HomeMy WebLinkAboutPermit Building 1996-11-05SPFtIhrGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PFIOPOSED WORK:
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JOB NUMBER
225 Fifth Street
Spring{leld, Oregon 97477
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ASSESSOBS MAP:
LOT:BLOCK:SUBDIVISION
TAX LOT:
Clme tr I L/^to+ s. ctsa <f PHONE:
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ADDBESS:
OWNER:
NEW
-
REMoDEL l ADDrloN DEMoLtsH .u - orHER
ru4/2L41a{- &t 'il e 4art/Crag,zz FaonN& r- *-D D /1/gt<-).DESCRIBE WORK:
MECHANICAL:
-
ELECTRICAL:
---
ADDBESS
. owN 4
EXPIRES - PHONECONTFIACTOR'S NAME
GENERAL:
PLUMBING:
CONST.
CONTRACTOR #
, OF BDRMS
- OFFICE USE _
WATER HEATER
FLOOD PLAIN
RANGE:
QUAD AREA:
r OF BLDGST
SECONDARY HEAT:
SOUARF- FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GFIOUP:
* OF STORIES:
To tequest an inspection, you must call 726-3769. This is a24,hour rccording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections 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 ailplumbing worl< is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mecharrical - When all
mechanical work ls complete.
Footing - After trenches are
excavated.Fireplace - Prlor to facing
materlals and framing lnsp.
Flnal Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation * Prlor to
cover.
Underground Plumbing - Prior
to filllng trench.[--l Drywall - Prior to taping
Underlloor Plumbing/ Mechanical
- Prior to insulatlon or decking.
MOBILE HOME INSPECTIONS
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unlt.
Blocking and Set-Up - When allblocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & A1:prroaclr - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
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.
Water Line - Prlor to filling
trench.
Fence - When completed
{itreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventing have been installed.
Rough Plumbing - Prior to
cover.
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ZONING CODE: _
E
tl
tl
E
E
[-l Wood Slove - After lnstallation.
E
tl
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-- Corner
-
Panhandle
-
Cul-de-sac
PL.HSE GAR ACC
N
S
E
IS THE PBOPOSED WORK iN THE
HISIOFIICAL DISTRICT, OR ON
TI.IE HISTORICAL FIEGISTER?
-
lf yes, this application must be signedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
/,73 + /,/h
?-Qa n
(A)
3A Sa
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e?
s2
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING VALUE, PLAN CHECKAND BUILDING PERMTT
This permit is granled on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any limeupon violation of any provisions of said ordinances.
Plans Rcviewed [3y Date
Receipt Nu
2-s 83
Date Paid:
Beceived By
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Fixtures
Flesidentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
(c)
FT.
FT.
FT.
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examinedthe completed application and do hereby certify that allinformation hereon is true ancl correct, and I f urther certify
that any and ail work performed shafl be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work described
hereln. and that NO OCCUPANCy will be made of anystructure without permission of the Building Safety Division.I further certify that only contractors and employees who
are in compliance with ORS 7O1.055 will be used on thisproiect.
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 ls located at the front
on the site all ti
n
Slgnatu
Date
of the property, and th roved set of plans wlll
during constru
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
MISCELLAN EOUS PERMITS
Total Miscellaneous pennits (E)
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut _ ft
Derholition
State Surcharge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
TOTAL AMOUNT DUE (excluding etecrrica|r _^GQ9Z(A, B, C, Q and E Combined)
6.AMOUNT RECEIVED.
RECEIVED BY
DATE PAID
2
VALIDATION:
RECEIPT NUMBER