HomeMy WebLinkAboutPermit Building 1992-03-17!NCFIELORESIDENTIAL
PERMIT APPLICATTON
lnspections: 726-3769
Office: 726-3759
LOCATION OF PFJO L
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
TAX LOT:ASS
LOT:
ESSOfIS MAP:,lrun ,v BLOCK:SUBDIVISION
OWNER: ..
ADDRE
CITY:
DESCRIBE FIK: -
N f:W
CONTRACTO AME
C ENERAL:
PLUMBING
MF,CHANICAL
ELECTRICAL:
QUAD AREA:
Y OF BLDGS: - l
OCCY CROUP:
g OF STORIES:
WATER HEATER
_ OFFICE USE _
LAND USE: -11[FLOOD PLAIN
ZONING CODE
r OF BDRMS:
SECONDARY
CONST.
ADDRESS CO PHON E
r OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
Rough Mechanical - Prior to
cover.
Fireplace - Prior to facing
materials and framing lnsp.
Curbcul & Approach - After
forms are erected but Prior to
placement of concrete.
Sidewalk & DrivewaY - After
excavation is comPletg, forms
and sub-base material in Place.
[--l Fence - When comPleted.
Street Trees - When all required
trees are Planted.
sQUARE FoorAGE: Zff--s--
HEAT:
RANGE:
To requcst an irrspection, you rnust call 726-3769. This is a24hour recording. All inspections requested before 7:0O a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
tr'
,ffiremPorarY
Electric K
L];{"1'r1 Electrical - Prior t<r
-Xf Etectrical Service - Must be
zr-\approved to obtain pcrmanent
electrical power.
Final Plumbing - When all
plumbinO worl< is complete.
Final Electrical - Wlrerr all
electrical work is contplete.
Final Mechanical - When all
mechanical worl< is conlplete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - Wlren all
blocking is complete.
Plumbing Connectiorrs - Wlten
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and Plumbing
inspections have been approved
and the home is connected lo .
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Site lnspeclion - To be made
af ter excavatiorr, but prior to
setting lorms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placemen t.
Underl
- Prior to on or
,K
xy;mlfl!"i;:iJ:-bins - Prior flo,r*ail - prior to rapins
X.
Xframing - Prior to cover.-
-gf wulllceiling lnsulation -.Prior toAcover.
Wood Stove - After Installation.Z&o c-/&R- Fto,
lnsert - After firePlace approval
and installation of unit.
'IdPosr and Beam - Prior to floor
4insulation or decking.
K7 Floor lnsulation - Prior to
JA(oecxins.
E-r::::;rY sewer - Prior to rirlins
,X;:t"tl,.Sewer - Prior to rillins
ft;lnline - Prior to rirrins
'lVRough Plumbing - Prior toAcov"t.
rnbi hanic
I
<1
411
PHONE:
STATE;ZIP:1
-
tl
r
r
r
r
E
.-s rHE PRoPosED woRK lN
lISTORICAL DISTFIICT, OR ON
TI.IE H ISTORICAL REGISTER? ='-
lf ycs, this application must be signed
ancl aPProved bY the Historical
Coordirrator prior to permit issuance'
APPROVED:
THE
GARHSEP.L.
N
S
Lot (accs
Lot sq. Itg.
Lot coverage
TopograPhY
Total heigl'tt
Lot Type
lnterior
-
Corner
-
Panhandle
Cul'de-sac
bacl<sc
ncc
BUILDING VALUE, PLAN CHECK
ANo BUILDING PERMIT
This permit is grantecl on the express concjitiorr that the said
consirr"tion shall, in all respects' conform to the Ordinance
;;;;i;J bv the citv oi sprinsfield' includins the
Development Cocle, regulating the Construction and use of
[rilii^-gr", anr.l may bc'suspenctecl or revoked at any tirne
Jp". ,L'r,,"n of zrny provisions ol said ordinances'
pran clrcck Fee: 3/O-t'-- -
ReceiPt Number:--
ewcd BY Da
Rcceivc<l
Date Paid
BUILDING PERMIT
VALUE
50- I ?-o(A)
SQ.X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Builcling Pernrit Fee
Statc Surchargc
Total Fee
Systems Developtnent Charge is clue on all undeveloped
properties within the City limits whictr are beinq improved'SYSTEMS DEVELOPMENT CHARG
(B)
E (SDc)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
(c)
JLAT
FT.
FT.
NU
Plunrl;irlg PcrtlliI
Statc Surcharge
'Iolr.rl Cll;tr<;r:
8brbsr
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent F:rn Nl 3
Wood Stove/ lnsert/Fireplace Urrit
Dryer Vent
_(___
,
,<7,9o
3s(D)
e-o6{a
N
oo
99
a
?
_sP_
Mechanical Permit
lssuance
State Surcharge
Total Permit
1A*'
By sigrrature, I statc:rtrcl :tgrec, that I havc caref ully examined
the completed application and do hereby certify that all
information hereotr is truc ancJ correcl, anrl I f urthcr certif y
that any arrcJ all worl< pcrformcd shall bc done in ac<;ordance
with the Ordinances of the City of Springfield' and tlre Laws
of the State of Oregon pertaining to the work described
Irerein, arrd that NO OCCUPANCY will be tnade of any
structure without pertnission of the Building Safety Division'
I further certity tl'rat or-rly contractors anrJ ernployees who
are in compliance with ORS 701'055 will be usecJ on this
proiect.
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, arlcl ttrc approvecl set of plans will rcnrain
cons tru ction.unnat all times d
L*-;
eonShe
rcnaU
oare -J-:-n-qL
MISCELLANEOUS PERMITS
Mobile Home
Statc lssuancc
State Surcharge
Sidcwalt< f t
Curbcut ---.-- ft
25ry"*Et, ffiSrerc'.srJ+eharrctl*n (o-Sry4e
Total Miscellaneous Permits (E)l
I AMOUNT RECEIVE
RECEIVED BY --.- ,
DATE PAID
VALIDATION:
FIECEIPT NUMBEFI ..,,
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comtrinod)
E
2
FT.
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