HomeMy WebLinkAboutPermit Building 1993-07-30SPFl!NGFIELE)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of(ice: 726'3759
LOCATION OF PROPOSED WORK:
<-1-)L- L-
/1-/) 3 -)b TAX LOT:
qoo
ASSESSORS MAP:
LOT BLOCK:SUBDIVISION
To request an inspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a'm' w
made the same worktng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day'
REQUTRED INSPECTIONS
TemporarY Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work ls comPlete.
Slte tnspectlon - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, grouting.
Foundation - After forms are
erected but Prior to concrete
placement.
Underground Plumbing - Prlor
to filling trench.
Underlloor Plumbing / Mechanlcal
- Prior to insulation or decking.
Posl and Beam - Prior to floor
lnsulation or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filllng
trench.
Water Line - Prlor to filllng
trench.
Rough Electrical - Prior to
cover.
Etectrical Service - Must be
approved to obtain Permanent
electrlcal power.
Fireplace - Prlor to faclng
materials and framlng lnsP.
[-_l Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover.
lll be
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work ls comPlete.
Final Bullding - When all
requlred lnspectlons have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.UP - When all
blocklng ls comPlete.
Plumblng Connections - When
home has been connected to
water and sewer,
Eleclrical Connection - When
blocking, set-uP, and Plumbing
inspections have been aPProved
and the home is connected to
the servlce Panel.
[--l orywall - Prlor to taoing.
Wood Stove - After lnstallatlon
lnsert - After flrePlace aPProval
and installation of unlt.
Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place.
Fence - When comPleted.
Street Trees - When all requlred
trees are Planted.
Final - After all required
lnspectlons are aPProved and
porches, sklrting, decks, and
venting have been lnstalled.
PHONE:
ST1+8
ZIP:STATE:
1+h-1q5i
R
uta.F-11P No+ bia.r/\n isOWNER:
ADDRESS:
CITY:
NEW
--
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ELECTRICAL:
PHONEEXPIRESADDRESSCONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR #
- OFFICE USE -
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS:-
OUAD AREA:
s OF BLDGST
LAND USE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPEr
HEAT SOURCE:
# OF UNITSi
-
Rough Plumbing - Prior to
cover.
JoBNUMBE"
q3\\3,0
225 Flfth Street
Springf leld, Oregon 97 477
E
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Re r.,nr,ve R. \/,
RANGE:
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HSE GAR ACCP.L.
N
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W
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Lot laces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de'sac
r .* THE PROPOSED woRK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prior to permlt lssuance.
APPBOVED:
I
I.l
i'I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
constructlon shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulatlng the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Fleviewed BY Date
Receipt Numbe
Plan Check Fee:
Date Pald
Recelved By:
VALUE
(A)
BUILDING PERMIT
Total Value
Bulldlng Permlt Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits whlch are belng lmproved.SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Resldentlal Bath(s)
Sanltary Sewer
Waler
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/lnsert/Flreplace Unlt
Dryer Vent
MECHANTCAL PERMIT
(D)
No
Mechanical Permlt
lssuance
state surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
i
By signature, I state and agree, that I have carefully examined
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls lrue and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordlnances of the City of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure without permisslon of the Buildlng Safety Divlslon.
I further certlfy that only contractors and employees.who
are ln compllance with ORS 701.055 wlll be used on thls
prolect.
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 of plans wlll remaln
on the slte at all times during constructlon.
(
Slgnatu
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
lt
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E). I ri.:DATE PAID
RECEIVED
AMOUNT
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Comblned)