HomeMy WebLinkAboutPermit Building 1994-06-03FIELr,RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP;
LOT
JoB NUMBE R
=
/D a
225 Flfth Street
Sprf ngfleld, Oregon 97477
TAX LOT 1, 532D a
SUBDIVISIONBLOCK:
STATE:
OWNEB:
ADDBESS:
CITY:
NEW- BEMODEL AODITION DEMOLISH OTHER
DESCBIBE WORK:
MECHANICAL:
ELECTRICAL:
AODRESS EXPIRES PHONE*
2CONTBA TOR'S NAME
CONST.co
GENERAL:
PLUMBING
- OFFICE USE -
LAND USE:
ZONING CODEI* OF UNI:TS:
RANGE:
OUAD AREA:
* OF BLDGST
SECONDARY HEAT:
SOUABE FOOTAGE:
/ OF BDFIMS:
--
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To reguest an llspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested 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.
REOUTRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When all
plumblng wgrk ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlca! - Prlor to
cover.
Flnal Electrlcal - When all
electrlcal work ls complete.
E Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.
Electrlcat Servtc'e - Must be
approved to obtalnpermanent
electrlcal power. - nr,^
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.[-l Flreptace - Prlor to faclng
'J materlals and framlng lnsp.
[7l Framlng - Prlor to cover.
4 Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.tl Masonry - St€el locatlon, bond
beams, groutlng.
OtherFoundallon - After forms are
erected but prlor to concrete
placement.WalllCblllng lnsulatlon - Prlor to
cover.
E Underground Plumblng - Prlor
to fllllng trench.l--l Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONStfUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Pogl and Beam - Prlor to floor
lnsulatlon or deoklng.lngerl - Alter flreplace apProval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor to
placement of ooncrete.
Blocking and Set.Up - When all
blocklng ls complete.
t]Floor lnsulatlon - Prlor to
decklng.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrlcal Connectlon - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fll'llng
trench.
Sldewalk & DrlvewaY - After
excavatlon ls complete, forms
and'sub-base materlal ln Place.
Waler Llne - Prlor to filling
trench.
Fence - When comPleted
Rough Plumblng - Prlor to
cover.
Stroot Trees - When all requlred
trees ar6 planted.
Flnal - After all requlred
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled.
E
/)-ats-Bsi-?E
PHoNE: "- -Ji6-=
z2h -zre, ?)27
FLOOD PLAIN:
tl
tl
fl
n
Etl
n
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnteilor
-
Corner
-
Panhandle
-
Cul-de-sac
S THE PROPOSEI, WORK TN THE.
-rilsroRlcAL DlsrBlcT, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prior to permlt lssuance.
APPROVED:
ACCP.L.HSE GAB
N
W
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express condltlon that the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the Clty . of Sprlngf leld, lncludlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violatlon of any provlsions of sald ordinances.
Plans Revlewed By
Recelpt Numbe
Plan Gheck Fee:
Date Pald:
Recelved By:
VALUE
=*
f*
(A)
Zg.S*w?/.e
BUTLDING PERMIT
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.ITEM
Maln
Garage
Carport
Systems Development Charge ls due on all undeveloped
propertles wlthln the City llmlts whlch are belng lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
*;3
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcallon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work perlormed shall be done ln accordance
wlth ths Ordlnances of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permlssion of the Bulldlng Safety Divlslon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
prolect.
I lurther agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that each address ls readable
from the streot, that the permlt card ls located at the front
of the property, and the approved set of.
77&
wll maln
Slgnatu re
Date
on the slte at all tlmes du on,
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
-
(A, B, C, Q and E Comblned)
.3eqDATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBEH
s
Date
FT.
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