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Home My WebLink AboutPermit Building 1995-11-20 RESIDENTIAL PERMIT APPLICATION Inspecllons: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' IIO'? ASSESSORS MAP' LOT' -, SPRINGFIELD ~~ \\SR. G0\~c.-,-\ c;l.. (" 4\ BLOCI<' OWNER: GEo~'F-~ ~<L.\ ut ADORE""" 1\':;"" q,.hN.f'.c<-i"" CITY: "Sf:>~2A \.-,"1.4 ~ \ 'i".LJI') DESCRIBE WORK' "R~c..(.',. NEW REMODEL ADDITION STATE: CJ CL-- .-. JOB NUMBERC1sl€>IV 225 Filth Street Sprlnglleld, Oregon 97477 TAX LOT' r'\ 1\0-'0 ~f'L.-I"l..-:L"':, DEMOLISH OTHER SUBDIVISION' PHONF' ZIP: qi4"7i .' .'t.. CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' MAe-I<. I:-\-o~ \(,1,.d.. '51G\l""~ t>..u6.1"A3L, &0'256> PLUMBING: MECHANICA' . ELECTRICA' . EXPIRES PHONE '"1.4/- 504-1 - OFFICE USE - QUAD 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: RANGE: _ SQUARE FOOTAGE:_ TO requesl an Inspection, you musl 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 Slto Inspection - To be made after excavatIon, but prior to setting forms. o Underslab Plumbing/ Electrlcall Mechanical - Prior to cover. o Footing - After trenches are excavated. o Mesonry - Steel locallon, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to Insulatlon or decking. o Post and Boam - 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 Waler Line - Prior to filling trench. D. Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mochanlcal - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be . approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ FramIng - Prior to cover. o Wall/e'elllng Insulallon - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After InstallatIon. 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 placo. o Fence - When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing w~HI{ Is complete. D Final Electrical - When all electrical work Is complete. o Final Mochanlcal - When all . mechanical worl{ Is complete. i'vi 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 waler 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 - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. Lot Type_ ,:, 'S THE PROPOSED WORK IN THE. LOI faces Setbacks Interior I PL. HSE GAR Accl HISTORICAL DISTRICT, OR ON Lot SQ. fig. IN I THE HISTORICAL REGISTER? Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle lw I Coordinator prior to permit Issuance. Total height Cul-de.sac l.E I APPROVED' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " 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 o~ any provisions of said ordinances. Main Carport Plan Check Fee' ~ 0 7:JO e::..- Date Paid: Total Value ?,)...!;O Receipt Number' Building Permit Fee Received By: State Surcharge Total Fcc (A) ~S.\\ Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within tho City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace State Surcharge .... By signature, I state and agree, that I have carofully examined the completed appllcallon 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 Ordlnanc"s of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the BuildIng Safely Division. I further certify thai only contractors and employees who are In compliance wllh ORS 701.055 will be used on this project. Exhaust Hood Vent Fan N' Wood StovellnserllFlreplace Unll Dryer Vent Mechanical PermIt Issuance Total Permit (D) , I further agreo to ensuro 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 pproved set of plans will remain on the slle at all II during i?"'7t"ucllon. /l ./ Slgnatu' -~ '7 ~ --2'\ Date / /-7.r-:?- s;:r f MISCELLANEOUS PERMITS Mobile Home- ! State Issuance Stale Surcharge Sidewalk II Curbcut II Demolition TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and E Combined) . ''3S.I\ VALIDATION: RECEIPT NUMBER 0 \q(p~9 DATE PAl" \\/-;).i) /q5 I ( AMOUNT RE~VED. ~,~ I , ~e.~ RECEIVED BY _____ State Surcharge Tolal Mlsceflaneous Permits (E)