HomeMy WebLinkAboutPermit Building 1993-2-24
LOCATION OF PROPOSED WORA S J. J s:--
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726<3759
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT:
LOT:
BLOCK:
SUBDIVISION:
S.aIP~e.
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OWNER: ___ ___,
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ADDRESS: _,.
CITY: ..____ ,--
PHONE:
72-b -.s ? '1 7
STATE:
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ZIP:
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DESCRIBE WORK: ~^,S1-.:t \ \.
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NEW
REMODEL
ADDITION
.
CONTRACTOR'S NAME
GENERAL:
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR II
EXPIRES
PHONE
PLUMBING: ___
MECHANICAL: rho {s ~ \ \..Is H("CA't J",-:;-:-
ELECTRICAL:
.
QUAD AREA:
II OF BLDGS:
OCCY CROUP: _,_,__,___-
1/, OF STORIE~:;: _____,______
WATER HEATER:
l.{ ( :s I E. ~+< t'e1 Sp~' q 7 l(79
,
1?JJ. 2S7flO\ ')-1 l..$('t.J
7Y1-7 \(t.r~
- OFFICE USE -
LAND USE:
FLOOD PLAIN:
1/ OF UNITS:
ZONING CODE:
CONSTR. TYPE:
II OF BDRMS:
HEAT SOURCE:
SECONDARY I-fEAT:
RANGr-.
SQUARE FOOTAGE:
To roque:;t an in:.ipection. you lTlust call 726-3769, This !s a 2,1 hour recording, AlllnspHctir.>nc; request;)cl bC')fore 7:00 a,m, will I)e
macte the ~;arne working day, Inspections roquested after 7:00 a,m, will be made the following work day,
o Temporary Electric
D Site Inspection - To be made
after excavation, l)ut prior ,to
setling forms.
o
Underslab Plumbing/ Electrical/,
Mechanical - Prior to cover.
o Footing - After trenches are
excavated, '
o Masonry - ~teel locatiOn, bond
beams, grouting,
o Foundation - After forms are
erectec! but prior to concrete
placement.
o Underground Plumbing - Prior
to fillinn trench,
o Undertloor Plumbing/Mechanical
- Prior to Insulallon or decking,
o Post and Beam - 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 Water Line - Prior to filling
trencll,
o Rough Plumbing - Prior to
cove~ '
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover,
o
Final Plumbing:"'" Wilen all
plumbing worl< ,Is complete,
D Rough Electrical - Prior to
cover,
D Final Electrical - Wilen all
electrical work is complete,
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Mechanical - WllOn all
mecllanical work Is complete,
o Fireplace - Prior to facing
materials and framing Insp.
o Final Building - Wilen all
required Inspections have been
approved and building is
completed.
o Framing - Prior to cover,
o Other
o Wall/Ceiling Insulation ~ Prior to
cover,
o Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Blocking and Set.Up - When all
blocking Is comple,te, .
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
o Plumbing Connections - Wilen
Ilome has been connected to
water and sewer.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
o Electrical Connection - Wilen
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Fence -'When completed.
o Final - After all requlreel
inspections are approved and
porches, sklrllng, decks, and
venting have been Installed,
o Street Trees - When all required
trees are planted.
, ,
Lot faces
Lot Type
'.
Setbacks
P.L HSE' GAR ACC
'\
,AE PROPOSED WORK IN THE
~~R1CAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance,
Lot sq, fig.
---'-
Interior
Topography
Panhandle
N
Is
Iw
IE
APPROVED:
Lot coverage'
Corner
Total height
Cul-de-sac
J
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Carport
This permit is granted on 1I1e express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfie'ld, including 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
Garage
Plan Check Fee:
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
Received By:
Slale Surcharge
Total Fee
(A)
1
Plans Reviewed By
Date
SYSTEMS 'DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
NO
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.
Exhaust Hood
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
Mechanical Permit,
Issuance
Slale 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, 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 imes during construction,
MISCELLANEOUS PERMITS
Mobile Home
Stato Surohargo
slgnatut'O
J), I
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State Issuance
Sidewalk
It
DElle
Curbcut
ft
Demolition
State Surcharge
VALIDATION: f\ I /),./1
RECEIPT NUM~R . J ~~
DATE PAID CJ c:Q4 'Cj~( -
AMOUNT ~E~D · Gt::,. b
RECEIVED' '"]') (L)l).....-J
- ; ,
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) d)S .")_~
(A, B, C, 0, and E Combined)
1