HomeMy WebLinkAboutPermit Building 1992-02-12SPRINGFIELI)
RESIDENTIAL
PER]VIIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PFIOPOSED WORK:
ASSESSORS MAP:03- 35'2
LOT:BLOCK:
V,zYr'//
Ait,
JOB NUMBER
225 Fifth Street
Springf ield, Oregon 97 477
TAX LOT lz6oa lz 4a I
)
PHON E:
STATE:ZIP:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCBIBE WOFIK
EXPIRES PHON E4-/T ffi StZrlS,z/n/q_ Z 7f6-q@
CONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST,
J CONTRACTOR /_- / ADDRESS
( orvsr /,Eac?f/'y/GENERAL:
PLUMBING
RANGE:
r OF BDRMS:
_ OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN:
SOUARE FOOTACE: -
SECONDARY HEAT:
WATER HEATER:
r OF UNITS:
OUAD AREA:
r OF BLDGS:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be
made the sa;ne working day, lnspections requested after 7:OO a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
[l Temporary Electrictl Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framlng lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.[-l DrVwalt - Prior to taping
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or clecking.Wood Stove - After installation.
Posl and Beam - Prior to floor
insulation or decking.lnsert - After flreplace approval
and installatlon of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
waler and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.I Fence - When completed
Slreel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
SUBDIVISION:
E
tl
E
r
E
E
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
rHE PROPOSED WORK IN THE--Hl-sronrcAl Drsrnrcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED;
VALUE
KcoF
l04,s
(A)
BFODP
X S/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
?.zb
\d,13
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
'fhis 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 any provisions of said ordinances.
Plans Fleviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By;
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
C'L5 ril6
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERM!T
Furnace
Exhaust Hood
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
ta33
L/
7z-
r)
oo5-t C?'VALIDATION
RECEIPT NUMBER
DATE PAID
it card is located at the front
set of plans will remainp
construct ionon the site
Date
sis
AMOUNT RECEIVED
RECEIVED BY
from the street, that
of the property, and,
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
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)
\oq,19
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 f urther 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