HomeMy WebLinkAboutPermit Building 1994-04-06SP,lII\.GFTELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
E404{<JOB NUMBER
225 Fitth Street
Springfield, Oregon 97477zLOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:TAX LOT:
LOT BLOCK:SUBDIVISION:
PHONE:
ZIP:STATE:CITY:
ADDRESS:
OWNEFI
DESCRIBE WORK:
Er E^TOt^At .
EXPIRES PHONE
CONST.
CONTRACTO R#ADDRESSCONTRACTOR'S NAME
MECHANICAL:
G EN EBAL:
PLUMBING
# OF BDRMS
_ OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATEFI HEATER
* OF UNITS:
RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
# OF BLDGS
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. Thls ls a 24 hour recording. All lnspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
[-l Temporary Electric
ll
Rough Mechanical - Prior to
cover.
Flnal 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
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prlor 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.
,K Framing - Prior to cover'
Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Posl and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and lnstallatlon of unit.
Blocking and Set.Up - When all
blocklng is complete.
Floor Insulation - Prior to
decki ng.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.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
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. I
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[-_l Sidewalk & Driveway - AftertJ excavation is complete, forms
and sub-base material in place.
I-_l Fence - When completed.ll
I
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks ..HE PROPOSED WOfIK IN THE
HISTORICAL DISTRICT, bN OT.T
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
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
buildlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Pran check Fee, ll)/{<-
Plans Reviewed By Date
Receipt Numbe
Date Paid
Recelved By:
VALUE
/uad:
1,a)
ae _-
(A)
9o
BUILDING PERMIT
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
??- ,e
Systems Development Charge is due on all undeveloped
properties wlthln the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth 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 ln compliance with ORS 701.055 will be used on thls
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 f ront
of the property, and the approved set of plans will remain
Date
on the slte at
Signatu
ction.mes during c
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltion
State Surcharge
Total Mlscellaneous Permits (E)
ED
DATE PAID
VALIDATION:
RECEIPT NUMBER
AMOUNT REC
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)/€ o5
Total Value
Bullding Permit Fee
State Surcharge
Total Fee