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HomeMy WebLinkAboutPermit Building 1995-3-27 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 >(ASSESSORS MAP: '<LOT: . BLOCK' .- JOB NUMBER "7~o79 / 225 Fifth Slreet Springfield, Oregon 97477 &? <2~c> SUBDIVISION: OWNER: A \ l<:/n' ---s..rloo y. ADDRESS: ~ L "':;, s, \'2nd (,,)'001) ~, CITY' ~.QJ , . '. STATE: 1'2:5< DESCRIBE WORK: .bf?~~~.,;q~~~ /,,,,,,,, ~.!!',;;;r,,; NEW REMODEL V ADDITION DEMOLISH OTHER ..... PHONE::J U -a8 <;""0 '..-.t::: ZIP:~ '..2?~J"V~~~. , - . ? CONTRACTOR'S NAME GENERAl' (j/).yV'~ PLUMBING' MECHANICA' . ELECTRICAL: n I. .........oAa.... t ADDRESS CONST. CONTRACTOR' PHONE EXPIRES - OFFICE USE - OUAD AREA' LAND USE: FLOOD PLAIN: . OF BLDGS' · OF UNITS: ZONING CODE:_ OCCY GROUP: CONSTR. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGF' SOUARE FOOTAGE:_ To requesl an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requesled before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the lollowlng work day. REQUIRED INSPECTIONS o Temporary Eloctrlc O Silo Inspoctlon - To be made after excavation, but prior to settlng forms. o Underslab Plumbing I Electrlcall 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 - Prior to filling trench. o Underfloor Plumblng/Mechenlcal - Prior to Insulation or deckIng. D Post and Boam - Prior to floor InsulatIon or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prlor to filling trench. o Storm Sewer - Prior to flIlfng trench. O Waler Line - Prior 10 filling trench: .. o Rough Plumbing - Prior to cover. o Rough Mochanlcal - Prior to cover. ( r7l Roug~ Eloctrlcal - Prior to L..,Atr.J cover.. i o Electrical Service - Must be approved to obtaIn permanent olectrlcal power. o Fireplace - Prior to facing materials and framing Insp. G!J Framing - Prior to cover. o Wallle'elllng Insulation - Prior to cover. rn Drywall - Prior to taping. o Wood Stovo - Atter Installation. o Inserl - After fireplace a'pproval and Installation of unit. o Curbcul & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - Alier excavation Is completo, forms and sub.base materIal In place. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When DIl plumbIng worl( Is complete. I7l Final ElectrlcDl - When all l.LU electrIcal work Is complete. o Flnnl Mechllnlcal - When all mechanical work Is complete. !Xl Final Bul/dlng - When all requIred InspectIons have been approved and building Is compleled. OOth.r MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is completo. o Plumbing Connections - When home has been connected 10 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 Inspectlons are approved and porchos, sklrtlng, decks, and venting have been Installed. Lot (~ccs Lot TYP. InterIor LOI sq. fig. Lot coverage Corner Topography TOlal helghl Panhandle Cul-de-sac BUILDING PERMIT ITEM SO. FT. Main ~Lt:.-&'" X $/SO. FT. Garage Carport TOIDI Value Building Permit Fee ~ Slate Surcharge Tolal Fee (A) . r~: , j;; .,~. Setbacks I P.L. HSE GAR ACC I IN I S I I Iw II c I lLLLL VALUE /,",e?; - " l7-f;: .~~ /$ .~t SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~;/'I - PLUMBING PERMIT ITEM FIxtures Resldenilal Bath(s) N' Sanitary Sewer FT. Waler FT. Storm Sower FT. Mobile Home Plumbing Permit Stato Surcharge TOlal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance Stale Surcharge Tolal Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Slale Surcharge Sidewalk ft Curbcut fl Oemoli tlon Slate Surcharge TOlal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eleclrlcal) lA, B, C, D, and' E. Combined) FEE _IS THE PROPOSED WORK IN THE. . "'HISTORICAL DtSTRICT, 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 granled on the express condition Ihalthe said construction shall,ln all respects, conlorm to the Ordinance adopled by the Clty.of Springfield, InCluding the Development Code, regulallng the construction and use of buildings, and may be suspended or revoked at any lime upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Reviewed By /1. "75 --- 7....<>~~ . /6/ Y "'7 /7_ /L........-a_ ~ ~- Date Systems Development Charge Is due on all undevelopod properlles within 11'0 City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stalo and agree, that I have carefully examined the completed appllcallon and do hereby cerllfy 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 01 the City of Springfield, and the Laws of the Stale of Oregon pertaining to tho work described heroin, and that NO OCCUPANCY will be made 01 any struclure 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 streel, that the permit card Is located at the front of the property, and the approved set of plans will remaIn on the site at all times during construction. Signature Q~~~ Date~/.l1 /g~ / / 'j RECEIPT NUMBER /h? Y9 J"- <'';>.5-S-- ?? V/ ~~-,;._-........ VALIDATION: DATE PAID AMOUNT RECEIVED RECEIVED BY '/-