HomeMy WebLinkAboutPermit Building 1991-07-08SPRINGF!ELE'
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
7
Zft,
JOB NUMBEFI
225 Fifth Street
Springfield, Oregon 97 477?eqse t ler* -tz-ztq
LOCATION OF PROPOSED WORK:b8.b Lio ZJo 'baflBE--r
ASSESSORS MAP:i-l oa %b td.TAX LOT:Tntoo
LOT:BLOCK:SUBDIVISION
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SrE,tt-)CaF\Et-f)CITY:
ADDRESS:
OWNER
NEW _- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOFIK:
EI EffiOtAAI.
ADDRESS
S*\JS -7*0I1.
EXPIRES PHONECONTBACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
RANGE:
# OF BDRMS
_ OFFICE USE _
LAND USE:FLOOD PLAIN
WATER HEATER
* OF UNITS:
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
# OF BLDGS
OCCY GROUP:
S OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 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
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
t Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Eooting - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
fi tt"-'"g - Prior to cover'
r --i Foundation - After forms aret-- erected but prior to concrete
placement.
Other
I
Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.; Drywall - Prior to taping
MOBILE HOME INSPECTIONS
I
_l Unaeftoor Plumbing/MechanicalI -J - Prior to insulation or decking.
f - I Post and Beam - Prior to floor
)-' insulation or decking.
I-r Floor lnsulation - Prior tol- i decking.
Wood Stove - After installation
lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
E Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
E
tr
Water Line - Prior to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
?e-.ra-g-,
ZONING CODE:
-
E
f,
E
E
I
E
PL.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setb 'HE PROPOSED WORK IN THE
HISTORICAL DISTRICT. OR ON I
THE HISTORICAL REGISTER? I'.JO
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
t Srooo . oo
(A)
X $/SO. FT.
L14,9>
2,.23
4Gne
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
IG.t*o,e-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including 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 ordinances.
Plans DatedBv
Plan Check Fee:
-Date Paid
Receipt Number:
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures )
FEE
-2,o '@
'bo t'25,60
(c)
FT.
N0
FT.
FT.
Residential Bath(s)
Plumbing Permit
State Surcharge
Total Charge
-4 5-oo
2,?{
47,-/-j*
Sanitary Seiwer
Water
Storm Sewer
Mobile Home
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
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 described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther 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
rU
11 Signatu
Date
will remainhe approvedof the property,
on the site at during
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
93,9a ?3.7b
Z/9,VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
.-.
/VA