HomeMy WebLinkAboutPermit Building 1996-10-26PHONE:
STATE:ZIP:
ADDRESS:
OWNEB:
+_ AD N DEMOLISH OTHER
DESCRIBE WORK:
NEW_- R
EXPIRES PHONE
CONTFIACTOR'S NAME
MECHANICAL
CONST.
CONTBACTOR #
GENERAL:
PLUMBING
- OFFICE USE _
WATER HEATER:
* OF UNITS:
FLOOD PLAIN
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
, OF BDRMS: --
FIANGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE: ._-
CONSTR. TYPE
HEAT SOURCE:
LAND USE:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: t26.3tSS
LOCATION OF PROPOSED WOHK:Z
ASSESSORS MAP:,a
SPFl ThlGF IELD
Wood Stove - After lnstallation.
lnsert - After f ireplace approval
and installation of unit.
Curbcut & AJrproach - After
forms are erected but prior to
placemcnt of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
{itreel Trees - When all required
trees are planted.
JOB NUMBER
225 Fifth Street
SpringfielcJ, Oregon g7 477
Final Plumbing - When allplumbing worl( ls complete.
Final Mechanical - When allmechanical work is complete.
Final Building - When ail
required lnspections have been
approved and building ls
completed.
Other
MOB!LE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
LOT:BLOCK:
To request an inspection, you must call 726-3769. Thls ismade the same working day, lnspections requested afte
Temporary Electric
TAX LOI:
Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Fireplace - Prior to facing
materlals and framing lnsp.
W
Framing - Prior to cover.
@Cuiting lnsulation - Prior to
cover. ,$,77 ftry-777€Z:> .
Drywall - Prior to taping.
a24 hour recording. All inspections requested before 7:00 a.m. wiil ber 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Rough Mechanical - prior to
cover.
Rough Electrical - prior to Final Electrical - When ailelectrical work is complete.
cover.
fr
w
B
Site lnspection - To be madeafter excavation, but prior tosetting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundatlon - 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 floor
lnsulatlon or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to f illing
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
-
SUBDIVISION:
CITY:
ELECTFIICAL:
t'
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fl
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tl
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tlr
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fl
fl
Fence - When completed.
E E tl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot Type --
-
lnterior
_- Corner
-
Panhandle
-
Cul-de-sac
acks
P.L.HSE GAR ACC
N
S
IS THE PROPOSED WOBK iN
HrsroBlcAL DlsTRlcL oR oN
THE HISTORICAL BEGISTER?
-
l( yes, this application must be slgned
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPFIOVED:
THE
AND BUILDING PERMIT
This permit is grantecl on the cxpress 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 tly Date
BUILDING VALUE,PLAN CHECK
Plan Check Fee:
Date Paid
Received By:
VALUE
(A)
2ZA2.2z
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fec
SO. FT. X $/SO. FT,ITEM
Main
Garage
Carport
7^ -<-o- /.4V,?4?r:/,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
FEE
(\.)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharoe
Total Charge
ITEM
Fix tu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and ail work performed shail be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work describedherein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Buildirig Safety Division.I further certily that only contractors and employees whoare in compliance with ORS 70j.OS5 will be used on thisproiect.
I further agree to ensure that all required ins
requested at the proper time, that each add
from the street, that the permit card ls I
Date lb/0 _-?g-
un o
pections are
ress is readable
ocated at the frontof the property, and the a set of plans will remainon the site at all times d truction.
Signatu
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk -.._- ft
Curbcut -._.--_ ft
Demolition
State Surcharge
Total Miscellaneous perrnits (E)
TOTAL AMOUNT DUE (exctuding ctectrical)(A, B, C, Q and E Combined)
.=>2,=4t
DATE PAID
AMOUNT FIECEIVED
FTECEIVED BY
VALIDATION:
RECEIPT NUMBER
E