HomeMy WebLinkAboutPermit Building 1994-07-11RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
SPR q4 \b\tJOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
ASSESSORS MAP;TAX LOT
LOT
-
BLOCK:SUBDIVISION:
-OWN
ADD
PHONE:
ZIP:
DESCRIBE
NEW- REMO ADDITION OTHER
co
MECHANICAL:
ELECTRICAL:
CONST.
PLUMBING:
GENE
coN
- OFFICE USE -
WATER HEATER
FLOOD PLAIN
RANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUAHE FOOTAGE:
# OF BDRMS: _OCCY GROUP:
* OF STORIES;
ZONING CODE: _.
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS: _
LAND USE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng work is complete.
Slte lnspeotlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When allelectrical work is complete.cover,
Underslab Plumblngl Electrlcal /
Mechanlcat - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanical work ls complete.
'lffootlng - After trenches are4excavated.fl Flreplace - Prlor to faclng
materlals and framlng lnsp.
ft]-finat Buitding - When ail
,F\ requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.tf Framlng - Prlor to cover.
lVFoundallon - After forms are
JA\erected but prior to concrete
placement.Walt/Celllng lnsttlatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplnq
MOBILE HOME !NSPECTIONSUnderlloor Plumblngl Mechanlca!
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
ffi-no"r and Beam - Prtor to floor
n lnsulatlon or decklng.
M Floo, tnsulatlon - Prlor to - \Adecxin S. (6,eUHp?E JOED)
lnsert - After flreplace approval
and lnstallatlon of unlt.
Btocklng and Set.Up - When ail
blocklng ls complete.
Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanllary Sewer - Prlor to fllling
trench.Electrical Connection - When
blocking, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to filllng
trench.
Sldewalk & Drlveway - After
excavatlon ls completo, forms
and sub-base materlal ln place.
Water Llne - Prlor to filllng
trench.
Fence - When completed.
Rough Plumbing - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
l{t\:\ti[noo
tl
E
E
tl Other
-tl
E
E
tl flE
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se ISTHE PROPOSED WOFIK TN THE -.
HISTOBICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls application must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance,
APPROVED:
ADDITIONAL COMMENTS
GAR ACC'P.L.HSE
N
S
W
E
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.VALUE
(A)
Value
rt
4/- ro_T
3,73.ShAdtP,-2,-Vq
Building Permit Fee
State Surcharge
Total Fee
Ir{ain
Garage
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 tlme
upon violation of any provisions of said ordinances.
Ptan check 7""' zltai , ,/ h(1-
Receipt Number:-
ewed By
d>\L
P
Date Paid
Beceived
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
PLUMBING PERMIT
FT.
Plumblng Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerflfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Buildlng Safety Divislon,
I further certify 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 lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set
ructon the slte at Iti mes durlng
s
Date
will remain
MISCELLANEOUS PERMITS
Mobile Home
State fssuance
State Surcharge
Sidewalk
-
ft
Curbcut _ ft
Demolition
State Surcharge
Total Mlscetlaneous permlts (E)
ra/-+' dana^)
TOTAL AMOUNT DUE (exctuding electricat)(A, B, C, Q and E Combtned)
.47 p2_
DATE PAID
AMOUNT BECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBEB
FT.
N0
_rue_
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