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HomeMy WebLinkAboutPermit Building 1991-4-12 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 ,ASSESSo.RS MAP: LOT: ..., SPRINGFIELD ,-,? JOB NUMBER q\O \~~ BLOCK: - 225 Fifth Street Springfield,Oregon97477 TAX ,LpT:.. ~ ~ SUBDIVISION: OWNER: l\~L~ \ti\S\ bfllIJill\\ ADDRESS: +~ ,f.\3:l~ ..s~Q.oh f' CITY: ,~)\(f{\~-rt) \J(\l, STATE: l\.)\\_~ C\fJ'() ZIP:-- C\l4"lS :::RI8E wo::~o~~\ A Q:~'ON l\G~C::~L -lOOT~ 'i\(X)1'r\ CONTRACTO~AME .f". I' GENERAL: ..L)\~ QJ~ p,LUMBIN~G: MECHANICAL: ELECTRICAL: QUAD AREA: {3R~ # OF BLDGS: occY GROUP: ?--~ # OF STORIES: I WATER HEATER: PHONE: ~~t.D rltft24 ADDRESS CONST. CONTRACTOR # PHONE REQUIRED INSPECTIONS , t5<f~I17t4' ';f-;q,;j'eTUR.i!.- . PRlP1'C To 'S7"Afi.-rIl"14' VVOf'fC:. " D Site, Inspection - To be made. ''-~ Rough Electrical - Prior to after excavation, but prior to ~"cover, setting forms. - OFFICE USE - LAND USE: \H\ # OF UNITS: CONSTR, TYPE: ~f\J HEAT SOURCE: - RANGE: EXPIRES '. h FLOOD PLAIN' ZONING CODE: \s)R # OF BDRMS: ,~ SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769, This is a 24 hour recording, All inspections requested before 7:00 a,n" will be made the same working day, inspections requested after 7:00 a,m, will be made the following work day, o Underslab Plumbing I Electrical! Mechanical - Prior to cover, D Footing - After trenches are excavated, ' ' D Masonry - $teel location, bond beams, grouting, , D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, D Underfloor' Plumbingl Mechanical , - Prtor to insulation or decking, , . . D Post and Beam - Prior to floor insulation or decking. . D Floor Insulation - Prior to decki ng, D Sanitary Sewer - Prior to filling trench, D Storm Sewer - Prior to filling trench, D Water Line - Prior to filling trench, o Rough Plumbing - Prior to cover, D Rough Mechanical - Prior to cover, . , D Electrical Service - Must be approved to obtain permanent electrical power, D Fireplace - Prior to facing materials and framing Insp, ftFraming - Prior to cover, , .'t521" Wall! Ceiling Insulation - Prior to ~cover, )><1 DrywaU - Prior to taping, . D Wood Stove - After installation, D Insert - After. fireplace approval and installation of unit. D Curbcut & Approach - After forms are erected but prior to placement' of concrete. . D Sidewalk & Driveway - After excavation is complete, forms ,and sub~base material in place, : /- D Fence - When completed" , D Street Trees : When- all' required . trees are planted, ..' ' D Final Plumbing - When all plumbing work iS'complete, . ~ Final Electrical~' When all, ~Iectric_al, work,is co~ple~e,.. D Final Mechanical - When all mechanical work is complete, , 1XI Final Building - When all /' -fequired inspections have been approved and building is completed, D Other MOBILE HOME INSPECTIONS D Blocking and Set-Up -, When all blocking is complete, D Plumbing Connections - When home has been connected to water and sewer, D 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 Type Setbacks Interior I PL HSE GAR ACC I IN I Corner Is Panhandle Iw Cul-de-sac IE r Lot faces Lot sq, ftg, Lot coverage Topography Total height BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, VALUE Main Garage Carport t;o!..rY\ci) l ()~. 'LL), - ) ~:t;;o .3./3 ~ .5. ~3 SYSTEMS DEVELOPMENT CHARGE (SDC) Total Value Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Su rcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 105. &2:j / " rHE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON n D THE HISTORICAL REGISTER?V.\' 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 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 of an)1 ~visions of said ordinances, Plan Check Fee: '-tt). \..0 ~ Date Paid: \-3. \ . q J ~ . Receipt Number:dC4f8-f83 \L13Bt Receive B: C'1) \ ro _ ) ~ff7U. _ Reviewed By f -20- 'II 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 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 set of plans will remain on the site at all times during construction, Signatu~CJl.A. c;;L ~~ Date!:t~ rz- - q , VALIDATION: C 1 <,q RECEIPT NUMBER ~ . , ~) DATE PAID 4.:.. / Z .Lf J' AMOUNT RECEIVFn~' "~(O::;. (n5 RECEIVED BY ( j ~ ..J . "'t-"'" - .J