HomeMy WebLinkAboutPermit Building 1993-08-03SP,lINGFTELE,
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759 Zfr,
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
ZLOCATION OF PBOPOSED WORK:
ASSESSOFIS MAP:TAX LOT
LOT BLOCK:SUBDIVISION:
-
v
43n PHONE:
ZIP:STATE:
OWNER:
ADDRESS:
c
N
-
DEMOLISH OTHE
DESCRIBE
NEW_- REMODEL ADD
PLUMBING:
MECHANICAL:
ELECTRICAL:
EXPIRESADDRME E.,PHON
-'7+CONTRACTOR CONTRACTOR #CONST.
GENERAL:
* OF BDRMS:
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN
WATER HEATER:RANGE:
SECONDARY HEAT
SQUARE FOOTAGE:
OUAD AREA:
I OF BLDGS:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-376g. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same working day, lnspectlons requested after 7:00 a.m. wlll be made the following work day'
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prlor to
cover.
f-l Final PlumbingtJ plumblng work - When all
ls complete.
Slte tnspeclion - To be made
after excavation, but Prior to
settlng forms.
Rough Electrical - Prlor to Flnal Electrlcal - When all
electrical work is comPlete.cover.
Underslab Plumbing/ Electrlcal /
Mechanical - Prior to cover'
Electrical Servlce - Must be
approved to obtain Permanent
electrical power.
Flnal Mechanical - When all
mechanical work ls comPlete.
Footlng - After trenches are Flnal Building - When all
required inspectlons have been
approved and building is
completed.
Fireplace - Prlor to faclng
materlals and framlng lnsP.
Masonry - Steel locatlon, bond
grouting Framing - Prior to cover.
Other
Foundation - After forms are
erected but prlor to concrete
placement.
Wall/Ceiling lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to filling trench.l-l Drywall - Prlor to taoing
MOBILE HOME INSPE TIONS
Underfloor Plumbing/ Mechanical
- Prior to insulation or decking'Wood Stove - After installation.
Post and Beam - Prlor to floor
lnsulatlon or decking.tnserl - After flrePlace aPProval
and lnstallation of unit.
Blocking and Sel-Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocking, set-up, and Plumbing
inspections have been aPProved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base materlal in Place'
Water Line - Prior to filllng
trench.
Fence - When comPleted.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspections are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
4 2-/D
E
E
E
E
E
E
E
tl
E
E
E
E
E
E
tl
tf
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Gul-de-sac
ks
P.L.HSE GAFI Acc
N
S
E
(rS THE PROPOSED WORK IN THE. HISTOFIICAL DISTRICT, OB ON
THE HISTOBICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved bY the Hlslorlcal
Coordinator prior to permlt' lssuance.
APPBOVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
consiructlon shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, lncluding the
Development Code, regulatlng the constructlon and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provislons of sald ordlnances'
Plans Reviewed BY Date
Receipt Numbe
Plan Check Fee:
Date Pald
Recelved BY:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.VALUE
ao47tr
6fia:(A)
Main
Carport
Garage
Total Value
Bulldlng Permlt Fee
State Surcharge
Total Fee
/ab-ar -a
" 3!!
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being lmproved.SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITTONAL COMMENTS
ITEM
Fixtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
FT.
Plumblng Permlt
State Surcharge
Total Charge
MECHANICAL PERMIT i
By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby certlfy that all
lnformation hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure without permission of the Building Safety Dlvislon.
I further certify that only contractors and employees who
are ln compliance with ORS 70'l'055 will be used on thls
project,
Furnace
Exhaust Hood
Vent Fan N0
Wood Stove/lnsert/Flreplace Unlt
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permlt (D)I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
MISCELLANEOUS PERMITS from the street, that the Permlt f ront
of the propertY, and the n
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
ft
Demolltlon
State Surcharge
on the slte at all
gnature
Date
VALIDATION:
RECEIPT NUMBER
DATE PAID 3
Total Mlscellaneous Permlts (E)
AMOUNT RECEIVED
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, Q and E Comblned)
constructlon.
set of plans wlll
,/ ( 63Gzak-RECEIVED BY
ri
63
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