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HomeMy WebLinkAboutPermit Miscellaneous 1994-6-3 ,.-- " RESIDENTIAL PERMIT APPLICATION =. Inspecllons: 726.3769 Office: 726.3759 LOT' SPRINGFIELD .- JOB NUMBER 9.;/CJSa 225 Fifth Street Springfield, Oregon 97477 ~7i':" ....T~,:::1! '~q,XJ SUBDIVISION: 7r "'f~ A4c;, .,-; v ',' J - -- ..... BLOCI" CITY' , ,;:73' STAT~' ' oR. PHONE: 6~~ -s Y5""9 ,ZIP' <53?'7-'c=:><. DESCRIBE WORK: /"rfi=,77'?CC --:;;'-"?1~ ~/7"A~ ......t-/ ~~ 7~ /1/" , r / -1'';'/,'/' /,,'. l~' I:~.- NEW REMODEL ADDITION" DEMOLISH OTHERrqr7~~.c '/ ..;> CONST. CONTRACTOR'S NAME ADDRESS' CONTRACTOR . EXPIRES PHONE GENERA' . PLUMBIN(>' MECHANICAl' ELECTRICAl' .::.. OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' . OF BLDGS' · OF UNITS' ZONING CODE: OCCY GROUP' CONSTR. TYPE: ~ OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT' WATER HEATER' RANGF' SQUARE FOOTAGE: To reQuesl an Inspection, you must call 726.3769. This Is a24' hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections requested aHer 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o R~ugh M.ach~nl~al .::.. Prior to cover. . o Temporary Elec~~lc D Site Inspecllon - To be made after excavation, but prior to sottlng forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. o Footing - After trenches Bre excavated. ' o Masonry - Steel location, bond ,beams, grouting. O Foundation - After forms are ' erected but- prior to ~ concrete placement. o Underground Plumbing - Prior to IlIIlng trench. O Undarlloor Plumbing/Mechanical - Prior to Insulation or decking. o Post anc;l Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. ri/I Sanitary Sewer - Prior to filling \A-l trench. r71 Storm Sewer - Prior to tiMing 1,4.J trench. . ". r.7I Water LIne - Prior to filling ~ trench. o Rough Plumbing - Prior to cover. o Roug'h 'Electrical ::- Prior-to cover. .'. o Electrlcal ServIce - Must be approved to oblaln.permanent electrical power. :,- "'y::.._ .- o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - prl,or to taping. o Wood Stove - Aller Install all on. o Inaert - Aller IIreplace apprOval and Installallon 01 unit. ' Ocurbcut & Approach - Aller forms are erected but prior to placement of concrat.e, o Sidewalk & Driveway - Alter excavation Is completo, forms and'sub-base'niaterlal In place. ,0 F~n~e, - When completed. D ,Slreet Trees - Wh,m all required trees are planted. o Final Plumbing - When all .plumblng wprk Is complel,e. D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. D Final Building - When all requIred Inspections have been approved and building Is compleled. o Olher 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 - Alter all required Inspections are approved and porchos, skirting, decks, and venting have been Installed. .: ,., ...~: ~'.,f '.':. ,'i,';i: .'~:. Setbacks ' HSE GAR Accl .'h ,\' '.,' , . . . ~':..., ,~ Lot faces Lot 'TYpe ,Lot sq. fig. Intarlor IP.L. IN Lot coverage Corner Is Topography Panhandle Iw Total height Cui-de-sac IE ., BUILDING PERMIT ITEM ' SO. FT. X SISO. FT. - VALUE MaIn , Garage Carporl " Total Value Building Permll Fee Slale Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. J:?"'3 Water FT. ~~ Storm Sewer FT. ~7 Mobile Home -'.~-. ---"''' ...... (_ THE PROPOSED WORK IN THE. ' '''''''fiISTOl;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 VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condlllon 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 time 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 Ihe City limits which are being Improved. ~ ADDITIONAL COMMENTS FEE ,-/p 7'~ ~O Plumbing Permit State Surcharge 120. "'0 6.~ ..... '... .; - /2 9, B::> Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk fI Curbcut fI , .. Demolition ',State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) By signature, I state and agree, that I,have carefully examlnad the completed appllcallon and do hereby certify that all Information hereon Is true and correct, and J lurther certlly that any and all work performed shall be done In accordance with the.ordlnances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of Ihe Building Safety Division. I further certify thai only contractors and employees who are In compliance with ORS 701.055 will be used on thla project. J 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 pro~ty, and the approved set of plans will remain on the site ~ all times durin c structlon. ~na~~ ~--' DiJ/5/9f ----- VALIDATION: RECEIPT NUMBER / '2, /8.r 0;1'.~ /2{7~ & 0 A#~ DATE PAin, AMOUNT RECEIVED RECEIVED BY '-