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Home My WebLink AboutPermit Building 1997-1-27 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Offjc~: 726.3759 SPRINGFIELD -... /-' JOB NUMBER 9~~8-3 0/ 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOS~D WORK: ~~ ,~:2?~;PQE ?~~ ASSESSORS MAP: /4fZ 't?2-d6~/:2 _ TAX LOT: c::? '::2...~~ LOT: I?~ . 'BL~K: SUBDIVISION:h.Yt'JF:~C;~5 OWNER: ./!f(,~~A/ ~~~~~~r~ ~ . ADDRESS: ~Z SG~ :9-3~pw~.2:>_./~ . ~~~?;>_ -- r-.rSTATE:-' ~. .r.r / - -, / DESCRIBE WORK: ~7/CF. ~7",~c... #~fi.c- CITY: NEW REMODEL ADDITION DEMOLISH OTHER PHONE: 7,V~-6~ ~ , r /;:>~g 64/~~-- ZIP: CONST. CONTRACTOR /I CONTRACTOR'S NAME ADDRESS GENERAl' ~~F"~ :Z":A/7'_ t~1 ;"- f~- ~--.~ PLUMBING: MECHANICAL: ELECTRICAL: EXPIRES " PHONE - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: /I OF BLDGS: ' /I OF UNITS: ZONING CODE: OCCY GROUP: CONSTR, TYPE: /I OF BDRMS: /I OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. Tills 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. D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing/ Electrical! Mechanical - Prior to cover. o Footing - After trenches are excavate,d. _ o Masonry - Steel location, bond beams, grouting. , ot o Foundation - After forms are erected but prior to concrete placement. .~ D Underground Plumbing - Prior to filling trench, 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.. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. , '. o Rough Plumbing - Prior to cove~ . REQUIRED INSPECTIONS D Rough Mechanical - Prior to cover. . ~ Rough Electrical - Prior to cove~ \ o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. [E] Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - P~lor to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. en I Sidewalk & Driveway - After excavation Is complete, forms and sul)-ba~e material in place. o Fence - When completed. .D Street Trees - When all rqquired .. trees are planted. '. D Final Plumbing - When all plumbing wor\< is complete. C!l Final Electrical - When all electrical worl< is complete. D 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 blockln~J 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. r o Final - After all required . inspections are approved and porches, s\<irting, decks, and venting have been installed. #/4, -I-/!? ~ 7~ :~ , . -/6~ 2t? SYSTEMS DEVELOPMENT CHARGE (SDC) Lot faces Lot Type:. Lot sq. ftg. Interior Lot coverage Corner Topography Panhandle Total height Cul.de-sac BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. Main Garage Carport M. ~~~C, f/),- /' -'~~'~"" Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary S~wer Water FT. FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Horne State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Total Miscellaneous Permi ts (E) Setbacks I P.L. I HSE GAR I N I I s' I I W ---L_, VALUE " ~~ -e> FEE TOTAL AMOUNT DUE (excluding electrical) ~ ~?~ (A, 8, C, 0, and E Combined) .' . ~ ":.'~~' ,: '. _i' . -' ACC I I I I ,~..J IS THE PROPOSED WORK iN THE. . HISTORICAL 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 condition that the said '. construciion 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: <J.?~ . " 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 the work described herein, and that NO OCCUPANCY will be made of any structure wi thout 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 10 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 times durin constr~ ~' . Signature .~,~ 0 _ ~. ~ Date !\ -. -z. I -C( ) / VALIDATION: RECEIPT NUMBER ? 7/~2o I -'2~'/ ? AMOUNT RECEIVED, ':2 7' ~ e:@ "::> ~4 . ~,.,...:r ~ " , / DATE PAID RECEIVED BY 00CIIIt ~ 0 - -. . ea.- ~. L-' ~I . I I ~: l2:..a.I> .. ~... 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