HomeMy WebLinkAboutPermit Building 1993-06-02SPR!]{GFIELO
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BLOCK:LOT:SUBDIVISION
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
JoB NUMBE " 4rcb3-L--
225 Fifth Street
Springf ield, Oregon 97 477
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OA ztPSTATE:
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ADDFIESS:
OWNER
OTHERHNEW
-
REMqDEL ADDITION DEMO
ELECTRICAL:
EXPI RES PHON EADDRESSql, lqq --a41:*lJ1-n
CONTRACTOR'S NAME
MECHANICAL
GENERAL:
PLUMBING
CONST.
CONTRACTOR #
QUAD AREA:SR
RANGE:
Y OF BLDGS:
"T[11"'-
WATER HEATER
A OF UNITS:
FLOOD PLAI
, OF BDFIMS
ZONING
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCCY GROUP:
e OF STORIEST
CONSTB. 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 same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - Whc'n all
plurnbing work is comf)lete.
lsQl'Footing - Af ter trenches are
Aexcavatecj.
Site lnspection - To be made
af ter excavation, but prior to
setting forms.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Masonry - Sleel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materials and framing lnsp.
pttu*'ng - Prior to cover'
I-_l Drywall - Prior to taping.
Wood Stove - After installation
lnsert - After fireplace approval
and Installation of unit.
Curbcut & Approach - A{ter
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
f-l Fence - When completed.
Strest Trees - When all required
trees are planted.
Final Electrical - When all
electrical work is com[,lete.
Final Mechanical - Wrren all
mechanical work is 6grnplete.
Jrf,,4inal Building - Wlrer' all
,frl required inspections hrrvo bct'n' approved and building '5completed.
Other
-
-
Wall/Ceiling lnsulation - Prior to
cover
MOBILE HOME INSPE TIOI{S
Blocking and Set-Up - When all
blocking is complete.
Plumbing Conneclions - When
home has been conne<.ted to
water and sewer.
Electrical Connection - \Aihen
blocking, set-up, and plurnbing
inspections have been approved
and the home is connected t<r
the service panel.
Final - After all required
inspections are approvr:d and
porches, skirting, decks, and
venting have been installed.
DESCRIBE WORK:
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E Rough Plumbing - Prior to
cover,
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[-ot f;r<;t;';
Lot sq. ftg
Lot covcra.le
TopographT
Tot:rl heigllt
I ot -Iy1,t-'
lr rterior
, Corncr
-- - Panhandle
- - Cul-de-sac
9e!ltracks
PL.H GAR
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!S IHE PROPOSED WORK IN THE
}IISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
--lf yes, this application must be signed
an(l apProved bY the Historical
Coordinator prior to permit issuance.
APPROVED:E
ACC
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecJ 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
builclings, and may be suspended or revoked at any time
upon violation of any prorrisions of said ordinances.
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Receipt Number:
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Recei By
3a
T D;6
Date Paid
Plan Check Fee:
9133
"09
VALUE
41:,-
(A)
X $/SO. FT.
Tot;rl Valuc
Buildirrg Fcrrrlit Fee
Stirrc:lurcharUe
Toterl Fee
BUILDING PERMIT
ITEI./ SO. FI.
Mair-t
Garagc
Carport
Systems Developtttent Charge is due on all undeveloped
properties within the City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) *64-(B)
ADDITTONAL COMMENTS
FEE
(c)
FT.
N0
FT.
FT.
Fixt u res
Re:iidenti.,l Bath(s)
Plumbing Permit
State Siu rc harge
Tot;rl Charge
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
ITEM
MECHANICAL PERMIT
Furnace
Exhaust Hood
By signature, I state ancl 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 certi{y
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, 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'
t further certify that or-rly contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
Vent Fan N0
Wood Sto're/ lnsert/ Fi replace Unit
Dryer Vent
Mechanicirl Permit
lssuance
State Surcharge
Total Perntit (D)I f urther 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 remainMISCELLANEOUS PERMlTS
Mobile Hc,me
State lssuance
State SLlr( harge
Sid,:v;:rlk --, ft
Cutbctrt ft
Der nolrt iorr
State SrJr( harge
on the site
natu re
D:rte
Total Miscellaneous Permits (E)
S tructi
VALIDATION:
RECEIPT NU BER
DATE PAIO
AMOUNT E
TOTAL AMOUNT DUE (excluding clectrical)
(A, R, (1. f anrj E Conrbinecl)
7
RECEIVED 6'