HomeMy WebLinkAboutPermit Building 1996-07-292fi,
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JOB NUMBER
225 Fif th Street
SprlngtlelcJ, Oregon 92477
TAX LOT:22_M
SUBDIVISION
SPNII\rGFIELc)RESIDENTIAL
PERMIT APPLICATION
Inspectlons; 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT: BLOCK:
PHONE:
-
STATE ztP:
e D
ADDRESS
CITY:
NEW
-
BEMoDEL ADDlrloN DEMoLtsH orHER
DESCRIBE WOFIK
ME ADDRESS EXPIRES PHON E(/l
N
o
CONTRACTO
GENERAL:
PLUMBING:
ELECTRICAL:
CONST,
CONTRACTOR #
MECHANICAL:
--
# OF UNITS
- OFFICE USE -
ZONING CODE:
HEAT SOURCE
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GBOUP:
I OF STOBIES:
LAND USE:FLOOD PLAIN:
WATER HEATER:RANGE:
CONSTF. TypEi __, OF BDRMS: --
To request an lnspectlon
made the sarne worklng ' you must call 726'3769' Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspections requested atter 7:00 a.m. will be made the folrowlng *orriJiv. - - -
REQUIRED INSPECTIONS
Temporary Electric Rough Mochanlcal - prlor to
cover.Final Plumbing - When allplumblng worl( ls complete,
Slte lnspectlon - To be madcafter excavatlon, but prlor tosettlng forms.
Rough Electrical - prior to Flnal Eleclrical - When altelectrlcal work ls complete.
cover.
[--l Underslab plumbing / Elecrrical/
-
Mechanlcal - prlor to cover.Electrical Service - Must beapproved to obtaln permanent
electrlcal power.
Flnal Mechanical - When allmechanlcal work ls complete.
Footlng - Af ter trenches are
excavated.Flnal Bulldlng - When allrequired lnspecilons have beenapproved and building lscompleted.l-l Masonry - Steet tocatlon, boncl
-
beams, grouilng.
Flreplace - Prlor to faclng
materlals and f ramlng lnsp.
[-l Framlng - prtor to cover,
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon - prlor tocover.
t] ,';''ffii:!'i,iijn'.'-orns - Prror f orywan - prror ro raprns
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng,
MOBILE HOME INSPE TIONS
Wood Slovo - n fter lnstallatlon
Post and Boam - prlor to floor
lnsulatlon or decklng,[--l lnsert - After flreptace approvat
-
and lnslallatlon of unlt.
[-_l Blocking and Set.Up - When ail
-
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Alrproaclr - Afterforms are erected but prlor toplacemcnt of concrete.
Plumbing Connectlons - Whenhome has been connected towater and sewer.
f-l Sanltary Sewer - prior ro fllnglJ trench. r,t
l-l Storm Sewer - prtor to fllilnglJ trench. r
[-_l water Llne - prlor ro fiiltng|J trench.
l-l Rough Plumblng - prtor rolJ cover.
Sldewalk & Drlveway - Afterexcavatlon ls complete, formsand sub-base materlal ln place.
Electrlcal Connectlon - Whenblocklng, set.up, and plumblnglnspectlons have been approvedand tlte homo is connected tothe servlce panel.
Streel Treos - When all requlred
trees are planted.
Flnal - Af ter all requiredlnspections are approved andporches, sklrilng, decks, andventlng have been lnstalled.
OWNER:
T tl
E
[-_l Fence - When complered.
ff,n",W
ACCP.L.HSE GAB
N
S
E
Lot faces
Lot sq, ftg,
Lot coverage
Topography
Total helght
Lot TVo
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
t bac ks ; THE PBOPOSEO WORK iN THE .
-HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEB?
-
lf yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prlor to permit lssuance.
APPROVED:
AND BUILDING PERMIT
Thls permit is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, includlng the
Development Code, regulatlng the constructlon and use ol
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances'
DatePlans Rcvlewed Ely
BUILDING VALUE, P LAN CH ECK
Plan Check Fee
Datc Paid
Receipt Number
Received By
VALUE
. 7 S+,y'f
(A)
,2 t''i- >w€
/(r,D
X $/SO. FT,
/,20
Total Value
Bullding Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Maln
Garage
Carport
Systems Developmcnt Charge ls duo on all undeveloped
properties withln thc City linrlts whlch are being lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtu res
Rosldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nt0
FT.
FT.
FT,
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Tolal Charge
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuanco
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carelully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon horeon ls lrue and correct, and I lurther certlfy
that any and all work performed shall be done in accordance
wlth tho Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldlng Satety Divislon.
I further certlfy that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
proiect.
I f urther agrec to ensure that all required inspections are
requested at lhe proper tlme, that oach address ls readable
from tlro street, that the permlt card ls located at the front
the approved set of plans wlll remaln
me
{^o",.
Date
of the property, a
durln g constructlon.on the slte a
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Stato Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State SurchargP
Total Mlscellaneous Pertnits (E)
.4
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excludlng clcctrlcal)
(A, B, C, D, and E Comblned)kz
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