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HomeMy WebLinkAboutPermit Miscellaneous 1994-4-11 OWNER: ""'Ir.^"'-:tb4; J ~~^^ J ADDRESS:' ~O I ';). ~ rn+f 'i;;)"R_ L1pV"V\jQ UrR ~""Af'P RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK- ASSESSORS MAP' LOT' CITY: DESCRIBE WORK: NEW REMODEL CONTRACTOR'S NAME ~. SPRINGFIELD -- - JOB NUMBER Ct YO 4J.~ 225 Fifth Street Springfield, Oregon 97477 TAX LOT' SUBDIVISION- o 0 c:..n (') BLOCK: STATE: ()Q PHONE: ~C;-I..J'-I.f:) ZIP: q'J LI.:r:J ADDITION 4prV'fl)(" / L I DEMOLISH )?DM; Fn" J f - d OTHER ..Ju I J-P,I..- ADDRESS CON ST. CONTRACTOR # PHONE EXPIRES GENERA' . PLUMBING:JJ.""U.-'""'-"S-A,......--:: u:::?... . <::;, '...D(j<rL fJr[;..I(j CJJLI{)L/ ~(,.,'X2.()7 'h"'/4.ln'Ji'C)t.tt. 54 MECHANIC" , ELECTRICA' ' - OFFICE USE - QUAD AREA' LAND USF- FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODF' OCCY GROUP: CONSTR. TYPO" # OF BDRMS' . 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 after 7:00 a,m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - PrJor 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. 110' A-p(NW 0sanltary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover, REQUIRED INSPECTIONS . 0 Rough Mechanical - Prior to cover. . o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtai n 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 Stove - After l~stallat'lon. o Insert,.... After fireplace approval 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, D Fence - When completed. o Street Trees - When 'all required trees are planted. o Final Plumbing - When all plumbing work Is complet.e. o 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, sklrtln'g, decks, and venting have been Installed. Lot faces Lot Type . Setbacks (~HE PROPOSED WORK IN THE Lot sq. Itg. Interior I P,L, HSE GAR Accl 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 Topography Panhandle Iw I Coordinator prior to permit Issuance. Total height Cul-de-sac IE I APPROVED: BUILDING PERMIT ITEM sa. FT. x $/SO. FT. ~ VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT 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 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. i I Garage Carport Plan Check Fee: : i : ' ; I , , , Date Paid: Total Val ue Building Permit Fee State Surcharge Total Fee Receipt Number' , Received "By: (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (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) N' Sanitary Sewer FT. /1...,1 Water FT. Storm Sewer FT. Mobile Home ~s..oO Total Charge (C) ~ <;. 00 Id.S :H,d~ , I' i I Plumbing Permit 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/lnsert/Flreplace 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 slt:~all times during cons,truc.tlon. Slgnature~~~~ 1..;-11 - CjLf Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition RECEIVED BY \~A~~ 1..{/"Ic;D' :{ l-,,;)~ l.Og State Surcharge VALIDATION: RECEIPT NUMBER DATE PAIr" Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ~I___ ')<::"" lA, B, C, 0, and E Combined) AMOUNT RECElv"n