HomeMy WebLinkAboutPermit Building 1992-05-06SPRINGFIELE,
RESIDENTIAL
PERMIT APPLICATION
irrspectiorts: /26-3769
Of fice: 726-3159
ASSESSORS MAP:
JoB NUMBE R -*eA72*-
225 Fif th Street
Sprirrgf ield, Oregon 97477
LOCATION OF PNOPOSED WOFIK: -% I@-*-
rAX Lor J/24- -
LOT: -------BLOCK:SUBDIVISION:---
OWNER: --
ADDRESS:
CITY: --
PHONE:
ZIPffiSTATE:
NEW
---
REMODEL ADDITION DEMOLISH H F SZ,DESCRIBE WORK
MECHANICAL: -
-.-
--
PHONEEXPIRES/
ELECTRICAL
CONTRACTOR'S NAME
PLUMBING:
GENERAL
CONST.
CONTRACTOR #
RANGE SQUARE FOOTAGE:
r OF STOI]IES:
_ OFFICE USE _
LAND USE:FLOOD PLAIN:--
I OF UNITS:
OUAD AREA:
, OF BLDGS.. .._
OCCY GROUP:
WATER HEATEFI:
ZONING CODE: --
# OF BDRMS: ----- .-
SECONDARY HEAT:
-
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must catl 726-3769. This is a24hour recording. All inspections requested before 7:O0 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.w Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting fornrs.
Rough Electrical - Prior to Final Electrical - When all
electrical work is cornplete.cover
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Perrnanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framlng lns;r.
Final Building - When all
requireci inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
[-_l Framing - Prior to covcr,
Other,---,.
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lrrsulation - Prior to
cover.
Underground Plumbing - Prior
to lilling trench.l-_l orywall - Prior to taoing.
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulatiott 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
decking.Curbcut & Approach - Af ter
forms are erected but prior to
placement of concrete.
Plumbing Connections - Wlren
home has been connected to
water and sewer.
8
a
E
Sanitary Sewer - Prior to filling
trench.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 & DrlvewaY - Af ter
excavation is cofllplete, forms
and sub-base rnaterial in Place.
Water Line - Prior to filling
trench.
Fence - When completed
Rough Plumbing - Prior to Street Trees - When all re-quired
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installecl.cover.
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Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type _
-
lnterior
-
Corner
-- Panhandle
-
Cul-de'sac
Setb
P,L.HSE GAR ACC
N
S
:S THE PROPOSED WORK IN THE
-HISTORICAL DISTRICT, OR ON
THE HISTORICAL FIEGISTER?
---It yes, this application must be signed
ancj approved bY the H istorical
Coordinator prior to permit issuance.
APPROVED:E
BUILDTNG VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecl on the express condilion that the said
construction shall, in all respects, conlorm to tlre Ordinance
adoptecj by the City of Springfield, including the
Developtrtent Code, rcgr.rlating the construction and use of
buildings, and may be sus'pended or rcvoked at arry lime
upon violation of any provisions of said ordinances.
Plan Check Fee:
-,
DatePlans Rc'viewed BY
Receipt Numbe
Date Paid
Received By:D,var/rrsf /tr
- rzf
(A) /82,
BUILDTNG PERM!T
VALUESO. 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 limils which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Waler
Storm Sewer
Mobile Home
N"
Fr. <5? /FT.
_2{
(c)
FT. Z
PLUMBING PERMIT
4D
FEE
/2
/ad-e--frr-/4a7>
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state ancl agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correcl, and I f urther certif y
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, arrd the Laws
of the State of Oregon pertaining to the worl< described
herein, and that NO OCCUPANCY will be ntade of any
structure without perrnission of tlre Building Safety Division
I further certify that only contractors and employees who
are in compliance with OBS 701.O55 will be used on this
proJect.
I f urther 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 lront
jt- 6 -qa
Signature
Date
set ofof the propertY, and the aPP
durion the site at all
plans will remain
ion.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-'_-
lt
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
5\-e.12.-
S
DATE PAID
AMOUNT RECEIVED
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
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SYSTEMS DEVELOPMENT CHARGE (SDC)(B) el-
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