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HomeMy WebLinkAboutPermit Building 1999-1-19 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . LOCATION OF PROPOSED WORK: (, S-Ll J7~>:>- 3 y-/V' { ASSESSORS MAP' LOT' . ""1 BLOCK: OWNER:i}~OPk ry fli/(I!(} ADDRESS: _ . J 'fJ./ / MJ"'l CITY: 5ijl/d 'J I 7J;~~:z3jt STATE: /)/2 . JOB NUMBER ~c,? . . 225 Fifth Street Sp,lngfleld, Oregon 97477 TAX LOT' SU8DtVtSION: ~"9/e> PHONE" 7Q/-6765' ZIP: 97?/J1 DESCRIBEWORI<' /..(f7slz;;flf'~ izJ J]/'f7{/t()US (~f;'d71. I I NEW REMODEL ADDITION DEMOLISH OTHER CONTRACTO.?jS/NA~f I GENERAl' /{/()lin(J)f's PLUMBING: MECHANICAl' ELECTRICAl' U ADDryE;r> if huJ /oft/"5 CONST. CONTRACTOR' OllifC,c, 7 PHONE h 119-1{ V'T' ~ EXPIRES ...... .S- In/o a." - OFFICE USE - QUAD AREA: LAND USE:_ FLOOD PLAIN' . OF BLDGS' . OF UNITS: ZONING CODE: OCCY GROUP' CONSTR. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONl)ARY 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 seltlng forms. o Underslab Plumbing/ Electrlcal/ Mechanical - Prior to cover. o Fooling - After trenches are excavated. o Masonry - Steel locallon, bond ,beams, g,outing, o Foundation - After forms are erected but prior to concrete placement. o Unde,ground Plumbing - Prior to filling trench, o Underlloor Plumbing/Mechanical - Prior to Insutation or decking, o Post and Beam - Prior to floor Insulation or decking. o Floor InsulaUon - Prior to decking, o San1\ary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. . o Rough PlumbIng - P,lor to cover. REQUIRED INSPECTIONS o Rough Mechanical - PrIor to cover. D Rough Electrical - Prior to cover. o Elect,lcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. ~I/C."lIng Insulation - P,lor to IiLI ~~~er. ~all - Prior to taping, o Wood 510vo - After Installation. o Insert - Atter fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Drivewav - After excavation Is complete, forms and sub.base material In place. o Fence - V"hen completed. o Street Trees - Wh~n 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. !Xl Flnat Building - When all required Inspections have been approved and building is completed, DOthe' MOBILE HOME INSPECTIONS o Biocklng and Set.Up - When all blocking Is complete. o Plumbing Connoctlons - 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. Lot faces Lot sq, ftg, Lot coverage Topography Total height L~t ~yp. Interior Corner . Panhandle Cut.de.sac BUILDING PERMIT 'i '~ 't ITEM SQ, FT, X $/SO, FT, Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) " 'c' I,';' .' ,; ~:' , ;~\, ,,' ,: ~.;j ~ . ,., '\'i \ .S THE.PROPOS~~ WORK IN THE. 'wHISTOl;llCAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks ' I PL. HSE GAR Acc'l I N I I S I w ---- ,E VALUE " 5)'cz::>,., - 56. .,- , ::j'.&~ /,~ 6/ , ~2... SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING ~ERMIT tTEM Fixtures Residential Bath(s) N' San II ary S~wer Water FT, FT, Storm Sewer FT. Mobile Home Plumbing Pe,mlt State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnserl/Fl'eplace Unll Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (B) (C) Mobile Home MISCELLANEOUS PERMITS (0) State Issuance State Su,cha'ge Sidewalk It Curbcul It Demolition Slate Surcharge Tolal Miscellaneous Pe,mlts (E) FEE TOTAL AMOUNT DUE (excluding clectrlcal) (A, B, C, D, and; E Combined) '_,_.-J APPROVED: BUILDING "Auk PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said constructlon shall, In all respects, conform to the Ordinance adopted by the City of Sp,'ngfield, 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 Reviewed By Date SysterflS 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 compleled application and do he,eby ce,tlfy 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 perlainlng 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. 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 t of plans will remain on the sltrt}1 {Im"JJ I g struCllon, SI9natura~Y-- .c Date !f~/9; VALIDATION: RECEIPT NUMBER '?'< S#i~ DATE PAID / '/"9- ,9"3- AMOUNT RECEIVED 6('.e:P2._ RECEIVED BY ~r~ -~'" ~- //, ,l;~""""'-~ ,