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HomeMy WebLinkAboutPermit Miscellaneous 1998-6-8 OWNER: {',:JJ&J (f' lrlJ,-Io YJ PHONF' ADDRESS:' :J ~~~;/?l(nnr. CITY: ~t' 'J d, ~ ~ ?jJ/'7 STATE:---LJ2- II / DESCRIBE WORK '-~'\~(l^"1 ~LtW~ ItPt11 A r NEW REMODEL ADDITI~ OEMOLlSH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726-3759 ASSESSORS MAP: LOT: . SPRINGFIELD . JOB NUMBER 5J:<B ~~~/ 2r,:" BLOCK: 225 Fi flh Street Springfield, Oregon 97477 TAX LOT: /? '? /rj") SUBDIVISION: ZIP: 97V?? CONST. CONTRACTOR' CONTRACTAR'S~AME, ADORESS GENERAL:ll(lIr1h~W OO{\tjJ ~q~cl.fL~ PLUMBING: MECHANICAl' ELECTRICAl' I Lj Ll (a{" 91W~ ~ 6JJ~7~d1. QUAD AREA: . OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER: - OFFICE USE _ LAND USE:_ . OF UNITS: CONSTR, TYPE:____ HEAT SOURCE: RANGF' FLOOD PLAIN' ZONING CODE: _ . OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE:__ To request an Inspection, you must call 726,3769, Tllis is a 24 hour recording, All Inspections requested belore 7:00 a,m, WIII.bj!l.l<. made the same working day, Inspecllons roquested arler 7'00 a,m, will be ma.de tho rOII~t;e.~Ork day, P.E It il-lE INU REQUIRED INSPECTIONS ~O I'EP.Mli S\'I{>'LLE~~\S I'EP.Mli IS NOi o Rough Mechanical - Prior to i~~Fi~:"r<n'I.lW.!ilEf\_'yyIHlt\N.\IlD tOp. Cover, ,~~~\G'j'\~IA~I?'tllrC.' ~MENCEO 0 FI cliliSlP-' When all ei~t~1 worl( is complete. o Temporary Electric o Site Inspection - To be made after excavatIon, but prior to setting forms. o Underslab Plumbing/Electrical! 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 Underlloor Plumbing/Mechanical - Prior to Insulation or deckIng, o Post and Boam - Prior to troor Insulation or deckIng, o Floor Insulation - Prior to deckIng. M Sanitary Sewer - Prior to filling F trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to' filling trench. o Rough Plumbing - Prior 10 cover, . o Rough Electrical - Prior to cover. o Electrical Servlcc - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to COver, o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Slovc - After Instal/allan. o Insert - After fireplace approved and Installation of unit. o Curbcut & Approach - After forms are erected blll prior to placement of concr~tc. . o Sidewalk & Drivcw3V - After excavation is compicte, forms and sub.base malerlal In place. o Fence - When completed. o Slreot Treos - Whon all required trees are planted. . o Final Mechanical - When all mechanical worl< Is complete. o Final Building - When all required Inspections have been approved and building 15 completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connecled to water and sewer. o Electrical Connection - When blocking, set-up, and plumbIng Inspections llave been approved and tIle home is connected to the servIce panel. o Final - After all required Inspections arc approved and porches, sldrtlng, decl<s, and venting have been Inslalled. , . " , , lol Type Setbacks Interior I PoL. HSE GAR ACC I IN I Corner Is I Panhandle Iw I Cul.do.sac IE ,I . Lot facos , eoi sq, fig, '. IS THE PROPOSED WORK iN THE '..'HiSTORiCAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, Ihis application must be signed and approved by the Historlcai Coordinator prior to permit issuance. LOI coverage Topography Total height '. APPROVED: , BUILDING PERMIT ITEM SO, FT, X $/SO, FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permi! is granted on the express condItion that the said construction shall, in all respects, conform 10 the OrdInance adopted by the City 01 Springfleid, Inciudlng 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. Main Carpon Plan Check Fee: Date Paid: Tolai Value Receipt Number: Building Permi I Fec Slate Surcharge Received By: Tolal Fcc (A) - -.- 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 Resldentlai Balh(s) N" Sanitary S~wcr FT. 5"",0 Water FT, Storm Sewer FT, Moblie Home 25,/~ , " 2-5~ 2.~ "/- 7~ -, Plumbing Permit . . ;'1 ... ' 'State:Surcharge 1,2~ -t.?)- '. I ~ Tolal Cllarge '. (C). MECHANICAL PERMIT Furnace Vent Fan N' By signature, I stale and agree, that I have carofully examined the completed applIcation and do hereby certHy that all Information hereon Is true and correct, and J 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 Stale of Oregon perlalnlng to the work described herein. and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certlfy thai only contractors and employees who are in compliance with ORS 701.055 will be used on this project. . Exhaust Hood Wood Stove/Insert/Fireplace Unit Dryer Vent MechanIcal Permit Issuance Stale Surcharge Total Permll (0) I further agree to ensuro thaI all required Inspections are qJquested 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 ap oved set 0 plan main on the site at all times ring cons uct ~ature I'" >f t, rP-: r ,p- MISCELLANEOUS PERMITS Mobile Home . State Issuance Stato Surcharge Sidewalk It Datf' Curbcut It Domolltlon Slat? Surcharge VALIDATION: Total Miscellaneous Permits (E) RECEIPT NUMBER OATE PAl" 3D2./7 7/~~ --d~ . - TOTAL AMOUNT DUE (excluding electrical) lA, B, C, D, and E Combined) ,Zj.MJ AMOUNT RECEiVED RECEIVED BY c