HomeMy WebLinkAboutPermit Building 1992-04-02SPR IELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of lice: 72ti-3759
a
JoB NUMBE "-24-EZE
225 Filtn Street
Springlield, Orcgon 97 477
8'jcl lAtL t^.(-r- .<+tb,LOCATION OF PROPOSED WOFIK;
ASSESSOBS MAP:
LOT: ---
TAX LOT:
BLOCK SUBDIVISION
CITY:
-
STATE:
PHONE:
7tP:
OWNER: --
ADDRESS:,
DESCRTBE woRK: P elr* t B. sTai g A/(- kDZr'a'
NEW --- REMODEL -==- ADDITION DEMOLISH OTHER
PI-IONEEXPIRESADDRESS
2:?S - 7z216 3J
ELECTRICAL:
coiltuc,Ri -6ss w#--fi4ot
CONST,
CONTRACTOR ,9CONTRACTON'S NAME
Ct:NERAL: ST*IASA
MFCI{ANICAL:
RANGE:
# OF BDRMS
OUAD ABEA:
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE
HEAT SOURCE:
LAND USE:
# OF UNITS
WATER HEATER:
OCCY GROUP:
r OF STORIEST
Torequestaninspection,youmust call 726-3769.Thisis a24hour recording.All inspectionsrequestedbeforeT:0oa.m.will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day'
REOUIRED INSPECTIONS
TemporarY Electric Rough Meclranical - Prior to
cover.
Final Plumbing - When all
plurnbing worl( is cornPlete.
LI Silc lnspection - To bo rttatle
arf tcr cxcavation, l;r.rt llrior to
settin0 fornts.
Rouglr Electrical - Pri()r to l:]Final Electrical - Wtletr all
electrical worh is c<,rtttplete.cover.
Underslab Plunrbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical worl( is cornPlete.
Footing - Af ter trenches are
excavated.Fireplace - Prior to facing
materials and framlng lnsP.
V(einal Buildino - Wlren all
,J^{.lequired inspEclions have been
dpproved and building is
completed.Masonry - Steel location, bond
bearns, grouting.
ft'"'.'ng - Prior to cover'
Other
Foundation - After forms are
erected but Prior to concrete
placement.
Walt/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l-l Drywall - Prior to taning
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior lo insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After firePlace approval
and installation of unit.
Blocking and Set'UP - When all
blocking is cornPlete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - Af ter
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trencll.Electrical Connection - When
blocking, sel-up, arrtl Plumbing
inspections have been aPProved
and the horne is corrnected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - Af ter
excavation is comPlete, lorms
and sub-t.rase material in Place.
Water Line - Prior to filllng
trench.
Fence - When cornpleted
Rough Plumbing - Prior to Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
t_l
cover,
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Lot faces
Lot sq. ftg.
Lot coverage
TopograplrY
Total height
Lot Type.
--
lnterior
Corner
'-- Panhandle
.-- Cul-de-sac
l!,
Setbacks
P.L.HSE GAFI ACC
J
. IS THE PROPOSED WORK IN THE
HISTOFIICAL DISTRICT, OB ON
THE HISTORICAL REGISTEB?
--lf ycs, tl'ris application must be signed
and approvcd bY the Historical
Coordinator prior to permit issuance.
E APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is qranted on the express conditiorr ttlat the said
construciion shall, in all resl:ects, conform to the Ordinance
adopted by the City of Springfield, including the
Developtnctrt Cotlc, regr-rlaling the construction and trse of
buildings, and may bc suspended or revol<ed al any tirne
upon violation of any provisions of said ordinances.
Receipt Number:-
DatePlans Reviewed By
Plan Check Fee: .---
Date Paid
Received By
VALUE
(A)
oo
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
r"t tD
SO. FT. X $/SQ. FT,ITEM
Main
Garage
Carport
-----Z,/5?r-
Systems Developrnent Charge is due on all undeveloped
properties within thc City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Residential Bath(s)
Sarritary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N
FT.
Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMTT
ITEM
Fix t rr res
Wood Stove/ lnsert/ Fireplace Utrit
Dryor Vcnt
(D)
N0Vent Fan
Mechanical Pertnit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn:rce
Exhaust Hood By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certif y
lhat any and all w<.irk lrerformed shall bc donc in accordance
wilh the Ordinanccs of the Ci ty of Springlicld, and lhe Laws
of tlre Statc o[ Orcg;on pcrt.]ining to tlrc worl< dcscribctl
lrcrcirr, ancl llral NO OCCUPANCY will I)e trt;trlr-' ol atry
slructurc without lrcttrrission ol the Building Safr:ty Division.
I lurther certify llr:rt only contractors ancl ent;'lloyees wl-to
are in compliance with OBS 70'1.055 will t:e used on this
project.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each adcJress is readable
from the street, that the permit card is located at the front
Z 2z-Date
and the approverl set of plans will remain
tr
of the pro
Itirnes durion the si on
ftionutu,"
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
---
ft
Demolition
Slate Surcharge
Total Miscellaneous Permi ts (E)7rZ2
a7
DATE PAID
AMOUNT RECEIVED
RECEIVED t3Y ...,,, .
VALIDATION:
RECEIPT NUMBER
-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
6fr
)FT.
FJ-.