HomeMy WebLinkAboutPermit Building 1992-06-29SIIRINGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections 71'0'3769
Office: 726'371,9
LOCATION Ol PROPOSL:D WORK:
ASSESSOBS IV'tAP:_
Job NUMBER*2'#Z=
225 Fifth Street
Spri ng f ielcl, O r e !,,tt'r 97 47 7
7=
TAX LOT:
LOT ____- _BLOCK:
-"-.
SUBDIVISION
PHONE:OWNF-R: _-€
ADDBESS:
-CITY:.-- -
STATE:
DESCRIBE WORK
NEW ---_ . REMODEI-
-.
ADDITION DEMOLISH OTHER
ZIP:
--
ADDRESS
CONST,
CONTRACTOR #EXPIRES PHONECONTNACIOI']'S NAME
GENERAL:
PLUMBING
Owrya-A
MECHANICAI
ELECTRICAL:
CONSTR. TYPE:
-
r OF BDRMS:
HEAT SOURCE:SECONDARY HEAT: ---
SOUARE FOOTAGE: -RANGE:
To recluest an ir.rspection, you must call 726-3769. This ls a24nour recording. All inspections requested before 7:oo a.m. will be
made the sarrrt} workir.rg day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
QUAD AREA
occY GROUT'.
--I OF STORIES):
WATER HEAI I:R
f- --l Tcmpot;uy Eleclricrl
Site lnspectiotr - To be rnarde
af ter e>,t;avation, l)ut Priol to
s(]ltir'rg lotms.
Undersl:rb Plumbirrg/ Electrical /
Mechanical - l)rtor to cover.
Footing - Aftcr trenches are
excavatcd.
Masonry - Steel location, bond
beanrs, Uroutir'tg.
Found;rtion - After forms are
erecte(l trut Prior to concrete
placenrcnt.
Underground Plumbing - Prior
to filling trencll.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post arrct Beanr - Prior lo floor
insulati()n or clecl(ing'
Floor lnsulation - Prior to
<Jeckit.tg
Sanitary Sewer - Prior to fillittg
trench.
Storm Sewer - Prior to fillitrg
trench.
Water Line - Prior to filling
trench.
r OF UNITS:
_ OFFICE USE _
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to oblain Perrnanent
electrlcal power.
Fireplace - Prior to facing
materlals anrj fratning lnsP.
[-!l Framing - Prior to cover.
t/'l
Wall/Ceiling lnsulation - Prior to
cover,
FLOOD PLAIN:-
ZONING CODE: .-
Final Plunrbit'tg - Whetr all
plunrbing wt-rrk is conlplele.
Final Electrical - Whetr all
electrical work is corttl)lete.
Final Mechanical - Wtren all
mechanical work is complete.
Final Building - Wltetr all
required inspcctions have becn
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-UP - Wlrett all
blocking is complete.
Plumbing Connections - Wltcn
lrome has been conrlected to
water and sewer.
Electrical Corrnection - Wlterr
trlocking, set-up, ancl plutnbittg
inspections ltave been approvc(l
and the horne is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been irlstalled.
I _l Rough Mechanical - Prior totl cover.
I Drywall - Prior to taping
Wood Stove - After installation
lnserl - After flrePlace aPProval
an(l installation of unit.
Curbcut & Approach - After
forrns are erccte(l but Prior to
placement of concrete.
Sidewalk & DrivewaY - After
excavation is cornPlete, forms
anr.l sub-base Inaterial in Place'
l-l Fence - When comPleted
Street Trees - When all requlred
trees are planted.Rough Plumbing - Prior to
cover.
7 r -an'=--
LAND USE:
L]
tl
tl
r
tl
tI
tl
flr
E
tl
tl
tltl
E
m
r tl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type_
-
lnterior
--
Corner
-
Panhandle
--
Cul-de-sac
Setbacks
PL.HSE GAFI ACC
N
S
E
.S THE PFIOPOSED WOBK IN THE
}JISTORICAL DISTBICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
ancl approvecl bY the Historical
Coordinator prior to permit issuance'
APPFIOVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the-'express condition th;rt the said
consiruction shall, in all respects, confortn to the Orclinance
adopted by the City of Sprin-qfield, inr;luding tlre
Development Code, regulating the constructit>rt ancl use of
buildings, and nlay be suspended or revol<ecl al arry titne
upon violation ol any provisions of said ordirrances'
Plan Check Fee; ----__-"-=--=---
DatePlans Reviewed BY
Date Paid
Beceipt Number
Received BY
BUILDING PERMIT
ITEM SO. FT. X $/SQ. FT
//yrr44(@ /4o
VALUE
(A)
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
(c)
PLUMBING PERMIT
ITEM
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert / Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref r'rlly examined
the completed application and do hereby certify that all
information hereon is true and correcl, 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 Statc of Orcgon pertainlng to the worl< rlescribcd
herein, and that NO OCCUPANCY will be nr;rtJe of any
structure without perrnission of the Building Safr:ty Division'
I further certify that orlly contractors anci enrl,lloyr:es who
are in compliance with ORS 701'O55 will be trsr:d on this
proiect.
I f urther agree to ensure that all requirecl inspections are
requested at the proper time, that each address is readable
from the street, that the pcrmit card is locatr:rl al the front
of the property, and lhe approved set of plarrs will retnain
Signatu
Date
on the site at tirnes during co
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
---.
ft
Demolltlon
State Surcharge
Total Miscellaneous Permits (E)
ffidb-
DATE PAID
VALIDATION:
RECEIPT NUMBER
AMOUNT RECEIVED
RECEIVEO BY --_ ..
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
.t *
,2<-