HomeMy WebLinkAboutPermit Building 1992-04-07SPRII\lGF!ELE,
EttocK:
h,
3
LOT:
TAX LOT:
SUBDIVIS
JOB NUMBER
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Ottice:726-3759
LOCATION OF PRO
ASSESSORS MAP:
225 Fifth Street
Springfield, Oregon 97477
PHON E:
ZIP:STATE:
OWNER:
CITY:
ADD
Y DEMOLISH HER
DESCRIBE WO
NEW REMODEL A
S NAME ADDRESS EXPIRES ON
ELECTRICAL:
MECHANICAL:
PLUMBING
GENERAL:
CONTR
CONST,
eONTRACTOR #
3usx,o F
\L
RANGE:
FLOOD PLAIN:
ZONING CODE:
# OF BDRMS
WATER HEATER
* OF UNITS:
QUAD AREA:
* OF BLDGS:
?.
LAND USE:
SECONDARY HEAI:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour 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.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Site lnspection - To be made
after excavation, but prior to
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.qa^aTsetting forms.
rslab Plumbi Electrical/Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.anical - Prior
ing - After trenches are inal Building - When allexcavated.Fireplace - Prior to facing
materials and framing lnsp.
required inspections have been
approved and building i
Masonry - Steel location, bond
beams, grouting.
completed.
ramrng,-Z:pl].Foundation - After forms are
ts erected but prior to concreteI placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Underf loor Plumbing/ Mechanical
- Prior to insulation or decking,Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.
locking and Set.Up - When all
lnsert - After fireplace approval
and installation of unit.
blocking is complete.
Floor lnsulation - Prior to
decki ng.
lumbing Connections - When
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.ectrical Connection - When
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
r Line - Prior to filling I-l Fence - When completed
trench al - After all required
Street Trees - When all required
trees are planted.
inspections are approved and
porches, skirting, decks, and
venting have been installed.
v
Rough Plumbing - Prior to
cover.
I
F )
f-l Final Plumbing - When alltJ plumbing work is complete.
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tf
E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type \_s
-
lnterior
{ corn",
-
Panhandle
-
Cul-de-sac
Set -IE PROPOSED WORK IN THE
HiSTORICAL DISTRICT, oR oN
THE HISTORICAL REGISTER? .
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This 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.
Receipt Number:-
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Received By
rotar Vatue \3 , CqO
Building Permit Fee /
State Surcharge
Total Fee
o
(A)
X $/SQ. FT, : VALUE
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)p
(B)hanY
ADDITIONAL COMMENTS
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
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
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 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 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 f ront
of the property, and the approved set of plans will remain
?-z*?zDate
te
\the site at during construction
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft '?
(E)Total Miscellaneous Permits
nCurbcut
-
t
Demolition
State Surcharge
DATE PAID
RECEIVED
AMOUNT
VALIDATION:
RECEIPT NUMB
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
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@
SPRIr-iFlELO
CITY OF SPR"VGFIELD, OREGO'V
DEVELOPMENT SERVICES
PUBLIC WORKS
METNOPOLITAN WAS|EWATE R MANAGEMENT
I Manufactured Eome. A mul-
tt,t an enc oor areathat has a nomj.nal roof pitch ofvidth, that has no bare metal sicertified by the manufacturer to
meeting performance standards vh
equivalent to the performance stdvellings constructed under the
As required by the City of Springfiethat vith the approval of the attach
manufactured homes vi11 be placed atSpringfield, Oregon, City Job Number
HANUFACTURED HOHE SET-UP AGREEMENT
Id Development Code,I understand and agree
ed pe the follovi ng
225 FIFTH STREET
SPRINGFIELD, OR 97477
(50s) 726-3753
t
I
ti-sectional (double vide or vider)of not less than 1,000 square feet,
3 feet in height for each 12 feet in
ding or roofing, and that has been
have an exterior thermal envelopeich reduce heat loss to levels
andards required of single familystate Specialty codes.
a nominal roof pitch of 2 feet in heightthat has no bare metal siding or roofing
I further state, by my signature belov, that I have been provided vith thefolloving information :
- Sanitary sever connection
- Electrical connection
- Minimum requirements for permanent steps
I also understand that if I am i.nstalling a Type I Manufactured Home, the homeshall be enclosed at the perimeter vith stone, brick or other masonry materials,and vith no more than 12 inches of the enclosing material exposed abtve grade.
?*7
- Manufactured Home bloeking
- Hater line eonnection
- Street tree standards
gnature
e fI Manufactured Home. A uni tofno
an enc oor area of not less
t less than 1,2 feet in vidth
than 500 square feet, that has
.
for each 12 feet in vidth and
te