HomeMy WebLinkAboutPermit Building 1993-05-06SPR ELc,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
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JOB NUMBER
225 Fif th Street
Spri ng f ield, Oregon 97 477
LOCATION OF PHOPOSED WORK:2,9o N 'f,L *tn br*"t
ASSESSORS MAP:I -l 03 VL|LI TAX LOT:rq3
LOT:BLOCK:SUBDIVISION
PHON E:
zrp, - Q1q18_CQSTATE:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHEFI
',5|.-tr',aafti-
-
DESCRIBE WORK:
dt,
I'II ON EADDRESSEXPIHES
1Y?
CONTRACTOR'S NAME
MECHANICAL
ELECTRICAL:
CONST.
CONTRACTOB '
Yl-42q2
8y)7tJ
GENERAL:
PLUMBING
OFFICE USE _
SQUARE FOOTAGERANGE:
FLOOD PLAIN:
WATER HEATER:
g OF UNITS:ZONING CODE:
-
SECONDARY HEAT
c OF BDBMS:
L
LAND USE:QUAD AREA:
A OF BLDGS:
OCCY GROUP:
* OF STORIEST
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This ls a24nour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED !NSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
f-/Tinal Plumbing - Whc.n allta plumbing work is coml,letc.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - Whcn all
electrical work is complete.cover
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - Wnen all
mechanical work is cornplcte.
Footing - Af ter trenches are
excavated.Fireplace - Prior 1o facing
materials and framing insp.
Final Building - When all
required inspections h:rve been
approved and building rs
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover
Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.I-_l Drywall - Prior to taping
MOBILE HOME INSPE TIOI{S
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After f ireplace approval
and installation of unit.
Blocking and Set-Up - WIren all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcul & Approach - After
forms arti erectecl but prior to
placement of concrete.
Plurnbing Conneclions - When
home has been connec.ted to
water and sevJer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - V/hen
blocking, set-up, and prumbing
inspections have been approved
and the horne is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in Place.
Water Line - Prior to filling
trench.l--l Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approvr-,d and
porches, skirting, decks, arrd
venting have been inst;llled.f/Rougn Plumbing - Prior to
-
cover.
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IS .^'. PROPOSED WORK IN THE
HI: -fIICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. {tg
Lot coverage
TopograPhY
Total heigfrt
Lot Tyt.,e
.- - lrrterior
--,- Corner
--
Panhandle
--
Cul-de-sac
N
HSE GAR ACC
S
E
Se
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granled on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
uOop,"O by the City of Springfield, including the
Development Cocle, regulating the construction and use of
Luildings, ancl may be suspended or revol<ed at any time
upon violation of any provisions of said ordinances'
Plan Chr:ck Fee:
-----
DatePlarrs Reviewed BY
Ftecei pt Numbe
Dale Paid
Received BY:
VALUE
(A)
BUILDING PERMIT
lTEl"4
Main
Garage
Carport
Tot:rl Valutr
Building Pernrit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.
Systems Developrnenl Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixturos
Res,identi;,1 Bath(s)
Sarritary Sr.'wer
Warer
Storm Sevver
Mobile Hc.me
PLUMBING PERMIT
FF.E
NO
FT.
sa so
FT.
(c)
_50-o-o-
&SoPlurnbing Permit
state su rc harge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanicirl Permit
I ssuance
State Surcharge
Total Pernrit
MECHANICAL PERMIT
Furnace
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 Springf ield, 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 f urther certify that only contraclors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all requirqd 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
on the site at all titttes during construction.
Signature
D;tte
S v-
MTSCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --- - lt
Curbcut ---
ft
Demolition
state surcharge
Total Miscellaneous Permits (E)=)ulqt6Ga-so
+
_ao
DATE PAID
VALIDATION:
FIECEIPT NUMBER
AMOUNT FIECEIVED
RECEIVED BY .
TOTAL AMOUNT DUE (excluding ..)lectrical)
(A, R, C, C,. ;tnr, E Combincrl)
6s).so
PL.