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Home My WebLink AboutPermit Building 1993-01-04T SPIIII\lGFIELE)RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726.3759 JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 , 3i2 al ASSESSORS MAP:/ -703 sl z4-TAX LOT:o LOT:BLOCK: PHONE: nJ, 32154 ORSTATE:CITY: ADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER - DESCRIBE WORK: ADDRESS EXPIRES r+{-L>r MECHANICAL: ELECTRICAL: PHONECONTRACTOR'S NAME CONST. CONTRACTOR # GENERAL: PLUMBING * OF BDRMS: - OFFICE USE _ LAND USE: WATER HEATER: ZONING CODE: FLOOD PLAIN r OF UNITS: QUAD AREA: r OF BLDGS: SECONDARY HE,AT: SOUARE FOOTAGE: OCCY GFIOUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspectlon, you must call 726-3769. Thls is a24nour recording. All lnspections requested before 7:00 a.m. wlll bemade the same working day, lnspections requested after 7:00 a.m. wlll be made the follov./lng work day. REOUIRED INSPECTIONS [l remporary Electric Rough Mechanical - Prlor 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 atl electrical work is complete.c over. 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 framlng lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, grouting.Framing - Prior to cover. Foundatlon - After forms are erected but prior to concrete placement. Other Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.[-l Drywall - Prior to taplng. MOBILE HOME INSPECTTONSUnderlloor Plumblng/ Mechanlcal - Prlor to insulation or decking.Wood Stove - After installation Posl and Beam - Prior to floor insulation or decking.lnsert - After flreplace approvql 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 of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanilary Sewer - Prior to filling trench.Electrlcal Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. IVI Storm Sewer - Prior to filling.Atrench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Water Llne - Prlor to fllllng trench. 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. LOCATION OF PROPOSED WORK: SUBDIVISION:_ aPt 77q77 RANGE: E tl E E tl r n r E tl E /- Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type -- - lnterior - Corner - Panhandle - Cul-de-sac. Setbacks PL.HSE GAR ACC N S E -.J THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this application must be signed and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: VALUE (A) I X $/SQ. FT. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. 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. Plans Reviewed By Date Receipt Numbe Plan Check Fee Date Paid: Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE z5,oo 26,2f(c) Z'S No FT. FT. Fr. 150 ' PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Furnace 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 examlned the completed application and do hereby certify that all information hereon is true and correct, and I f urther certlfy 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 d€scrlbed 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 wlll be used on this proiect. 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 ls located at the front of the property, and the approved set of plans will remain c Date on the site at all t during cons tion. )4isn"trr" MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) a rz- z{z-r DATE PAID AMOUNT RECEIVED FIECEIVED BY VALIDATION: RECEIPT NUMBER RESID ENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED ASSESSOHS MAP: LOT: !NGFIELED JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX LOT: BLOCK:SUBDIVISION: OWNE CITY: ADD PHONE STATE:ZlPi NEW - REMODEL ADDITION DEMOLISH ER DESCRIBE WORK: e trNt traa I ADDRESS EXPIRES PHONE MECHAN CONTRACTOR'S NAME PLUMBING: ELECTRICAL: CONST. CONTRACTOR # * OF BDRMS: - oFFtcE usE - WATER HEATER: ZONING CODE: FLOOD PLAIN * OF UNITS: QUAD AREA: * OF BLDGST SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an inspection, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. wlll be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. R UIRED INSPECTIONS Temporary Electric Mechanlcal - Prior to 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. inal Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Fireplace - Prior to faclng materlals and framlng lnsp. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prlor to cover. OtherFoundation - After forms are erected but prior to concrete placement.Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prlor to filling trench.l--l Drywall - Prior to taping. MOBILE HOME INSPE TIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. 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 lnsulation - Prior to decki ng.Curbcut &Approach - After forms are erected but prior to placement of concrete. Plumbing Conneclions - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Conneclion - 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. Fence - When completed.Water Llne - Prior to filling trench.Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Street Trees - When all required trees are planted. Rough Plumbing - Prior to cover. RANGE: LAND USE: tl E tf tl E E E tl E tl E E tl tl E tf E tl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac ks P.L.HSE GAR ACC N S E IS-.rf1 E PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTOBICAL REGISTER? - lf yes, this application must be signed and approved bY the Historical Coordinator prior to permit issuance. APPROVED: 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. Plans Reviewed By Date Plan Check Fee Date Paid: Receipt Num Received By: BUILDING PERMIT VALUE (A) SQ. FT. X $/SQ. FT.ITEM 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) ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) N0 FT. FT. FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rnace Exhaust Hood By signature, I state and 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 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 7> l/L ti n. Sig natu re Date on the at all times during MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) {C-\<-- VALIDATION: RECEIPT NUM DATE PAID AMOUNT RECEI BECEIVED BY