HomeMy WebLinkAboutPermit Building 1994-09-09LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
JOB NUMBER
225 Fifth Street
Sprlngfield, Oregon
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o
BLOCK:
TAX LOT:,/-).2=ra3,
LOT SUBDIVISION
PHONE:
ZIP:
a
STATE:
OWNER;
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-
(.2 (DESCRIBE WORK:
MECHANICAL:
ELECTRICAL:
ADDRESS
CONST,
CONTRACTOR 'EXPIRES PHON ECONTRACTOR'S NAME
GENERAL:
PLUMBING
RANGE:
- OFFICE USE -
WATER HEATER
ZONING CODE:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS: ..OCCY GBOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prlor to Final Electrical - When all
electrical work is complete. ccover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.[l Flreplace - Prlor to faclngu materlals and framlng lnsp.
Final Buildlng - When all
requlred lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.tl Foundatlon - After forms are
erected but prlor to concrete
placement.
E other
WalltCelllng lnsutatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng,lnsert - After flreplace approval
and lnstallatlon of unlt.
[-l elocklng and Set.Up - Whep ail
-
blocklng ls complete.
Floor lnsulatlon - Prior to
decklng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllling
trench,Electrical Connection - When
blocking, set-up, and plun2bing
inspectlons have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to filllng
trench.
Sidewalk & Drlvefvay - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filllng
trench.
Fence - When completed.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prior to
cover.
8ES'DENTLAL
PEBMII APPL'CAT'ON
lnspections: 726-3769
Ottice:72A8759
LAND USE:FLOOD PLAIN:
E
E
[--l Final Plumblng - When aillJ plumbing work ls complete.
tl
tl
tl
l-.l Underslab Plumblng/ Electrlcal/lJ Mechanlcal - Prlor to cover. I I
Street Trees - When all requlred
trees are planted.
{. l
P.L.HSE GAR ACc
N
S
E
\ ,STH E PBOPOSED WORK TN THE -
HISTO RICA L DISTBI cr, oR oN
THE HISTOBI CAL REG ISTER?
lf yes, this aPPlicatl on must be slgned
and aPProved bY the Historical
Coordinator Prlor to permit issuance'
APPROVED:
Lot laces
Lot sq. ftg.
Lot coverage
ToPograPhY
Total height
Lot TYPe
_- lnterior
-.-_ Corner
.- Panhandle
-
Cul-de-sac
VALUE
,r.//
^ ^ Q,
(A)
#rqF-
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfield, includlng the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Received By:
Date Paid:
Receipt Nu
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Fixfures
Besldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
(c)
Plumblng Permlt
State_ Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
(D)
NoVent Fan
Mechanical Permit
lssuahce
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalning to the work described
hereln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Buildlng Safety Division.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
project.
I further agree to ensure that all requlred lnspections are
requested at the proper time, 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 will
on the site at all times during construcilon
remaln
"(:
,, I
ijt, r'1
Signatu re
Date
TOTAL AMOUNT DUE (exctuding etectricaD 7 q //
(A, B, C, D, and E Comblned)
r'
./.
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
FIECEIVED BY
I 1:,; i!
Plan Check Fee: _
FT.
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