HomeMy WebLinkAboutPermit Miscellaneous 1992-6-30
RESIDENTIAL
PERMIT APPLICATION
Inspections 7~G,3769
Olllce' 726.37:,9
ASSESSOI~S MAP: .
LOT: ___
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BLOCK:
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STATE: ~} .A _ .
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JOB NUMBER
ct~()?51B 1
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT'
SUBDIVISION'
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PHONE: (~-, <.1.J Jf:{l
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NEW
REMODEL
ADDITION
ZIP:
CONST,
CONTRAC10f\~:~ fi'\I) mp.DDRES,f A (1 . CO~1CTOR' EXPI{bEf/1A a~HONE
GENERAL: uu....u c---.x 0,. -'\ - \ ~c\ ffi1Il Jf\ y. 41Jal.aZ.. '(if \ .i1io-$(tf)..
PLUMBING u ~
MECHANICAl - - --
ELECTRICAL:
QUAD AREA:
. OF BLOCS.
OCCY CHClUI':
/I OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND US".
. OF UNITS:_
CONSTR. TYPE: __
HEAT.SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE: _.____.__
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726-3769, This Is a 24 hour recording. Atllnspectlons requested before 7:00 a.m. will be
maelc the ~;amc working day, Inspections requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting torms.
o Undcrslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - Aller trenches are
excavated.
o
Masomy - Steel location, bond
beams, urouting.
o Foulld.alion - Aftor forms are
erccte(l IJut prior to concrete
placlJlllt:nl.
o
Underground Plumbing - Prior
to fillinu trench.
o
Underlloor PlumbingJ Mechanical
_ Prior to Insulation or decking.
o Post and Beam - Prior to floor
insulation or decking.
o
Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Pri<?r to filling
trench.
O Water Line - Prior to tilting
trench.
~' 0 Rough Plumbing - Prior to
~ cover.
"
/
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
malerlals and framing Insp.
[J
Framing - Prior to cover.
l=t WallJCellin{J Insulalion - Prior to
cover.
o Drywall - Prior to taping.
o Wood Slove - After installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms arc erected but prior to
placement of concrete.
o Sidewalk & Driveway - Aller
excavation is complete, forms
ami sub-base material in place.
. 0 Fence - When completed.
o Stroet Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing work is complete.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - Wt1en all
mechanical work Is complete.
o Final Building - When all
required inspections hnve been
approved and building is
completed, C
'F Ol~~ro' ~-.-.-
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete:
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up. and plumbing
inspections tl<lVe been approve(l
and the home is connected to
the service panel.
o
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces
Lot Type.
Lot sq, fig,
Interior
Setbqcks
I P.L I HSE GAR
IN
Is
Iw
~___I
ACC I
1
6; THE PROPOSED WORK IN THE
~ISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
If yes, this application mU5t be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot coverage
Corner
Topography
Panhandle
Total heighl
Cui-dc-sac
APPROVED:
ITEM
SQ, FT,
X $/SQ, FT,
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Main
This permit Is granted on the express condition that the said
constructlon shall, In all respects, conform to tile 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.
Garage
Carport
Plan Check Fee'
~ Date Paid:
Total Value
M- -El) Receipt Number'
Building Permit Fee
qd-~ Received By:
State Surcharge
Tolal Fee (A) A-lo f)~ Plans Reviewed By Date
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT,
FT,
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature. I slate and agree, that I have carefully examined
the completed applicatJon and do hereby certify Ihal all
Information hereon is true and correct, and I further certify
that any and all work performed shall be done in aCGord<lnce
with the Ordinanc~s of the City of Springfield, and the Laws
of the Stale 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 certl fy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
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 Is located at the front
of the property, and tho approved set of plans will remain
:~g::~~S ~slrucllon,
b - 3 21 - 7'1,
Datt"
MISCElLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D. and E Combined)
L\{cr 13
VALIDATION: 5 </)
RECEIPT NUMBER 9J
DATE PAtD ( (J ,2)n . C{ ~
AMOUNT RECEI~S.!?) 4<03.,... ~
RECEIVED BY (' ./l ( ~ __
~
State Surcharge
Tolal Miscellaneous Permits (E)