HomeMy WebLinkAboutPermit Building 1991-07-12t
SP,tIIl.GFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Spri ngf ield, Oregon 97 477
_]Lo
LOCATION OF PROPOSED rf
TAX LOT:ASSESSORS MAP:
LOT:BLOCK:SUBDIVISION
To request an inspection, you must call 726-3769. This is a24 hour 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 INSPECTIONS
Temporary Eleclric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materials and framing lnsp.
ffiframing - Prior to cover,
Wall/Ceiling lnsulation - Prior to
cover.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
a x
EItr
K
l--l Drywall - Prior to taping
Wood Stove - After installation
lnsert - After fireplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Fence - When completed.
Street Trees - When all required
trees are Planted.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - A{ter atl required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
PHON E:
ZIP:
OWNER:
ADDRESS:
CITY:STATE:
KDESCRIB
NEW REMODEL ADDITION DEMOLISH
EXPIFIES PHONENAMEADDRESS
5
ELECTRICAL:
MECHANICAL:
CONST.
CONTRACTOR #cor/rnncro
GENERAL:
PLUMBING
t ,5q-
QUAD AR
RANGE:
* OF BDRMS:
WATER HEATER:
_ OFFICE USE _
ZONING CODE:
FLOOD PLAINLAND USE:
r OF BLDGS:* OF UNITS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
x
E
T r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
_ THE PROPOSED WORK tN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
APPROVED
SQ. FT,\DX E
7( t7(A)
$/
liA
Total Value
Building Permit Fee
State Surcharge
Total Fee
7qc8
68 ro
?, v7
BUILDING PERM!T
ITEM SQ. FT.
Main 52q
Garage
Carport
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
buildings, and may be suspended or revoked at any time
7^f '':'
Date '
5
By:
By
SIONS said ordinances.
Plan Check Fee:
Date Paid
Receipt Number:
Rec
upon violation of any
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Su rcharge
Total Charge
ADDITIONAL COMMENTS
KCL
/?/L( / /ECTR:C4L
{a
,L/u-t/4eI teR-
Wood Stove/ lnsert/ Fi replace 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 carefully 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 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 in compliance with ORS 701.055 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 front
of the property, and the approved set of plans will remain
on the site at all times during construction.
5t g natu re'
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk .- ft
Curbcut __-- ft
Demolition
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctuding etectricat)(A, B, C, D, and E Combined)7fiz(.?EDECEI
BY
VALIDATION:
RECEIPT NUMB
DATE PAID
AMOUNT R
RECEIVED