Loading...
HomeMy WebLinkAboutPermit Building 1992-05-08SPrlINGFIELE, rrllBLOCK h, -)I 3 /sq N //G'l' %,+rt P' 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. j gr_ tl tl r E flt_l r tlr E D E E tl r 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.