HomeMy WebLinkAboutPermit Building 1992-04-01PRIN IELO
BLOCK:
ED
LOT.
TAX LOT:
SUBDIVISION
Springf ield, Oregon 97477
LOCATION OF PF-]O
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of f ice: 726-3759
.,UB NUMEEB ---
225 Fifth Street
\
PHONE:
STATE ZIP:
OWNE
ADDRESS
CITY:
ADDITI DEMOLISH OTHER
DESCRIBE WOR
NEW '- FIEMODEL
ESEXRCCE
ELECTI'tICAL:
CONST.
ONTSN
PLUMBING: -
MECHANICAL: -_-
CONTR
GENER
ouAD AREA:JW-O- .nr.ro us*:lit]
" OF BLDGS: ,-,
OCCY GROUP: .
r OF STOIIIES:
WATER HEATER:
-
CONSTR. TYP[:
IIF-AI' SOURCE:
BANGE:
FLOOD PLAIN:-, -.,
ZONING CODE: --
# OF BDRMS: ---, -
SECONDANY HEAI:
SOUARE FOOTAGE:
E_
, OF UNITS
cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Fireplace - Prior to facing
materials and framlng lnsP'
Framing - Prior to cover
Wall/Ceiling lrrsulation - Prior to
cover,
Final Electrical - When all
electrical work is colnPlete.
Final Mechanical - When all
mechanical worl< is corrlPlete.
Final Buitding - When all
required inspections have been
approved and builcling is
To request an inspection, you must call 726-376g. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be
macle the same working day, inspections requested after 7:00 a.m. will be made the following work day'
REOUIRED INSPECTIONS
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Rough Electrical - Prior toSite tnspection - To be made
af ter excavation, but Prior to
setting fornrs.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After lrenches are
excavaled.
Masonry - Steel location, bond
bearrrs, 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 lloor
insulation or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to (illing
trench.
Rough Plumbing - Prior to
cover.
[-.l Drywall - Prior to taoing.
[-_l Wood Stove - After installation
lnserl - After flrePlace approval
and installation of unit.
Curbcut & APProach - After
lorms are erected but Prior to
placement of concrele.
Sidewalk & DrivewaY - A{ter
excavation is comPlete, folms
and sub-base material in Place.
Fence - When comPleted-
Street Trees - When all required
trees are Planted.
completed
Othe
Blocking and Set'UP - Whctr all
blocking is conrPlete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and Plurnbing
inspections have been aPProved
and the home is connectecl to
the service Panel.
Final - After all required
inspections are aPProved and
porches, skirting, clecks, and
venting have been installed.
l-/
4
[-l TemporarY Electric
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MOBILE HOME INSPESTIONS
Er
IS THE PROPOSED WOFIK IN THE
V HISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTER? .-
l( yes, this application must be signed
ancl approved bY the Historical
Coordinator prior to permit issuance.
APPROVED
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
'v
-
lnterior
--
Corner
-
Panhandle
"-- Cul-de-sac
HSE GAB ACC
N
S
Setbacks
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition lhat the said
construction shall, in all resJlecls, conform to the Ordinance
adopted by the City of Springfield, including the
Development Cocle, regulating the construclion and use of
buil<.tinqs, anrl rttay ttc suspended or revol<ecl at any tirne
upon violzrtion of atry pr<.rvisiotrs of said ordinanccs.
DatePlans Rcvicwed LIY
Plan Check Fce:
Date Paid
Receipt Nutttber
Rcccivetl By
VALUE
LD
(A)
BUILDING PERMIT
Total Value
t3uil<lin<1 Pc'rtrti I [:cc
St ;t tc-' lir.t t r; lr;rrgc
Tot:tl l=cc
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Systems Dcvr-'loptttctrt Charge is due on all undevelopecl
properties within the City linrits which are being improvccl.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE,
N0
(c)
FT.
FT.
F-r.
PLUMBING PERMIT
Plumbing Permit
Stato Sr.rtcltarg;c
Total Ch;rr1;e
Wood Stove/ lnsert / Fireplace Unit
Dryer Vent
(D)
NNVent [:an
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnacc
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 certif y
that any and allwork 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.
I furlher certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further 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 properly, and the approved set of plans will remain
7L_
irrres during
alure
on the si t ruction
Sign,
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surcharge
Sidewalk --- ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
ED
DATE PAID
VALIDATION:
FIECEIPT NUMBE
AMOUNT REC
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
PL.
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