HomeMy WebLinkAboutPermit Building 1997-04-21SPRII\rGFIELO c5RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Offlce: 726-3759
LOCATION OF PROPOSED WO }q3
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JOB NUMBER
225 Fifth Street
Sprlngfleld, O
TAX LO'I:
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ASSESSORS MAP:
LOT:
-
BLOCK:SUBDIVISION
PHONE:
CPe ztP:
L
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C
'11)- Afl ):l-OWNER:
ADDRESS:
CITY:
NEW
-
BEMODEL ADDITION DEMOLISH OTHER >-:
i.(n\.)€: C-c +- +k1t'vDESCRIBE WORK:
ADDBESS
Z )2 1
EXPIRES PHONECONTRACTOR'S NAME
ELECTRICAL:
MECHANICAL:
CONST.
CONTBACTOR #
GENERAL:
PLUMBING
- OFFICE USE -
ZONING CODE:
FLOOD PLAINQUAD AREA:
r OF BLDGS:
SECONDAFIY HEAT:
SQUARE FOOTAGE:
# OF BDRMS:
-
LAND USE:
OCCY GROUP:
I'OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
'r OF UNITS: _
WATER HEATER;-RANGE:
To request an lnspectlon
made the same worklng
, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanlcat - prlor to
cover.
Slte lnspectlon - To be madc
after excavation, but prior tosettlng forms.
Rough Electrlcal - prior to Flnal Electrlcal - When allelectrical work is complete.cover,
E Underslab Plumblng / Electrical /Mechanlcal - Prior to cover.Eleclrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When allmechanical work is complete.
Footlng - After trenches are
excavated.[-l Flreptace - Prlor to faclng
-
materlals and framing lnsp.
Flnal Building - When ailrequired lnspecilons have beenapproved and building ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l-] Framlng - prlor to cover.
Foundatlon - After forms are
erected but prlor to concreteplacement.Wall/Celling lnsutatlon - prlor to
cover.
t] l'Jflii:l"l',lfl"ln'.'-orns - Prror [l Drywan - prror to taprns
E Undertloor Plumbing / Mechanlcat
- Prior to lnsulatlon or decking.
MOBILE HOME INSPECTTONS
Wood Slove - After lnstallation.
Post and Beam - Prlor to floorlnsulatlon or decklng.[--] lnsert - After flreplace approvql
-
and lnstallatlon of unlt.
Blocking and Set.Up - When allblocklng ls complete.
Floor lnsulatlon - Prior to
decklng.Curbcut & Approach - After
forms are erected but prior toplacement of concrete.
Plumbing Conneclions - Whenhome has been connected towaler and sewer.
[--l Sanitary Sewer - prior to filtinglJ trench.
Slorm Sewer - Prior to fllling
trench.
Sidewalk & Drlvewav - Afterexcavation ls complete, formsand sub-base materlal ln place.
Electrical Connection - Whenblocking, set-up, and plumbing
inspections have been approvedand the home is connected tothe service panel.
[--l Water Llne - Prtor to fiiling
-
trench.
Fence - When completed
Slreet Trees - When all required
trees are planted.
Final - After all requiredinspectlons are approved andporches, skirting, decks, andventlng have been lns'talled.
Rough Plumbing - Prlor to
cover.
STATE:
fl
[---l othertt
\//ffi Flnat ptumblns - When aili)Aetumbtng worli Is compteie.'r\
P,L.HSE GAR ACC
N
S
E
Lot (aces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se i
-
THE PROPOSED WOBK tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUTLDING 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.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Fleceived By:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties withln tl're City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
Ul,t t rctro
,q6
N
FT.
FT.
FT.
lA
(c)
.76
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
ln{ormation hereon is true ancl correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on this
proiect.
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
on the site at all times during constructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
tSlgnature -e_
Date +-el -Q'4
VALIDATION:
RECEIPT NUMB
Total Miscellaneous Pertnits (E)DATE PAID
AMOUNT RECEIVE
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)RECEIVED BY
1
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