HomeMy WebLinkAboutPermit Building 1991-08-19\-
SPrlINGFI ELE)
RESIDENTIAL
PERMIT APPLICATION
I rrspections: 726'3769
Of f ice: 726'3759
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
n
LOCATION OF PNOPOS ED vd
ASSESSORS MAP'JO
lt)ool-,lo
TAX LOT:
LOT:
--=
BLOCK:SUBDIVISION
I
PHONE:
ZIP:STATE:
OWNER:
ADDRESS:
CITY
OTHERHNEW REMODEL ADDITION DEM
DF-SCRIBE WOR
55ffi1' v:ftil lWstt
CONST.
n DDFtF:;SE()oNI
(ltjNt-nAI
l)l t.,MBlNC
,,.."-Xlt[d
s r.t
_ OFFICE USE -
E OF BDRMS:
RANGE:
OCCY GROUP
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
LAND USE:
# OF UNITS
QUAD AREA:lR-NLJ._
SECONDARY HEAT:
SQUAFIE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:, OF STORIES: _
-_
To request an inspection, you must call 726'3769. This is a24hour recordlng. All inspecilons requested before 7:oo a.m. wlll betnade the same working clay, inspections requested after 7:oo a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - prior to
cover.x
X
w
x
Final Plumbing - When allplumbing worl< is complete.
Site lnspeclion - To be rnacJe
af ter excav;rtion, ltr-rl prior to
settinO fornrs.
Rough Electrical - Prior to Final Electrical - When allelectrlcal work is contplete.oovcr.
Underslab Plumbing/ Electrical /Mechanical - Prior to cover,Eleclrical Service - Must beapproved to obtain permanent
electrical power.
Final Mechanical - When ailmechanical work is complete.
Fooling - Af ter trenches are
excavated.Final Building - When ailrequired lnspections have beenapproved and building is
completed.Masonry - Steel location, bon(t
bearns, gror.rting.
Fireplace - Prior to faclnqrnaterials and framlng lnsp.
Framing - Prior to cover.
Foundation - After forms areerecled but prior to concreteplacement.Wall/Ceiling lnsulation - prior to
cover.
f-l Underground ptumblno - prior
Underlloor Plumbing/ Mechanical
- Prior to insulation or deckin0.
MOBILE HOME INSPE TIONS
Wood Slove - After lnstallation
Post and Beam - prior to floorinsulation or decking.[-_l lnsert - After ftreptace approvat
-
and installation of unlt.
Blocking and Set.Up - When allblocklng ls complete.
Floor lnsulalion - prior to
decki ng.Curbcut & Approach - Afterforms are erected but prior to
;tlacemcnl of concrete.
Plumbing Connections - Whenhome has been connected towater and sewer.Sanilary Sewer - prior to filling
trenclr.
[-l Storm Sewcr - prior ro lilting'- -' trcnt;lr.
Siclewalk & Driveway - Af tercxoavittiorr i:; comltlete., forms.ul(l sllb-l)lse ntatr!rial irr place.
Eleclrical Conneclion - Whenblocking, set-up, and plumbinginspections h;rve bec,rr approve(l.rn(, the homt' is connectcd tothe service panel.Il Water Llne - prlor to tiilinglJ trenr;h.
Ferrce - Wlten cofilpleted.
Rough Plumbing - prior to Streel Trees - When all requiredtrees are planted.
Final - After all requireci
inspections are approved andporches, skirting, decks, andventing have been installed.
cover.
t_l
, OF BLDGS:
- -
l---l orher
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lol Type
_- lnterior
-
Corner
-_ Panhandle
-- Cul'de-sac
Se ks
S
-1S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE I.iISTORICAL REGISTER? =--
lf yes, this application must be signed
and approvecl bY the Historical
Coorditrator prior to parrnit issuancc.
APT'HOVED: -E
HSE GAR ACCP.L.
N
BUILDING VALUE, PLAN CHECK
AND BUILDTNG PERMIT
This perrrlit is grantccl on the express condition tllat the said
consiruction strall, in all respects, conform to the Ordinance
,.f"pt",f by the City of Springfielcl' including the
Developnrent Co<Je, regulatirrg the construction and use of
Ouitaling", ;rnrJ may be suspended or revoked :rt any time
uporr violation of arny provisions of said ordinances'
Plan Check Fee: ----
RecciPt Nunlber:'-
DatcFlcviewed BYPlans
Rcceived BY:
Date Paid
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Developtrrent Chargc is due on all uncleveloped
properries within the City limits which are being improved'SYSTEMS DEVELOPMENT C
(B)
HARGE (SDC)
ADDITIONAL COMMENTS
LT
ITEM
Fixtures
Residcntial Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
NN
FT.
FT.
FT.
(c)
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
No
)(D)
Fu rnace
Exhaust Hood
Vent Fan
Mccherni<;al ttrermit
lssuance
State Surcharge
Total Permit
By signature, I state and agree' that I lrave caref ully examined
the completecl application anct cjo hereby certify that all
information hereon is true and correct' and I lurther certi(y
that any antl all work performed shall be done in accordance
*iin an" Orclinances of the City of Springf ioltl' and tlrc Laws
cl( tlrc Statc of Orct;crt-t |)crtainin!t to tlrc w()ll( d(]1;(:ril)()(l
lrcreirr, :rnd tlrirt NO OCCLIPANCY will t)() rlra(lc' oI atry
struclltre witllotlt 1;r-'ttrrit;l;i,n of tllc Builtlirtt; ['iirlt''ty Divi:iiorr'
I Iurtller certity tllilt ('illy corllra(;torli attttJ <ltrtployt)os wllo
are in cotnpliarrce witlt OR:j 701'055 will t-rc tts;cd on thi:;
proicct.
re that all requirecl inspections are
tirne, that eaclr address is readableI f urther agree to ensLl
requested at the ProPer
rmit card is located at the f ront
Irom the strcet, tl.rat tlre Pe
set of Plans will remainprovedof the ProPertY, and the aP
ructdurion the site at all
Signatu
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
lt
Curbcut .-- ft
Demolition
State Surcharge
(E)
Total Miscellaneous Permits
TOTAL AMOUNT
(A, B, c, D, and E
DUE (excluding electrical)
Combined)
VALIDATION
RECEIPT NUMBEB-DATE PAID
AMOUNT R
Fr:cf lVED
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