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HomeMy WebLinkAboutPermit Building 1995-10-4 . . SPRINGFIELD ,,,, RESIDENTIAL PERMIT APPLICATION '9 7'tP 75c;;:> JOB NUMBER JIIIIL. tiP ~ !? 'Z'_ -:::> ~Pt.._:,: 225 Filth Street Springfield. Oregon 97477 Inspections: 726,3769 Office: 726.3759 ."') ~. p' /-j/-;' TAX LOT: _~ 2~ LOCATION OF PROPOSED WORK: _ ,? ~b" /8'z!9:Z~6'~-/2- ASSESSORS MAP' SUBDIVISION' BLOCK' LOT' ?f/ Y~69h"~ , jffi~A:' E~?/?/'-7~ g~ -se"3~ ~r. 5p~7) ~ ~L/ PHONF' OWNER' ADDRESS: CITY' q? 'Y?~ 0.7.< . ZIP: STATE: ~/yyCd==' /~ 6~::r:-~~ ~,.: DESCRIBE WORV' OTHER DEMOLISH ADDITION REMODEL NEW CONST, CONTRACTOR · EXPIRES " PHONE ADDRESS CONTRACTOR'S NAME GENERA' ,!(4tp~ PLUMBING' MECHANICAL' ELECTRICA' ' - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: . OF BLDGS: . OF,UNITS: ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORI ES: 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. REQUIRED INSPECTIONS o Final Plumbing - When all plumbing work Is complete, o Rough Mechanical - Prior to cover. o Temporary Electric rAl Rough Electrical - Prior to L..L.:J cover. O Slto Inspection - To be made after excavation, but prior to setting forms. r;7l Final Electrical - When all I,A-J electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Underslab Plumbing' Electrical' Mechanical - Prlor to cover. o Electrical Service - Must be approved to obtain permanent electrical power. IXI Final Building - When all required Inspections have been approved and building Is completed. o Footing - After trenches are excavated. o Fireplace - Prior to facIng materials and framing Insp. o Masonry - Steel location, bond beams, grouting. [Zl Framing - Prior to cover. .' OOlhor o Foundation - After forms are erected but prior to concrete placement. c;rJ WalllC'olllng Insulation - Prior to cover. o Underground Plumbing - Prior to filling trench, 141 Drywall - Prior to taping, MOBILE HOME INSPECTIONS O Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Wood Stove - After Installation. o Blocking and Sot.Up - When all blocking-Is complete, "-" o Plumbing Connccllons - When home has been connected to water and sewer. o Post and Beam - Prior to floor Insulation or decking. o Insert - After fireplace approvel and Installation 01 unit. o Floor Insulation - Prior to decking, o Curbcut & Approach - After forms are erected but prIor to placement 01 concrete. o Sanitary Sewer - Prior to fltllng trench. o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home is connected to the service panel. o Sidewalk & Driveway - After excavation Is compiete. forms and sub.base material In place. o Storm Sewor - Prior to fillIng trench. o Fence - When completed. o Water Line - PrIor to fitling trench. o Final - After all required Inspections are approved and porches, skirting, decks, and ventlng have been Installed. o Street Troes - When all required trees ar.e planted. o Rough Plumbing - Prior to cover. Lot coverage Corner Setbacks I P,L. I HSE I GAR ACC I N I I I S I I Iw I I I I lL.LLL _I -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 10 permit issuance. Lot faces Lol TYP. Interior Lol sq, fig, Topography Total height Panhandle Cul-de-sac APPROVED: , BUILDING PERMIT ITEM SO, FT, X $/SQ, FT, VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main Garage " This permit Is granted on the express Condition thaI the saId Constructlon shall, in all respects, conform to the Ordinance adopted by' the City 01 Springfield, i,ncludlng 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. Carport c:?&/,E Plan Check Fee: TOlal Value Dale Paid: ~~ -:> ~;S'(. / ~ "'--6i- ~ . -.::::"'5" ,r:? .- ~'7' . . ..,L1h - 2..::> SYSTEMS DEVELOPMENT CHARGE (SDC) Building Permit Foe Receipt Numbcr:_~. Slale Surcharge Received By: Tolal Fee (A) -_. --..- Plans Reviewed By Dale PLUMBING PERMIT ITEM (B) Systems Development Charge Is due on all undevoloped properties withIn tho City limIts which are being Improved. FEE ADDITIONAL COMMENTS Fixtures Residential Bath(s) N' Sanitary Sewer FT, FT, Water Storm Sewer FT. Mobile Home Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' By signature, I state and agree, that I have carefully.examlned the completed application and do hereby certHy that all Information hereon Is true and correct, and I further certffy 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 cerl/fy that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. Wood Stovellnsert/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, thai the permtt card Is located at the front of the property, and Ihe approved ;~:uo:~s will remain :~g:::u:~t~,' .,~;;""~ Dale ~t?_ < ..-- , MISCELLANEOUS PERMITS Mobile Home State Issuance Slale Surcharge Sidewalk ft ft Curbcut Demolition Slate Surcharge VALIDATION: RECEIPT NUMBER /9/~=.> .-- .y'.?<s Total Miscellaneous Permits (E) DATE PAID TOTAL AMOUNT DUE (excluding clec\[lcal) lA, B, C, D, and E Combined) , AMOUNT RECEIVED <,,6~ <="' RECEIVED BY a.?'-J.zr.:2-' ~/'