HomeMy WebLinkAboutPermit Building 1993-02-17SPRINGFIELO
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LOT:
TAX LOT:
SUBDIVISION
JOB NUMBER
BLOCK:
-4
LOCATION OF PROPOSED WOBK:
ASSESSOBS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Oflice: 726-3759
225 Fifth Street
Spri ngfield, Oregon 97 477
PHONE:
ZIP:STATE:7
CITY:
ADDRESS:
OWNER
NEW =- REMODEL ADDITION DEiVIOLISH OTHER
€
DESCRIBE WORK:
MECHANICAL:
ELECTRICAL:
PHON EADDRESS
?CONTRACTOR'S NAME EXPI RES
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
RANGE
# OF BDRMS:
_ OFFICE USE _
LAND USE:
ZONING CODE:
WATER HEATER:
* OF UNITS:
SECONDARY HEAT
SQUARE FOOTAGE:
OUAD AREA:
# OF BLDGS:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPEr
HEAT SOURCE:
Torequestaninspeclion,youmustcallT26-3T6g.Thisisa24hourrecording'Allinspectionsreques
made the same working day, lnspections requested after 7:00 a'm' will be made the following work
ted before 7:00 a.m. will be
day.
REOUIRED INSPECTIONS
[I TemporarY Electrictt
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.f---T Fireolace - Prior to facingu materials and framing lnsp.
B Final Building - When all
required insPections have been
approved and building is
completed.
Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover
Other
Foundation - After forms are
erected but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.
Drywall - Prior to taping
MOBILE HOME INSPECTIONS
tl y'r?l:iJ rJ:fr:i':'JX.":::ilff: [-l wood Srove - Arter instarration
Post and Beam - Prior to floor
insulation or decking.lnsert - After firePlace aPProval
and installation of unit.
Blocking and Set'UP - When all
blocking is comPlete.
Floor lnsutation - Prior to
decki ng.Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Ptumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place'
Electrical Connection - When
blocking, set'uP, and Plumbing .
inspections have been aPProved
and the home is connected to
the service Panel.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
[-_l fence - When comPleted
Final - After all required
insDections are aPProved and
oorches, skirting, decks, and
venting have been installed'Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are Planted.
FLOOD PLAIN:
Etl
E
tl
I
E
E
E
E
Lot faces
Lot sq. ttg.
Lot coverage
Topography
Total height
Lot Type
v
-,,
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
HSE GAR ACCPL.
N
S
r-.1_
IHE PROPOSED WOf?K IN THE
*JTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTER?
-
l{ yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
VALU E
/*-%
tYtt/-
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
/ z=&I -7e.2,/fr7f,
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
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.
Receipt Number:
Plans Reviewed By Date
Plan Check Fee: _--
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge is due on all undeveloped
properties within the City limits which are being improved.
FtrE
(c)
FT.
No
FT.
rr.
Residential Bath(s)
Plumbing Permit
State Surcharge
Total Charge
Sanitary Sewer
Water
Slorm Sewer
Mobile Home
PLUMBING PERMIT
ITEM
Fix t u res
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
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 pcrmission 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 f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom lhe street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on thc site at all times during construction.
Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
-'-
ft
Demolition
State Surcharge
Total Miscellaneous permits (E)DATE PAID 7-/>-
4.MOUNT RECEIVEDTOTAL AMOUNT DUE (excluding elecrric:r ll /
(A, B, C, D, and E Cornbine(,) / J '
RECEIVED BY
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VALIDATION:
REcErPr NUMBER 7 {72