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HomeMy WebLinkAboutPermit Miscellaneous 1994-11-18 , , . RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOCATION OF PROPqg,o WOR~ ~'- l ASSESSORS MAP' \ Iffi'J -:<\ \ '. OWNER\ ~~(\~. \,\\J)~t. ADDRE~ :~ -~~~)\.'~ "J(.'" CITY' 0~l ~- , ST~:'l DESCRIB~ WORK: \ lJl..LX\ o.K.J -( .IDJ.> \Nl1 ~ b NEW I) REMODEL ADDITION ~EMOLISH OTHER T CON/RAc:roR'S NAME LOT: GENERAl' PLUMBING' ;\ \ MECHANICAl ~)O .~ V ELECTRICAL: BLOCK' " . JOB NUMBER ~4 IlJlp TAX .LOT' SUBDIVISION' PHONE:~'\~) REQUIRED INSPECTIONS o Rough Mechanical - PrIor to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Slove - After Installation. o Insert - After fireplace approvlll and Installation of unit, o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required tre~s are planted. U.~I' ZIP: ADDRESS CONST, CONTRACTOR # PHONE EXPIRES - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' # OF BLDGS: # OF UNIT~' ZONING COOE: OCCY GROUP' CONSTR, TYPE: # OF BDRMS' # OF STORIES: HEAT SOURCE: SECONDARY HEAT: 6, . WATER HEATER: RANGE: 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. o Final Plumbing - When all plumbing w9rk Is complet,e. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setllng forms. o Undersleb Plumblng/Electrlcal/ MechanIcal - Prior to Cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond ,beams. groutl ng. o Foundation - After forms are erected but prior to concrete placement. o Underground PlumbIng - Prior to filling trench. o Underlloor Plumbing/Mechanical -.Prlor to Insulation or deckln~. 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. D Rough Plumbing - Prior to cover. D 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.- ~o""~~ 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 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 porchos, skirtIng, decks, and venting have been installed. Lot faces i lot TYP. lot sq, ltg, Interior Lot coverage Corner Topography Total height Panhandle Cul-de-sac BUILDING PERMIT ITEM SO, FT, X $/SO, FT, - Main Garage Carport Total Value Building Permit Fee State Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit rn!\t ,,~rb ~anical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Curbcut Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) . - ',t~ .\~ .~~' _S THE PROPOSED WORK IN THE, '-"HISTORICAL OISTRICT, 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 PL. IN Is Iw IE VALUE " FEE (~.CQ (7) PU j , ciJ Ill- ~ Ii,.' ~() ~-~ 0'2b.t1L I 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 Clty.ol 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: Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS 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 tho work described herein, and thai 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 at the proper time, that each address Is readable from the street, that the permit card Is located at the front of the prop ty, and the approved set of plans will remain o the t ~~t~Jlrw~s~~:I:~ ''''''''1 'JI,- \~17. DATE PAlO . / t'tffYLf AMOUNT REC~ (\ 'II/J,Of ) RECEIVEO BY~ 1UJIl )~- VALIDATION: RECEIPT NUMBER ~