HomeMy WebLinkAboutPermit Building 1992-05-08SPrlINGFIELE,
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LOT:
TAX LOT:
SUBDIVISION
uJB NUMBER
LOCATION OF PROPOSED WORK:
ASSESSOFIS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnsl.)ections: 726'3769
Ollri:e: 720-375!)
225 Fif th Street
Sprlng f lelcl, Oregort 97 477
PHONE:
ZIP:
EOW-r
_t3ADDRESS:
OWNER
/c ?€-Du lLD ('€'
ESCt)
EN DEL -- ADDITION DEMOLISH OTHER
PHONEEXPIRESADDRESS
C@wsR
CONTRACTOR'S NAME
ELECTRICAL:
CENERAL:
MECHANICAL:
-
PLUMBING: .- -
CONST.
CONTRACTOR #
t E_
I
\r\
_ OFFICE
WATER HEATER:
-
r OF STORIES: -
RANGE:
r OF UNITS:
LAND USE:
ZONING CODE:
FLOOD PLAINOUAD AREA:
# OF BDRMS:
--
CONSTR. TYPE:
HEAT SOURCE:
r OF BLDGS: -
OCCY G[tOUP:
SECONDARY HEAT:
SOUARE FOOTAGE:
-lb request an inspection, you must call 726-376g. This is a24n}ur recording. All inspections requested before 7:00 a.m. will be
rnacle the same worklng clay, inspections requested after 7:00 a.m. will be rnade the following work day'
REQUIRED INSPECTIONS
f-l remporary Eleclric
II
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Eleclrical - Prior lo Final Electrical - When all
electrical work is comPlete.cover.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Perrnarlent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Vf Footing - After trenches are
,Aexcavated.Fireplace - Prior to facing
materials and framing lnsP.
X Final Building - When all
required inspections have been
approved and building is
cornpleted.Masonry - Steel location, bond
bearns, grouting.
,ffitt'-ing - Prior to cover'
Other
Foundation - After forms are
erected but prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.J-l Drywall - Prior to taoing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or deckitrg.lnsert - After fireplace aJrproval
and installation of unit.
Blocking and Sel-Up - Wlren all
blocking is cornPlete.
Floor lnsulalion - Prior to
decking.Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been corrnected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and Plurnbing
inspections have been aPProved
and the holne is connected to
the service Panel.
Storm Sewer - Prior to filling
t ren ch.
Sidewalk & DrivewaY - Af ter
excavation is comPlete, forms
and sub-base material in Place.
Waler Line - Prior to filling
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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IS THE PROPOSED WORK IN THE
-,{tsroRlcAl
DlsrRlcr, oR oN
THE HISTORICAL REGISTEB? .-_
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
\7
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
HSE GAR ACC
J
Setbac
E
P.L.
N
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecl on ttle express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Co<je, regulating the construction and use of
buildings, ancJ may be suspended or revoked at any lime
upon violation of any provisions of said ordinances.
Z-
2_lw
tcPIcwoclv
Date Paid
Receivctl BY:
Receipt Number:
Plan Check Fee:5qs
BUTLD!NG PERMIT
VALUE
2ZOL
(A)
SQ. FT. X $/SO. FT.
4s
ITEM
Main
Garage
Carport
Total Value
Building Perrrit Fee
State Surcharge
Total Fce
rir
/ q3
- /!
Systerns Developtnent Charge is due on all trndcveloped
properties witlrin thc City limits which are bcing improved.
sysrEMS DEVELOPMENT CHARGE (So"l*
(B)
ADDTTIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
FT.
FT.
(c)
Plumbing Permit
State Surcharge
Total Cltarl;c
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hoocl
By signature, I statc and ;rgrec, that I have carefully cxarnined
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 perlortned 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 dcscribed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.O55 will be used on lhis
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 will remain
he site at all times during construction
gnatu rc
5- 8 -7ADate
MISCELLANEOUS PERMlTS
Mobile Home
State lssuance
State Surcharge
Sidewalk ..-- ft
Curbcut ------ ft
Demolition
State Sttrcharlle
Total Miscellaneous Permits (E)
VALIDATION:
REcErPr NUMBER - --g€ge-
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
NO
FT.