HomeMy WebLinkAboutPermit Building 1993-01-04SP]lI,tGFIELD
RESID ENTIAL
PERMIT APPLICATION
lnspections; 726-3769
Office: 726-3759
LOCATION OF
ASSESSORS MAP:
LOT
I E+E
BLOCK:
JOB NUMBER
225 Fifth Street
Spring f ield, Oregon 97 477
TAX LOT
SUBDIVISION
a6Q-u44PHONE:
EoengxlL STATE:
lv\
O{1-ZIP:
J
L.aB g r^)*Y
CITY:
ADDRESS:
OWNER:
aq -?4 I
T<RPDESCFIIBE WORK:
ADDITION DEMOLISH OTHERNEW- REMODEL
CI
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
ADDRESS PHONE
CONST.
CONTRACTOR ,'EXPIRES
{74.b 1GENEBAL:
PLUMBING
RANGE:
# OF BDRMS
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
QUAD AREA:
I OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. wlll be
made the same working day, inspections requested after 7:00 a.m. will be made lhe following work day.
REQUIRED INSPECTIONS
Temporary Etectric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumblng work is complete.
Slte lnspectlon - To be made
after excavation, but prior to
setting forms.
[-l Rough Electricat - Prior totJ cover.Final Electrlcal - When all
electrical work is complete.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Eleclrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footlng - After trenches are
excavated.Fireplace - Prior to facing
materlals and framlng lnsp.
Flnal Bulldlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.
fl framtng - Prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumblng / Mechanical
- Prior to insulation or decking.Wood Slove - After lnstallatlon
Posl and Beam - Prior to floor
insulatlon or decking.lnsert - After flreplace approvql
and installation of unit.
Blocking and Set.Up - When all
blocklng is complete.
Floor lnsulalion - Prlor to
decking.Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filllng
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Waler Line - Prlor to filllng
trench.
Fence - When completed.
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
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Other
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Lot faces
Lot 5q.'ftg.
Lot coverage
Topography
Total height
Lot Type---
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac.
- S THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
TH E H ISTORICAL FIEGISTER?
-
lf yes, this application must be signed
and approved by t he H istorical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
3'?Sg-
lStL
,7S
I s ,'r((A)
X $/SO. FT.
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition lhat the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Developrnent 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.
Beceipt Number:-
Plans Fleviewed By Date
Plan Check Fee:
Date Paid
Received By
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
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood By signature, I state and agree, that I have caref ully 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 certi{y 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 front
of the property, and the approved set of plans wiil remain
Date
on the site at all ti
y' signature
tion
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
{t
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined)
s.-lg
VALIDATION:
REcErPr NUMBER oo1tt1
AMOUNT RECEIVED
RECEIVED BY
DATE PAID