HomeMy WebLinkAboutPermit Building 1993-06-07SPNI^rG ELO
BLOCK:
Zfr,
2
3 NUMBER
LOT:
TAX LOT:
SUBDIVISION
LOCATION OF PBOPOSED WORK:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of{ice: 726-3759
225 Fifth Street
Springfield, Oregon 97 477
PHONE
g7/77ZIP:STATE:
-s z/6
82"*.CITY:
--
ADDRESS
OWNER:
ADDITION DEMOLISH OTHER
DESCTIBE IVORK:
NEW
---
REMODEL.-
#."//Araf"tAoDBESS 4sy la7 33N?Io"to R "6f,ry EXP,R HONECONTRACTOR'S NAME
PLU fvl BlNG
ELECTRICAL:
RANGE
# OF BDRMS
OUAD AREA:
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
WATER HEATER:
r OF BLDGS: -
OCCY GBOUP:
* OF STORIES:
Torequestaninspection,youmust call 226-3z6g.Thisisa24hourrecording.All inspectionsrequestedbeforeT:00a.m.will be
made the same working day, inspectlons requested after 7:00 a.m. will be made the following work day'
REQUIRED INSPECTIONS
Temporary Eleclric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter ()xcavalion, 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.
Footing - After trenches are
exc avated.Fireplace - Prior to faclng
materials and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
,(t--ing - Prior to cover
Other
Foundation - After forms are
erected but prior to concrete
placement.
Wall/Ceiling lnsulalion - Prior to
cover,
Underground Plumbing - Prior
to f illing trench.l-_l Drywall - Prior to taoing.
MOBILE HOME INSPECTIONS
Under lloor 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
deckirtg.Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trencll.Electrical Connection - 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.
Water Line - Prior to filling
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.Rougl't Plumbing - Prior to
cover.
E
tl
E
E
r
E
tl
r
Final Mechanical - When all
mechanical work is conlplete.
tl
rl
E
E
E
E
Er
E tlT
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR
N
S
E
ACC
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTETI? --
lf yes, this application must be signed
and approved by the Historical
Coordin;rtor prior to permit rssuance.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT.X $/SQ. FT.VALUE
Main
Garage
Carport
5@,'o
Total Value
Building Permit Fee
State Surcharge
Total Fee
l{"o
tfr75
(A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted orr the express condition ttrat the said
construction shall, in all respects, conform to the Ordinance
adoptecl by the City of Springfield, irrclrrding 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:
-Date Paid
Beceipt Numbet:----
Received By
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being itnproved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT,
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I state and agree, that I have caref ullT examined
the compieted;rpplication and r1o hercby certify that all
information hereon is true and correct, and I furthcr certify
that any and all work performed shall be done in i.rccordance
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 m:rde of any
structure witlrout permission of the Building Safety Division.
I f urther certify that only contractors arrd employees who
are in compliance with OHS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspe ctiorls are
requested at the proper time, that each address is readable
from the street, that thc permit card is locatecj at the front
of the property, and the approved set of plans will remain
on the site at all ti S con st tion.
Xstsn"t*u
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Tnlrl IVliceollznpolrs Permi ts (F)TatZ/ /5,?J
VALIDATION:
RECEIPT NUMBER -
gg > I
DATE PAID
A.*i i t^