HomeMy WebLinkAboutPermit Building 1993-07-06SP'rTl.lGFTELE'
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L 5 2-o o3s7aLOCATION OF PROPOSED WORK: -TAX LOT:
ASSESSORS MAP:
LOT:
JOB NUMBERRESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Off ice: 726'3759
BLOCK: SUBDIVISION
225 Fifth Street
Springfield, Oregon 97 477
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?5-o9
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CITY:
ADDRESS
OWNER PHONE
NEW ---
REMODEL ADDITION DEMOLISH OTHER
ELECTRICALT
---
PHONE
CONTRACTOR'S NAME
GENERAL: e-A /L? rtA4 ilLr n 7//f7o//?r,7 L<4
EXPIRESADDRESS
PLUMBING:
CONST.
CONTRACTOR'C
RANGE:
r OF BDRMS:
_ OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAINOUAD ABEA:
OCCY GROUP..
-.
WATER HEATER: _-
A OF UNITS:
SECONDARY HEAT:
SOUARE FOOTAGE:
'r OF STORIES: --..=--=_-.--t
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-376g. This is a24hour recording. All inspections requested before 7:00 a'm' wlll be
made the sarne working day, inspections requested after 7:00 a.m. will be made the fotlowing work day'
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Rough Eleclrical - Prior toSite lnspection - To be made
after excavation, but Prior to
setting lorms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
bearns, grouting.
Foundalion - 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
insulation or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to f illittg
trench.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
covcr.
co'/er.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
[-l Fireplace - Prior to facingu materials and framing lnsP.
[-l orVwall - Prior to taping
Wood Stove - Af ter instarlalion
lnsert - After firePlace aPProval
and installation of unit.
Curbcul & APProach - After
forms are erected but Prior to
ptacement of concrete.
Sidewalk & DrivewaY -' After
excavation is conlPlete, forms
and sub-base material in Place.
Fence - When comPlcted
Streel Trees - Wherr all required
trees are Planted.
Final Electrical - When all
electrical work is comPlete.
Final Mechanical - When all
mechanical work is complete.
Final Building - When all
required insPections have been
approved and building is
compieted.
tf
tr
Framing - Prior to cover.
Wall/Ceiling lnsulation -- Prior to
cover,
flo,n.' ,SP -2 oyP
MOBILE HOME INSPE TIONS
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.
E
E
E
E
E
E
E
tf
E
E
n
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
IS E PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR ON
THE HrsroRlcAl REGrsreaz P 6
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDTNG PERMIT
This permit is granted on the express condition that the said
construction shall, irr all respects, conform lo 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: ----
DatePlans Reviewed By
Date Pairl
Reccipt Numbr.,r:
Received By
VALUE
l'-'-
-\
(A)
x $/so. FT.
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
sysTEMS DEVELOPM ENT C!-TARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Fesidential Bath(s)
Sanitary Server
Water
Storm Sewer
Mobile Home
FEE
)5,!!
,7i7r
-fra/d-<-C4-
(c)
No
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
IViECHANICAL PERMIT
Fu rn ace
Exhaust Hood By signature, I state anrl 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 all work pcrformed 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 clescribed
herein, and that NO OCCUPANCY will be made of any
structure without permrssion of the Building Safety Division.
I further certify that only comractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspectio.ns are
requested at the propcr time, that each address is readable
f rom the street, that the permit card is located at the front
of the property, and tlre approved set of plans will remain
lltlYzDate
al all times duriqg
C.6^^t4tKn"
on the site constructi
L4
atu re
/e
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge ?2
/e20Total Miscellaneous Permits (E)
la
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
s{e'
NECEIPT N
DATE PAID
AMOUNT R
BECEIVED BY
VALIDATION
UMBE
ECEIV+Q
FT.