HomeMy WebLinkAboutPermit Building 1994-03-15LOT:- BLOCK;
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SUBDIVISION
JOB NUMBER
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
TAX LOT
225 Fifth Street
Springfield, Oregon 97 477
PHON E:
STATE:CITY:
ADDRESS:
OWNER:
ZONING CODE:
. OFFICE USE _
LAND USE:
S OF BDRMS:
* OF UNITS:
FLOOD PLAIN
WATER HEATER:RANGE:
SECONDABY HEAT:
SQUAFIE 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, lnspectlons requested after 7:00 a.m. will be made the following work day'
REQUIRED INSPECTIONS
l-l Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Site lnspectlon - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to Flnal Electrica! - When all
electrical work is cogplete.cover.
Underslab Plumbing I Electrical /
Mechanica! - Prior to cover.
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power,
l--lfinaFMechanical - When alllJ mechanical work ls complete.
Footlng - After trenches are
excavated.
Final Building - When all
Flreplace - Prlor to faclng
materlals and framlng lnsP.
uired i nspectlons have been
and building isa
Masonry - Steel location, bond
beams, grouting.
completed
,(tt"-'ng - Prlor to cover'
Other
Foundation - After forms are
erected but prior to concrete
placement.
Wall/Ceillng lnsulation - Prior to
cover.
Underground Plumbing - Prlor
to filling trench.n Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanical
- Prior to insulation or decking.Wood Stove - After lnstallation
Post and Beam - Prior to floor
insulation or decking.lnserl - After firePlace approval
and lnstallation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulallon - Prior to
decking.Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water.and sewer.
a
Sanltary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been apProved
and the home is connected to
the service panel.
Storm Sewer - Prlor to fllling
trench.
Sidewalk & DrivewaY - After
excavatlon ls comPlete, forms
and sub-base material in Place.
Water Llne - Prlor to filllng
trench.
Street Trees - When all required
trees are planted.
Flnal - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumblng - Prior to
cover.
NEW
-
REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME ADDRESS
CONST.
CONTRACTOR #EXPI RES PHONE
bLuDdt%eruennl,
PLUMBING
MECHANICAL: *
ELECTRICAL:
?{a7*
@zte,??gftL
E
[_-l Final Plumbing -- When alltJ plumbing work is complete.
tl
E tl
E
E
tl
E
[-_l Fence - When comPleted.E
DESCRIBE WORK:
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot TYPo-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbac IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTER?
-
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
GAR ACCP.L.HSE
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 Spri ngfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances'
Plan Check Fee:
-
Plans Reviewed BY Date
Date Paid:
Receipt Num
Received BY:
BUILDING PERMIT .'
VALUE
/ 5.?S(A)
:icro@
SO. FT, X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
'Building Permit Fee
State Surcharge
Total Fee
/zd #
1{,&
7S
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDTTIONAL COMMENTS
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer -"
Mobile Horne
PLUMBING PERMIT
FEE
N0
FT.
(c)
FT.
Plumbing Pernrit
State Surcharge
Total Charge
FT.
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 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
that the permit card is locateci at the front
and the approved set of plans will remain
t.
du ring
Date 0rr,*'-.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
I l4),1
3
fi t.-,lsAMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
15,75t-
the site at
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