HomeMy WebLinkAboutPermit Building 1994-10-31SPRINGFIELE'
ESIDENTIAL
ERMIT APPLICATION
lnspections: 726-3709
Office: 726-3759
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK:6
ASSESSOBS MAP;,.?-a-aS--z,/TAX LOT:
LOT:BLOCK:SUBDIVISION
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
-
PHONE:
ztPz?fSTATE:eDCITY:
DESCRIBE WORK:
ADDRESS:
OWNER:
MECHANICAL:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
VA/
QUAD AREA:3R:C-i,tl- OFFICE USE -
* OF BLDGS:
RANGE:
C OF UNITS:
LAND USE:FLOOD PLAIN
WATER HEATER:
I OF BDBMS:
SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIES:
zoNrNG coDE: [-DP-
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED !NSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When alt
plumbing work is complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal r- Prlor to Flnal Electrlcal - When all
electrical work is complete.3cover,
E Underslab Plumblng/ Electrlcal/
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When all
mechanical work ls complete.
ry
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
tr Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.|-\fl Framlng - Prlor to cover.'f\m Foundallon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celllng lnsutatlon - Prlor to
cover.
Underground Plumblng - Prior
to lllllng trench.Drywall - Prlor to taplng.
MOBILE HOME TNSPE TIONS
Wood Stove - After lnstallatlon
tl lnserl - After flreplace approval
and lnstallatlon of unlt.
[--l glocking and Ser.Up - WheJr ailH blocklng is complete.
Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllling
trench.Electrical Conneclion - When
blocklng, set.up, and plurgbing
lnspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prlor to fllllng
trench.
l-_l SiOewalk & Drlveway - After.4 excavation ls complete, forms
and sub-base materlal ln place.
Waler Llne - Prlor to filllng
trench.[--l Fence - When completed
Slreel Troes - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, skirtlng, decks, and
venting have been lnstalled.
[-] Rough Plumblng - Prlor toL-' cover-
2.*
?{Z-,/€?z*
q
t
tl
l--l Underlloor Plumblngl Mechanlcat
Prlor to lnsulatlon or decklng.
[--l Post and Beam - Prior to floorlJ lnsulatlon or decklng.
[-] Floor lnsulallon - Prior toU decklng.
E
l
E
tl
P.L.FISE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
1 lS THE PBOPOSED WORK tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
,/2./o
ltl.Q
ctru.Y6
(A)rL
IVALUEX $/SO. FT.
s7 5.G.
j.'13+ s% 5.qT
Carport A6,q
Main
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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,
rofu/s^1ewed ByP
€??t
By:
f diie-
Plan Check Fee:
Date Paid
Receipt Number:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)/.6o
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
FixLures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
FT.
No
FT.
PLUMBING PERMIT
Plumblng Permit
State_ Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuahce
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Building Safety Divislon.
I further certi{y that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that oach address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
7
on the site at all times durin g construction
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)C6
TOTAL AMOUNT DUE (excluding electrtcat)
(A, B, C, Q and E Comblned)
f?O.oz
RECEIPT NI
DATE PAID
AMOUNT R
RECEIVED
3a
BY
VALIDATION:
UMBER
ECEIVED
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