HomeMy WebLinkAboutPermit Building 1993-08-16SPRINGFIELO
R ESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
ZJOB NUMBER
225 Fifth Street
Spri ngf leld, Oregon 97477
fl/rL 7LOCATION OF PROPOSED WORK:
t1 oLlq+L TAX LOT:CDASSESSORS MAP:
LOT
-
BLOCK:SUBDIVISION:
-
zZ z-PHONE:
4'tt:L 37
ZIP:STATE:
v
<p tr/ /)b h-'
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEB
F bDESCRIBE WORK:
MECHANICAL:
ELECTRICALl
-
EXPIRES PHONEADDRESSCONTRACTOB'S NAME
GENERAL:
CONST.
CONTRACTOR #
RANGE:
* OF BDRMS:
- OFF]CE USE -
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
* OF UNITS:
SECONDARY HEAI
SQUARE FOOTAGE:
QUAD AREA:
r OF BLDGST
OCCY GROUP:
* OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All lnspectlons reguested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
[__l Temporary Eleclricll
Rough Mechanical - Prior to
cover.
[--l Final PlumbinglJ plumblng work - When all
is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrlcal work ls complete.cover,
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanlcal - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materlals and framlng lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masenry - Steel location, bond
beams, grouting.
{,"-,ng - Prior to cover'
OtherFoundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Wood Slove - After lnstallatlon.
Post and Beam - Prior to lloor
lnsulation or decking.lnsert - After fireplace approval
and lnstallation of unit.
Blocking and Set-Up - When all
blocking ls complete.
Floor lnsulalion - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumblng Connections - When
home has been connected to
water and sewer.
Sanilary 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 - Prlor to fllling
trench.
Fence - When completed.
Rough Plumbing - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
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7/6^s
LAND USE:
Underlloor Plumblng/ Mechanlcal
- Prior to insulation or decking.
E
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tl
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Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de'sac
P.L.HSE GAR ACC
N
S
W
E
I, lS fHE PBOPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcation must be slgned
and approved bY the H lstorlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the sald
constructlon shall, ln all respects, conform to the Ordinance
adopted by the City ol Springf leld, lncluding the
Development Code, regulatlng the construction and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances'
Plans Revlewed BY
''ffn'"nPt-rg*
..r",."lDate Fato:
Date
Receipt Nu
Fee:
-
Recelved BY:
. c"ttr.
BUtLDtNG PERMIT
ITEM SO. FT. X $/SQ. FT.VALUE
rZ //1)
t< ?g/ ?,
l.\
(A)
Main
7r
Total Value
Bulldlng Permit Fee
State Surcharge
Total Fee
Garage
Carport
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtures
Residential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
i
By signature, I state and agree, that I have caref ully 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 perlormed shall be done in accordance
wlth the Orclinances of the City of Springfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, an'd that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Divlslon'
I further certlfy that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
prolect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
on the slte at
lgnature
Date
t card ls located at the lrontfrom the street, that
set of plans wlll remalnof the pro
constructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVEO BYTOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Combined)
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