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Home My WebLink AboutPermit Miscellaneous 1994-5-2 .7)ht.J/ B-1 ::::;'/n b/77 ~,c,'" 7F/A'(7f /'Iz/t5 ~L7n) , ~77"2?J ~,~~ {)./VI:7,tfJ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 ~. LOCATION OF PROPOSED WORK: ASSESSORS MAP' /71"7 ~ LOT' O~NER: ADOREe",. CITY' DESCRIBE WORK: NEW REMODEL ADDITION CONTRACTOR'S NAME GENERA' . PLUMBING: MECHANICA' . ELECTRICA' . t9u.l~ SPRINGFIELD 2/)97 2.. 5' I r/A'.TH 2-- ~ ., ~ '-_. JOB NUMBER !L40 :? J' 6> 225 Fifth Street Springfield, Oregon 97477 TAX LOT: 0/-. r'9-o BLOCi<" STATE: /h? SUBDIVISION' PHONE: 72.~ -(":! 5'r ~y<~ DEMOLISH OTHER ZIP: 9' 7~77 (C:'. A-A) / ./7<22:J f ADDRESS' CON ST. CONTRACTOR . PHONE .' EXPIRES '1 {/. - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' . OF SLOGS: . OF UNITf" ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF SDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: 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 atter 7:00 8.m. will be made the following work day. D. Temporary Electric D SUe Inspection - To be made after excavation, but prior to setting forms. o Undersleb Plumblng/Electrlcall Mechanical - Prior to cover, o Fooling - Alter trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to .concrete placement. o Underground Plumbing - Prior to filling trench. o 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. ~ Storm Sewer - Prior to filling ~ trench. . o Wster Line - Prior to filling trench. . o Rough Plumbing - Prior to cover. ." . REQUIRED INSPECTIONS o Rough Mechanical ~ Pr)or to cover. D Rough Electrical - Prlor'to cover. " o Electrical Service - Must be approved to obtain permanent electr,lcal 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 Stove - After I~stallatlon. o Insert - After fireplace approvlI! and Installation of unit. . 0 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 Fen~e - When completed. o Street Trees - When all required trees are planted. . o Final Plumbing - When all plumbing work Is complete. 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 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 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. r "~' ' ~ :," :' . ,.~. "".. ': . , Lot faces Lot Type . Lot sq. Itg. Interior I p.L. IN Lot coverage Corner Is Topography Panhandle Iw Total height Cul-de-sac IE -..",_;::(i,';~:hf~l' - . I I,: .\' :. .:..~.ctr~" . Setbacks HSEIGAR ACC " (_THE PROPOSED WORK IN THE. .STOr;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. APPROVED' BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " 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, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provIsions ,of said ordInances. Main Carport Plan Check Fee: Date Paid: Total Value Receipt Number' Building Permit Fee Received By: , State Surcharge Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. (B) PLUMBING PERMIT ITEM Flxlures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. >>? 1.1 ) Mobile Home ADDITIONAL COMMENTS FEE J Stri) Plumbing Permit Total Charge (C) ,7r /5,7,) State Surcharge MECHANICAL PERMIT Furnace 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 Stove/Insert/Fireplace 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 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 sit a all times during cO/Jtructlonfid ~nature, - ].J4"-~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Date tIJ:L /JJ!0Je.t' 9 ~ / Curbcut Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) I~ /J VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVEn RECEIVED BY /2S-.r 2- ,"'/2/r<f / f'),?.T #~ State Surcharge Total Miscellaneous Permits (E) "