HomeMy WebLinkAboutPermit Building 1992-02-24SPFl!FIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Oflice: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:
LOT:
Q4,
l.l-
JOB NUMBER
ot 1o ln'7
225 Fifth Street
Springfield, Oregon 97477
TAX LOI:
BLOCK SUBDIVISION
PHON E:
OQ ZIP:
fl)
STATE:Q-sv
OWNER:
ADDRESS:
CITY:
NEW- REMODEL Y ADDITION DEMOLISH OTHEB
DESCRIBE WORK:
ELECTRICALi
PHONE
*l?,3,
'qLl 6
CONTRACTOR'S NAME
MECHANICAL:
ADDRESS EXPIRES
CONST.
CONTFIACTOR #
GENERAL:
PLUMBING
USE _
V
FIANGE:WATER HEATER:
I OF BDRMS:
- oFFtc
ZONING CODE:
FLOOD PLAINLAND USE
I: OF UNITS:
SECONDARY HEAT
SQUARE FOOTAGE:
OCCY GROUP:
r OF STORIES:
QUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested be(ore 7:00 a.m. will be
made the sape working day, inspections requested after 7:00 a.m. will be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Jpl'Final Building - When atlA{,required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
fitt"-'ng - Prior to cover'N Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l-l Drywall - Prior to taping
MOBILE HOME !NSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - Af ter installation
Post and Beam - Prior to floor
insulation or decking.lnserl - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement <lf concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.l--l fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
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Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se
HSE GAR ACCP.L.
N
S
E
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT.X $/SQ. FT,VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
a3cc
(A)
BUILDING 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.
Plan Check Fee es.o3
Date Paid .3
Fleceipt Number:
Receive b \4#Leviewed
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) -d #
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, 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 further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
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 front
of the property, and the approved set of plans will remain
on the site at all times during construction.
{",,
Date Fc-l^ ^ {9z
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION
RECEIPT NI
DATE PAID
AMOUNT R
RECEIVED
UMBER
BY
VED
5
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
4o.4s
/d^,43
P!,1-15
IELD, ORBGON
-TY Otr' SPRINGS
Bullding DePartment
CERTIFI.CATE OT CO}4PLIANCE
This cert,lfles that the building and property locat.ed at
L158 North 6th Street
has been inspected and found Eo comply-,uit h Ehe ordinances of the City of
Springfield, Oregon.
Owners Name Mr. Gerald D. Snider
Address 1159 North 6th Street
Gi Spri qfiel d.
Items of special consideration are:None
Date
5-77
Building Inspector