HomeMy WebLinkAboutPermit Miscellaneous 1995-8-1
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WOfJJS;....~ ~'?f.\
ASSESSORS MAP: \\ D~u~ 6
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RESIDENTIAL
PERMIT APPLICATION
LOT:
.
SPRINGFIELD
.
q~\23~
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
()\C\D\
BLOCK:
, TAX LOT:
SUBDIVISION:
DESCRIBE WOr-lI<:..__._....
NEW
F1EMODEL ._
~
PHONE: ~I' \32-.1
~-r+ -A
STATE:
ZIP:
9
\)\ f'(l~
..
ADDITION
DEMOLISH
OTHER _
CONTRA,CTOR'S NAME
GENERAL:
ADDRESS
CONST.
CONTRACTOR It
PHONE
EXPIRES
PLUMBING: -'..\
MECHANICAL~\'\lJfY\.<L C'~~
- '\.
ELECTRICAL:
R<r \\O~
-{o.2~.qlo ~.~
QUAD AREA:
" OF BLDGS: ______
.
OCCY GROUP: __,___
" OF STORIES: ____,
WATER HEATER: _..__..__________.___
- OFFICE USE _
'.
LAND USE:
FLOOD PLAIN:
II OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
ZONING CODE:
" OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording. All Inspections requested before 7:00 a,m, will be
,
made the sanle worl<lng dny,lnspectlons requested after 7:00 a,m, will bo made lho following worl< day.
D Temporary Electric
D Site Inspection - To be mado
after excaVAtion, but prior to
setting forfl1~,
o
Underslab Plumbing/ Electrical!
Mechanical - Prior to cover,
o
Footing - Arter trenches are
excavated,
o Masonry - Steel location, bond
beams, grouting,
D
Foundation - After forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to fllllnQ trench.
D
Underfloor Plumbing/ Mechanical
- Prior to Insulation or decl</ng,
o
Post and Bea~ - Prior to floor
Insulation or decl<lng,
o Floor Insulation - Prior to
decking,
o Sanitary Sewer - Prior to filling
trench.
D'Storm Sewer - Prior to filling
trench,
O Water Line - Prior to filling
trench,
O Rough Plumbing - Prior to
cover,
REQUIRED INSPECTIONS
.,.--'. ,
L:J Rough Mechanical - Prior to
cover,
o Final Plumbing - When all
plumbing w~:HI< Is complet,e,
D Rough Electrical - Prior to
cover, ,
o Final Electrical - When all
electrical work Is complete,
o Electrical Service - Must be
approved to obtain permanent
electrical power,
.
~1a1 Mechanical - When all
mechanical work Is complete.
o Fireplace - Prior to facing
materials and framing Insp.
o Final Building - When all
required Inspections have been
approved and building Is
completed,
o FramIng - Prior to cover,
o Other
o Wail/Ceiling Insulation.,... Prior to
cover.
o Drywall - Prior to taping,
, .
o Wood Stovo - Arter Installation.
MOBILE HOME INSPECTIONS
o Insert - After fireplace approval
and Installation of unit. '
o Blocking and Set.Up - When all
blOCking Is complete,
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete,
o Plumbing Connections - When
home has been connected to
water and sewer,
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place,
o Electrical Connection - When
blOCking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Fence - When completed,
o Street Troes - When all required
trees are planted.
o
Final - After all required
InspectIons are approved and
porches, skirting, decks, and
venting have been Installed,
,','
Lot TYPO. ..
Lot laces Setbacks
I PoL. ACC I
Lot sq, fig, Interior HSE GAR
IN
Lot coverage Corner
Is
Topography Panhandle
Iw
Total height Cul-de-sac
IE
~
.S THE PROPOSED WORI< IN THE
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
ilnd approved by the Historical
Coordinator prior to permit Issuance,
'.
BUILDING PERMIT
APPROVED: .
ITEM
SQ, FT,
X $/SQ, FT. =
VALUE
Main
Garage
.
I
Carport
Total Value
Building Pormit Fee
State Surcharge
Total Feo
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM -
I Fixtures
"
I
Residential Bath(s) NO
Sanitary Sewer FT,
Water FT"
Storm Sewer FT,
Mobile Home
FEE
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood, Stove/Insert! Flroplace Unit
Dr~ep ~ ~Wd fWlXML _
(... -
M~chanlcal Permit JS.aJ
Issuance 70. w
d;.~
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
9& .020
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantc(J on the express condilion tllaltlle said
construction shall, in all respects, conform to tile Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the cOr)$truction and use of
buildings, and may be suspended or revol<ed at any time
upon violation of any provisions of said ordinances,
Plan Check Fee:
Date Paid:
.. ___ '_'n_ .__.. '.._. _.._._._____...._.
Receipt Number:___... _______..__________
Received By:
----. --~..._-------
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within tll0 City limits which are being improved.
I
ADDITIONAL COMMENTS
---_._.._.~_.._--
By signature, I stale ilnd agree, thaI 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
with the Ordinances of the City of Springfield, and the Laws
of the Stato of Oregon pertaining to tho work described
heroin, and that NO OCCUPANCY will be maejo of any
I
structure without permission of the Bulldillg 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 further greo 10 ensuro that all required Inspections are
requeste at the proper IIme,that oach address Is readable
from the st eet, that the permit card is located at the front
of the prop~\ y, and the approved set of plans will remain
on the site a\ all times d",~~',"CtlOn
SI t r~~_~~ _'
,
VALIDATION: 0c....~'6
RECEIPT NUMBER \ \) ~
, 8.(.q;:)
DATE PAID --- - - "If....
AMOUNT RECElv~~J.(') , if-'<:.)
RECEIVED BY 1 J:)~ J