HomeMy WebLinkAboutPermit Building 1991-07-16IELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
?fr,
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
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TAX LOT:01too
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LOT:BLOCK:,.SUBDIVISION ct-ARt<
SrnmANs PHON E
tN Qci.ADDRESS:oSTATE:
OWNER:
CITY:ScwrSnLlac)ZIP:n\l3
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REMODEL ADDITION DEMOLISH OTHER
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DESCRIBE WORK:
NEW
EXPI RES PHONEADDRESSCONTRACTOFI'S NAME
G EN ERAL:D:s- Srnrurtris
cELECTRICAL:
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MECHANICAL:
PLU M BI NG
CONST.
CONTRACTOR #
E_- OFFICE
LAND USE:
'# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN
ZONING CODE:
* OF BDRMS:
WATER HEATER:
SECONDARY HEAT
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
QUAD AREA:
# OF BLDGS
To request an inspection, you must call 726-3769. This is a24hour 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
ffr"-norary Etectric r Rough Mechanical - Prior to
cover.K'Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
K Rough Electrical - Prior to X Final Electrical - When all
electrlcal work is complete.cover.
x Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
[Vf Electrical Service - Must beA
"pproued to obtain permanent
electrical power.
x Final Mechanical - When all
mechanical work is complete.
IYl-Footing - After trenches areG excavated.K
K
K
Fireplace - Prior to facing
materials and framing lnsp.
[Y(Pinat Buildins - When alllC required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover,
E-Foundation - After forms are
'/L-i$ erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
K
J}
Underground Plumbing - Prior
to f;iling trench.ffi DrVwall - Prior to taPing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation 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.
E Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
[VICanitary Sewer - Prior to fillingGl 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 & DrivewaY - After
excavation is complete, forms
and sub-base material in Place.
X1-water Line - Prior to filling4s trench.
Fence - When comPleted.
Rough Plumbing - Prior to
cover.
Trees - When all required
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.B
rl
are planted.
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TiCF
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r
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type v
V lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
Lq0
JL
.v 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
2y
P.L.HSE GAR ACC
N 7''
S /5je
E 7tr'
x $/so. FT.VALUE
ad,L,
(A7, r'(A)
&qc
Itut,uTotal 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 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
p
Date Paid
Beceipt Num
Received By:
Plan Check Fee:
upon violation of ions of said ordinances.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) t/ ::6,1J
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
/6c. od
(c);E,oc
FT.
FT.
FT.
No g-
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
4.;c>
7'cc;
lf.oo
/o,oo
:4 .oD
+3.99(D)
]t ,fo
N0
3CO
Vent 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 further 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 f ront
Signatu
Date
of the property, and e approved pl ill remain
on the site at all during con
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, q D, and E Combined)
DATE PAID
RECEIVED
AMOUNT
VALIDATION:
RECEIPT NUM
A ID
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