HomeMy WebLinkAboutPermit Miscellaneous 1996-04-04RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:tt(" l-+
LOT BLOCK:
FIELE),lb
2ft,
JOB NUMBER
225 Fifth Street
Spri ng f leld, Oregon 97 471
l
ASSESSORS MAP: TAX LoT
SUBDIVISION:
PHONE:
N\, 5t"{"t3
OR ZIPSTATE:Qlv 7+
-ffis
CITY:
ADDRESS:
ER:
NEW -- REMODEL ADDITION DEMOLISH OTHER .--
LbDESCRIBE WORK
AME ADDRESS EXPIRES PHONE
HioF
CONTFACTOR'S
_ OFFICE USE -
LAND USE:
# OF BDRMS
MECHANICAL:
ELECTRICAL:
r OF UNITS:
WATER HEATER
FLOOD PLAIN
URCE:
CONST.
CONTFIACTOR #
GENERAL:
PLUMBING
SECONDARY HEAT:
SOUARF" FOOTAGE:
ZONING CODE:
CONSTR. TYPE:
---
OCCY GROUP: ------
QUAD AREA:
# OF BLDGS
To request an inspectlon, you must call 726-3769. Thls is a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumbing 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 Plumblng/ Electrical/
Mechanlcal - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals ancl framing lnsp.
Final Buildlng - Whep ail
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement,
Other
Wall/Celling lnsulation - Prlor to
cover.
Underground Plumblng - Prior
to filllng trench.Drywall - Prlor to taping
MOBILE HOME INSPE TIONSUnderlloor Plumbing/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stove - After lnstallation.
Post and Beam - Prior to floor
lnsulation or decklng,lnsert - After flreplace approval
and installatlon of unit.
Blocking and Set.Up - When alt
blocking ls complete.
Floor lnsulalion - Prior to
decki ng.Curbcul & Ag:proach - After
forms are erected but prior to
placement 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 serviie panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base materlal in place.
Water Line - Prlor to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
ventin,O have been installed,
Rough Plumbing - Prior to
cover.
RANGF-:
l--l Temporary Electric
tl
tl
tl
tl
E
tl
E fl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot TYPs-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
i =-zS THE PFIOPOSED WOFIK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon ,uui bu signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUTLDING 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
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Plan Check Fee
Date Paid
Receipt Number
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre Cily linrits which are being improved.
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
J.e
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully e/,amlned
tte completed application and do hereby cerUly that all
lnlormation hereon is true ancl correct, and I toither cerilfy
that a)ry and all work performed shall be done in accordance
regon pertainlng to'thc work described
OCCUPANCY will be made of any
treet, that the permit card ls located at the front
property, and the approved set of plans will remain
the site at all times during construction
G
inances of the Cit y of Springfield, and the Laws
o
of
Slgnd\ure
Date
with the
of the State
on of the Bullding Safety Division.
tractors and employees who
.055 will be used on this
prolect.
I further ag ired inspections are
requested e proper time, that eac dress is readable
from t
I further certify that onl
are in compliance with
ensure that all
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-_
ft
Demolition
State Surcharge
Total Miscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
55
RECEIVED BY
VALIDATION
AMOUNT RECEIVED
RECEIPT NUMBER
DATE PAID
/1 rn P4/nar
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herein, and that
structure without