HomeMy WebLinkAboutPermit Building 1992-09-17i
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JoBNUMBE^ 7u23?
225 Fifth Street
Springf ield, Oregan 97 477
SP'lII\.GFIELf)
SUE]DIVISIONBLOCK:
7
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rAX Lor: -AE-
LOCATION OF PROPOSED WOBK
ASSESSORS MAP:
LOT:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office; 726-3759
ztP: * 11-yz,(irAl E: A {Z-
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Gr-
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D/
Pr-roNE: 7'{ b,:zh__ _
CITY:
ADDRESS
OWNER:
NEW
--
FIEMODEL ADDITION DEMOLISII OTI]ER
DESCRIBE WORK:
EXPIRES PHONEADDRESSCONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONS'T.
CONTRACIOFl /
GENERAL:
PLUMBING
# OF UNITS
# OF BDRMS
_ OFFICE USE -
LAND USE: - -FLOOD PLAIN: ---,.
ZONING CODE:
WATER HEATER
CONSTR, TYPE: _
HEAT SOUFICE:, OF STOFIIES: ---
OCCY GBOUP:- ---
SECONDARY I-]EAT
SQUARE FOOTAGE:
OUAD AREA:
r OF BLDGS:
RANGE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspoctions requested l;elore 7:00 a'm. will be
rnade the same working day, inspections requested after 7:00 a.rn. will be rnaclc the followin.c; work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Ptior trr
cover.l [:irral Pltrrrrbirrg - Wlren all
plutrrl..rirrl; wr.rrk is cotnplete.
Sile lnspection - To be nladc
af ter excavalior-r, but Prior tr.r
settingl fortt'ts.
Rough Electrical - Ptior tr.r
l Final Electric:rl - Wlrcn all
elcclrical wot l< is t;t-rtttplele.cover.
Underslab Plunrbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Mu:;t Irer
approved lo obtairr pcllrtan(rrll
electrical powcr.
t_l Final Mecharrical - When all
nrecltanical worl< is cornplele.
Footing - Af ter trenches are
excavated.L]Final Building - Wltt-'n all
required inspections lrave bcen
approved and building is
conlplete(i.
Fireplace - Prior to facing
materials and frarning lnsP.
Masonry - Steel location, bond
beams, grouting.
[-l Frarning - ['rior to covcr.
lxl orr,",A""g -T-Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling llrstrlaliot't - [)riot lcr
cover
Underground Plumbing - Prior
to filling trench.l-l orVwall - Prior to laui rrg
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After inst;Ill;rtiotr
Posl and Beam - Prior to floor
insulation or decking.lnsert - A{ter f ireplace apptoval
and lnsl:rllation of utrit.
Blockirrg and Set-UP - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & APProach - After
forms are erected but Prior lo
placement of concrete.
LJ Plunrbirrg Contrectiorrs - Wllcn
horne has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.I I Electrical Conrreclion - WhcnL-J trlocking, scl-up, and plunrbing
inspcctiot'ts ltave ltct-'n approved
and the hotnt: is connecteci lo
the service parrel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is contPlete, forms
atrd sub-base lnaterlal itr plar:l
Water Line - Prior to filling
trench.
Fence - Wlten comPleled
Rough Plumbing - Prior to
cover.
Streel Trees - When all recluired
trees are Planted.
Final - After all reqttired
inspections are aPProved and
porches, skirting, decks, and
venlinq have been installecl.
3r
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Lot fitt;es
Lot sq. ltg.
Lot coveragc
TopographY
Total height
I ot lygru
1,,11'1ior
(-or|tr:r
[)il tt ll;r t t cl I u
Cul clc-sac
Sr.rtbacks
}.ISE GAR ACC
I HE PROPOSED WORK IN THE
Fr-srontcal DrsrFllcr, oFt oN
Tl-tE tllSlonlcAL REGISTER? ..-- -..--..
lf yes, this applicntion rnust be signed
ancl approved bY the H istorical
Coordinator prlor to permit issuance.
APt'ROVED
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
aclopted by the City of Springfield, including the
Development Corle, regulating the construction and use of
builclings, ancl may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Dat(][]lans llevicwed []Y
Plan Check Fee:
Date Paid
Rer:eipt Number:
Ilcceivt",d By:
BUILDING PERMIT
VAI-UE
Lg(^)
6o
tv
SQ. FT. X $/SO. FT.ITEM
ruLin
Garage
Carport
Tot;tl V;llue
t3uil<lirrg Pcttrtit [:ctr
State Sltt r<;l r;tt t;cl
l'otal Fr,lc
td/_a,__op_
7n
1'
1,1,
Systerns Developntcnt Charge is clue on all undeveloped
propcrties within the City limits whictt are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
F E"b-
(c)
FT
No
FT.
Residential Biith(s)
Plumbing Perrrlit
Stale Surcharge
Total Charge
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
ITEM
[- ixl u res
trJ.
Wood Stove/ lnsert/trireplace Unit
Dryer Vent
(D)
NUVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hoo(l By signature, l state and agrec, that I have caref ully examined
the completed application and do hereby certify tlrat all
infornration 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 Spritrgfield, and the Laws
of the State of Oregon pertalning to the work described
Irerein, ancl that NO OCCUPANCY will be nlacle of any
structurc without perrnission of ttte Builcling Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
pro ject.
I f urther agree to ensure that all recluired inspections are
requested at the proper time, that each address is readable
from the street, that the permit carcl is located at the front
of the property, and the approved set of plans will remain
Signature
Date 7
ufl construct ionon the site at ti fir
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-,---
ft
Curbcut -- --- f t
Dernolition
State Strrcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER b41<
DATE'AID 4-t17 *72
"4.b"AMOUNT RECEIVET)
TOTAL AMOUNT DUE (exclt-tding clectrtcal)
(A, B, C, f), ;rncl [: Cotttlrincri)
4,b-Z
RECI:IVED BY A- ua^t .
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