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~ (A, B, C, 0, and E Combined) RECEIPT NUMBER ~ ~oqq4 I.-:::S~ ~ 1 ( d OJCo A"') DATE PAID RECEIVED BY _, - ~