HomeMy WebLinkAboutPermit Building 1993-7-30
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
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JOB NUMBER
225 Fifth Street
~prlngfleld, Oregon 97477
Inspections: 726-3769
Office: 726.3759
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TAX LOT: 4::::>.c: -1 '-"
SUBDIVISION'
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
BLOCK:
LOT'
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PHONE:
OWNER:
ADDRESS'
CITY'
STATE:~.
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ZIP'
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DESCRIBE WORK'
OTHER
DEMOLISH
ADDITION
REMODEL
NEW
CONST.
CONTRACTOR #
PHONE
EXPIRES
ADDRESS
CONTRACTOR'S NAME
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GENERA' .
PLUMBING'
MECHANICA' .
ELECTRICAl'
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN"
. OF BLDGS' # OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYP'" . OF BDRMS'
. OF STORIES' HEAT SOURCE: SECONDARY HEAT-
WATER HEATER: RANGE: SQUARE FOOTAGE:
To request an Inspecllon, you must call 726-3769. This Is a 24 hour recording. All Inspecllons 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
o Final Plumbing - When all
plumbing work Is complel.e.
o Rough Mechanical - Prior to
cover.
o Temporary ElectrIc
o Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o Final Mechanical - When all
mechanical work Is complete.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
171 Final Building - When all
Ji/f--J required Inspections have been
approved and building Is
completed.
ILl Footing - Alter trenches are
excavated.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
o Other
o Foundation - After forms are
erected but prior to concrete
placement.
o Wall/C'elllng Insulation - Prior to
cover.
o Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
o Wood Stove - After I~stallatlon.
o Blocking and Set.Up - When all
blocking Is complete.
o Post and Beam - Prior to floor
Insulation or deckIng.
o Insert - After fireplace approval
and Installation of unit.
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o Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - Prior to
decking.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
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o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & Driveway - Alter
excavation Is complete, forms
and sub-base material In place.
o Storm Sewer - Prior to filling
trench. .
o Fence - When completed.
o Water Line - Prior to filling
trench. .'
o Final - Alter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Street Trees - When all required .
lrees are planted. .
o Rough Plumbing - Prior to
cover.
Lot (aces Lol Type . Setbacks
Lot sq. Itg. Interior I P.L. HSE GAR ACC I
IN I
Lot coverage Corner
Topography Panhandle S
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Total height _ 'Cul.de.sac
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l. .HE PROPOSED WORK IN THE
.. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, Ihls application must be signed' ,
and approved by the Historical I
Coordinator prior to permit Issuance.
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APPROVED'
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
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 Sprlng.fleld, 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.
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Garage
Carport
p~. /I~ ..... Plan Check Fee:
Date Paid:
TOlal Value
/q-~ Receipt Number;
Building Permll Fee
.~ R~BY:
Slate Surcharge /L~~
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Total Fee (A) 4>1: evlewed By Date
(B)
Syslems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
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SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
FIXlures
Residential Bath(s), N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
Stale Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By slgnalure,l slale and agree, that I have carefully 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
wllh the Ordinances of the Clly 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
struclure without permission of the Building Safety Division.
I furlher certify thai only conloaclors and employees who
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are In compliance wllh ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFlreplace 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 the approved set of plans will remain
on the site at a m s during construction.
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Signature
MISCELLANEOUS PERMITS
Mobile Home
Stale Issuance
State Surcharge
Sidewalk
It
Date _7
Curbcul
II
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER
RECEIVED BY
"7 7.3'0
7- ~ -"7-:C::
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Total Miscellaneous Permits (El
DATE PAin
TOTAL AMOUNT,DUE (excluding electrical)
(A, B, C. 0, and E Combined)
/9:~
AMOUNT RECEIVED
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