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HomeMy WebLinkAboutPermit Miscellaneous 1994-6-3 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSI~P{I~' ~~ . ASSESSORS MAP: \ "t>urlfT\Ct) " LOT' <7 BLOCt<. . ~-~ JOB NUMBER "'"'""4- < - -.. l"------.... 225 Flllh Street Cl400(B Springfield, Oregon '9~477 /i..,7?';"" t'./ T./Y / ~ ..2=?? _ ~AX LO'f. I J{.)J;J.rtJ SUBDIVISION: Jf/{~ ~'. ~ OWNER' .?/n /~OC~A/ ' ADDRESS' "2.'f!?C'J .~ /~~~z?<3' CITY' &~~~ ' STATF' ' ~. PHONE: 6~;5 ~S y~ ZIP' ~?'7"C::><. , . DESCRIBE WORK' ./y,"177'?C<:" ~?;>~ 71f~/TA/? ,r.,- t-f.. f;r.~ j,~ Z~ L:,.;- _ NEW REMODEL ADDITION" DEMOLISH OTHER~#l}/~.c' ;/,;) CONTRACTOR'S NAME GENERAl' PLUMBIN(-" MECHANICA' . ELECTRICAl' ADDRESS' CONST. ,CONTRACTOR . PHONE EXPIRES - OFFICE USE - QUAD AREA: LAND U~'" FLOOD PLAIN' . OF BLDG"" · OF UNITS' ZONING CODE: . OCCY GROUP' CONSTR. TYPE: . OF BDRMS' · OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' SQUARE FQOTAGE: To request an Inspection, you must call 726.3769. This Is a24 hour recording. All Inspections requesled before 7:00 a,m, will be made the same working day, Inspections requested aller 7:00 a.m. will be made the following work day, REQUIRED INSPECTIONS D Temporary Electric D Slto Inspection - To be made after excavation, but prior to aettlng forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. D Footing - After trenches are excavated. . D Masonry - Steel location, bond ,beams, grouting. D Foundation - After forms are erected'but prior to 'concrete placement. o Underground Plumbing - Prior to filling Irench, D Underlloor Plumbing/Mechanical - Prior to Insulation or decking, o Post and Beam - Prior to floor Insulation or decking. . ...:;:;-- . . o Floor Insulation - Prior to decking. , fI/I Sanitary Sewer - Prior to filling J,A.J trench. r71 Storm Sewer - Prior to ""Ing \.4-l trench. ' r.7l Water Line - Prior to filling ~ trench.' . ..~,} D Rough Plumbing - Prior to cover. D Rough Mechanical"': Prior to . cover. D Roug"h'.-Electrlcal ~ Prior-to . cover. . '. D Electrical Service - Must be approved to obtain .,permanent electrical power. :r ~:,.:; D Fireplace - Prior to facing materials and framing Insp. D ~ramlng - Prior to cover. o Wail/Ceiling Insulation - Prior to cove~ . o Drywall .,.. Prior to taping. D Wood Stove - Aller Installation, D Insert - Aller IIreplace approvel and Installation of unit. DCurbcut & Approach - Aller forms are erected but prior to placement of concret.e. o Sidewalk & Driveway - After excavation Is completo, forms and'sub.base'materlalln place. D Fence - When completed, D Street Treu8 - When all required trees are planted. o Final Plumbing - When all plumbing W9rk Is complet,e. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanIcal work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. D'Olher MOBILE HOME INSPECTIONS D 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. D Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. ''\. ,"'"" .1 Lot faces Lot Type . P.L. Lot sq. Itg. - Interior Lot coverage Corner N Topography Panhandle S Iw Total height Cul.de.sac IE Setbacks ' HSE GAR ., BVILDING PERMIT ITEM SQ. FT. x S/SQ. FT, - VALUE Main , Garage Carport " Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM' Fixtures Residential Balh(s) N' Sanllary Sewer FT, ~"'3 Water FT. ~~ Storm Sewer FT. ~'3 Mobile Home ..:.:~. ',..~. '~" Accl I I (_ THE PROPOSED WORK IN THE. ' 'lllllWISTOJ:lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, thla application must be signed and approved by the Hlatorlcal , Coordinator prior to permit Issuance. APPROVED: ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is gran led 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. Plan Check Fee' Date Paid: ,Receipt Number: Received By: Plans'Revlewed By Date Systems Developmenl Charge Is due on all undeveloped properties within the City limits which are being Improved. ~ ADDITIONAL COMMENTS FEE ,-/p r't:' ~t7 Plumbing Permit State Surcharge Total Charge /20.60 6,Pr? . '3 ~,-;. 12....9 . 60 (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk It Curbcul It , " Demolition "State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) . By signature, I stale and agree, that I have carefully examined the completed appllcallon 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 perlalnlng to the work deacrlbed 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 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, sl t all times d'1'9.t<t,S sttrruuccttlhon. ~nat Jt!31~' 7....)/ I VALIDATION: RECEIPT NUMBER /</~,(; . /' tF/.?r /')'~ /).9~ ~b~ " DATE PAIr> AMOUNT RECEIVEP RECEIVED BY