HomeMy WebLinkAboutPermit Building 1994-03-01SPIIIt\lGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Spri ngf ield, Oregon 97 477
,24?
LOCATION OF PFIOPOSED WORK:
ASSESSORS MAP:TAX LOT:o\ 7' o n
rcr, 7'oa - 3/- Yao-t a o
BLOCK:SUBDIVISION
Ltr|DS L/1 *
9t 4 > ISTATE:I oa-ztP"
A -Rl c^-^a-L'. ilnV i e-ro rz-OWNER:
ADDRESS:
CITY:
NEW
-
FIEMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ELECTRICAL:
EXPIRES PHONEADDRESSCONTRACTOR'S NAME
(),^lnern
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
* OF BDRMS:
- OFFICE USE -
WATER HEATER:
* OF UNITS:
FLOOD PLAIN:
ZONING CODE
SECONDABY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
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/ Electrlcal /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
K Footing - After trenches are
excavated.Flreplace - Prior to faclng
materlals and framlng lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framlng - Prior to cover.x Other
Foundation - After forms are
erected but prior to concrete
placement.Wall/Celling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prlor to taping
MOBILE HOME INSPE TIONS
Underf Ioor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and lnstallation of unit.
Blocking and Set-Up - When all
blocking is 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
waterrand sewer.
a
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.
Storm Sewer - Prior to filllng
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filting
trench.
Fence - When completed.
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
L
pHoNE: lLll. 7( tO
LAND USE:
E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
tbacks \.. ts THE PROPOSED WORK tN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-.
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P,L.HSE GAR ACC
N
S
E
BUILDING PERMIT .'
ITEM SQ. FT. X $/SQ. FT.VALUE
1V*€o
?-,2-3
4r.t E(A)
t,oo n
Total Value
Building Permit Fee
State Surcharge
Total Fee
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 Beviewed Date
Receipt Numbe
PIan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
(D)
N0Vent Fan
Mechanical Permit
lssuance
state surcharge
Total Permit
MECHANICAL PERMIT
Furnace
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 f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, 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 Bullding Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 70'1.055 will be used on this
project.
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 ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
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 Comblned)
t{to l>
tl?oQ
RECEIVED BY
AMOUNT RECEIVED 4b -13
3-DATE PAID
VALIDATION:
RECEIPT NUMBER
,Main
Garage
Caroort
/e,,
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
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