HomeMy WebLinkAboutPermit Building 1992-07-15LocArro^r or p^oposr.D worr(: aeg -E* /= /"?..22 : - ..*--
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SPHING IELD
RESIDENTIAL
PERMIT APPLICATION
lnsl;ectionr;; 7?0.376C
Olf loe: 72{i 3-/{)()
BLOCK: - SUBDIVISION
225 Filtlt Strer:t
Springlicld, Ateglort 97 47'/
LOT:
OWNER: --
ADDRESS:
CITY: ,---
PHONE: 244527> - -
STATF.
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--
ADDlrloN DEMoLISH orHER
4
DESCFIIBE Wt)HK:
EXPIRES PHONEADDRESSCONTRACTOI]'S NAME
G EN ERAL
CONST.
CONTRACTOR #
PI LJMI}INTi,
MFCl-IN NI(]AI
t:t,t Cl'lllCn t
OUAD ARIA:
, oF BLD(ls. . -
OCCY CR()UI'
, OF STOTIIE:;'
WATER l'lEAl t l1: ---
FLOOD PLAIN:.-
ZONING CODF: .
# OF BDRMS: -. .--
SECONDARY HEAT:
SOUARE FOOTAGE: --
LAND USE: - -,-
IT OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
_ OFFICE USE -
Site lnspectiotl - To l:e tnade
af ter ext;avation, but Prior to
settirlg torms.
Underslab Plumbing/ Electrical /
Mechanical - Ptior to oover.
Footing - Afttrr trenches are
excavatccl.
Masonry - Stt-'t.:l locatiorr, llotrd
beanis, i;routirri.;.
Found:rtion - Aftor forttls :rre
crecle(l lrttt prii,r to corlctcIe
placctnt:tt t.
Underground Pltrmbing - Prior
to filling trenclr.
Underlloor Plurnbing/ Mechanical
- Prior to insulatiorl or decking.
Post and Beam - Prior to lloor
insulati()n or dccking.
Floor lnsulalion - Prior to
deckirrg.
Sanitary Sewer - Prior to filling
trench.
Slornr Sewer - Prior to filling
trench.
Waler Line - [)rior to fillittg
trench.
Rou0h Plumbing -- Prior to
cover.
Rough Electrical - Prior to
cover
Electrical Service - Must be
approved to obtain Perrnanent
eler:trical power.
Fireplace - Prior to facit-rg
rnaterlals ;ilrrl frattting lttslr.
Framing - [)tior to cover
cover.
lnsert - After flrePlace aPProval
and installation of unit.
Curbcul & Approach - After
forrns are erected but PIior to
placement of concrete.
Sidewalk & Driveway - After
excavalion is comPlete, forms
and sub-base rnaterial in Place.
Fence - Wlten comPletcd.
Street Trees - Wlren all required
trecs are planted.
Final Eleclrical - Wlterr all
electrical worl( is cotnJ,rlete.
Final Mechanical - When all
mechanical work is comlrlete.
Final Building - When all
required inspections ltitvt: ltci--tt
approved irnrl truiltlirrg is
cornpleted.
Other ---
To request an irrspectiorl, you must call 726-3769. This is a24tour recording. All inspections requeste(l before 7:00 a.m. will be
made the sante working day, irrspections requesteo after 7:0O a.m. will be made the following work day.
REOUIRED INSPECTIONS
Ternporary Electric Rolrgh Mechanical - Prior to
cover.
Final Plumbirrg - When all
plumbing worl< is cotrtltlr.lte.
a
L_l
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V)
L]
tt
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocking is complete.
Plunrbing Connections - Wltr-,;tr
l-rome has been connected to
water and sewer.
Electrical Connection - Wher-t
blocking, set-up, ancl plutrtbing
inslrcctions lrave beon allprov{lc1
and the homc is connected to
lhe service panel.
Final - After all requirecl
inspections are approved an<l
porches, sl<irting, clecks, and
venting have been installed.
i:l
n
tl
tl
tl
E
E
L]
L_1
r
fl
L]
E
fl Drywall - Prior to taping.
Wood Stove - After installation.
Wall/Ceilirrg lnsulation - Prior to
PL.HSE GAFI ACC
N
S
E
l=Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typt
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ks IS TFIE PI]OPOSED WORK IN THE
HISTOFIICAL DISTFIICT, OR ON
TFIE HISTORICAL REGISTER?
-
lf yes, lhis application must be signed
and approved by the Historical
Coordinalor prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM
Main
Garage
Carport
SQ. FT. X $/SO. FT,VALUE
///--2/e
247a./a
?/ 9/. Aa
t/z.tz.*M_@-,*
--Se--ga
rotal Value /r/rasrr++rro2,
Building Permit Fee
State Surcharge
Total Fee (A)
o
_1_a3#
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granted on the express conditior-r that the said
construclion shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, inc;luding the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordirrances.
Plan Check Fee:
Date Paid
Fleceipt Number:-
Recei By
-2'/€2?Datc
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being it.rrproved.
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
7
MECHANICAL PERMIT
Fu rnace
Exhaust Hoocl
Vent Fan No
Wood Stove/ lnsert / Fi replace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I state and agree, that I have care(ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urthr-'r certif y
that any and all work performed 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 describecj
lrerein, and lhat NO OCCUPANCY will be tnacle of any
structure without permission of the Building Safcty Division.
I f urther certif y that only contractors and enrployees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspeclions are
requested at the proper time, that each address is readable
f rom the street, that the permit card is locatcd at the lront
of the property, an<J the approved set of plans will remain
on the sit all times during con ruct io n I
X g natu
Date 1,>
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut .- ft
Demolition
State Su rcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER o
DATE PAID
AMOUNT RECEIVED
RECEIVED 8Y.." *. .
"€TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
/76.76
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