HomeMy WebLinkAboutPermit Building 1993-05-23SPNI]tGFIELD
BLOCK:
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JOB NUMBER
LOT:
TAX LOT:
SUBDIVISION
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections:726'3769
Officc: 726'3759
225 Fifth Street
Springfield, Oregon 97 477
ztPSTATE:
5a PHONE:7>e
CITY:
OWNER: .
ADDRESS: -
NEW
--
REMODEL ADOITION DEMOLISH OTHER
DESCAIBE \,VORK:
ELECTRICAI-: --_--
PHONEEXPI NES
CON IRACTOB'S NAME
PLU T\Jl B ING
ADDRESS
GENERAL: --
# OF BDRMS
_ OFFICE USE -
FLOOD PLAIN
666y eROIJp
SECONDARY HEAT:
SQUAFIE FOOTAGE:
OUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS ZONING CODE:
# OF STORIES:
---WATER HEATEFI:
To request an inspection, you must call 726-3
made the s:rme working day, inspections req
76g. This is a24 hour recording. All inspections requested before 7:00 a'm' will be
uested after 7:00 a'm. will be made the following work day'
REOUIRED INSPECTIONS
TemporarY Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is comPlete.
Site lrrspection - To be made
af ter .)xcavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.cover
Under slab Plumbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
r:leclrical Power.
Final Mechanical - When all
mechanical work is comPlete.
Footirrg - After trenches are
excavated.f-l ltireplace - Prior to facingu materials and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.
Masonry - Steel location, bond
bcarn';, qrouting.[--] Framing - Prior to cover
E otnu'
Foundation - After forms are
erec.ted but Prior to concrete
placetnent.
Wall/Ceiling lnsulation - Prior to
COVET
Underground Plumbing - Prior
to fillang trench.[-l Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking'l-_l Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - A{ter f ireplace ilpproval
and installation of unit.
Floor lnsulation - Prior to
deckittg.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
trencl).Sidewalk & DrivewaY - After
excavation is complete, forms
and sub-base nraterial in Place.
Eleclrical Connection - When
blocking, set'uP, and Plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Storm Sewer - Prior to lilling
trenclL
Water Line - Prior to fllling
trencll.
Fence - When completed.
Street Trees - When all requlred
lrees are Planted.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.Rouglr Plumbing - Prior to
cover.
CONST.
CONTRACTCR #
E
fl E
tl
E
r tl Blocking and Set'UP - When all
blocking is comPlete'
E
E
E
fl
i]
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? .---
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
Setbacks
VALUE
(A)
tua
tWrZ
_ __r<
a?
x $/so. 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 orr the express condition tirat the said
construclion shall, in all resg;ects, conform to lhe Ordinance
adopted by the City of Springfield, rncluding the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violatlon of any provisions of said ordinanccs.
Plan Check Fee. ---.--
Plans Reviewed By Date
Date Paid
Fleceipt Number:_.... -.
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due bn all undcveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
NO
FT.
FT.
Fi.
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 Springf ield, and the Laws
of the State of Oregon pertaining to the work descrrbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I f urther certif y that only contractors and employees who
are in compliance with ORS 701.055 will be use<l on this
proiect.
I f urther agrce to ensure that all required insp(.ictio\s are
requested at the proper time, that each address is readable
from the street, that the permit card is located ;rt the f ront
of lhe property, and thrl approved set of plans will remain
on the site at all times during construction.
v/
Signature
Date { . ,,,?7
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID ff*-> -
TOTAL AMOUNT DUE (excluding electrical)
AMOUNT RECEIVED _
RFCFIVED BY/A o ,'r n .n/ tr llamhinor{\