HomeMy WebLinkAboutPermit Building 1999-07-15RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
SPFlIlY
f?o ?6 t
fifi,
.JOB NUMBEB
225 Fi fth Street
SprlrrgfielrJ, Orego
LOCATION OF PROPOSED WORK:223 ory't L //a
ASSESSORS MAP:
LOT:BLOCK;
TAX LOII o/
SUBDIVISION
477
7r/7-SzF?PllOl'.lE:
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STNTE - O-trr.7_tP:
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lrto p
-at)ACITY:
ADDRESS
OWNER
NEW
--
REMODEL ADDITION DEMOLISI{ OTHER
DESCRIBE WORK
7q* fi lz
orr iaw r€Qulte-'
FLOOD I)
ld
AIJTHORIZED UNDER THIo
Tr{ls PERMITSHALL
1c
OD
EXPIRES PHONE
0p/ hJ. ,t\ , -r<
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
WATER HEATER RANGE
COMMENCED OR IS
ANY 180
CE USE -
DRESS
Lecltb
SECONDARY HEAT:
SOUARE FOOTAGE:
GENERAL:
PLUMBING
CONST.
CONTRACTOR ,
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before z:00 a.m. wlll bemade the sarne worklng day, lnspections requested af ter 7:00 a.m. wlll be macje the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover,
Final Plunrbing - When allplumblng work ls comploto.
Slto lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to
cover.Flnal Electrlcal - Wlren all
electrical work is complete.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls cornplete.
Footlng - After trenches are
oxcavated.Building - Vlihen ailFlroplaco - Prlor to faclng
materlals and framlng lnsp.
ired lnspectlons have been
Masonry - Steel locatlon, bond
beams, groutlng.
roved and buildlng is
completed
lng - Prior to cover,
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prtor to
cover.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPE TTONS
Post and Boam - Prlor to floor
lnsulatlon or decklng.
Blocking and Set.Up - When all
blocklnp ls complet€,
Floor lnsulation - Prior to
decking,Curbcut & Alrproach - After
forms are erected but prior toplacement of concrete.
Plumbing Conneclions - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.
Storrn Sewer - Prior to fllllng
trench.
Sidewall< & Drlvewav - After
excavatlon ls complete, forms
and sub-base materlal in placo..
Electrical Connection - When
blocking, set.up, and pltrmblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Water Llne - Prlor to filling
trench.
Fence - When cci,tpleted.
lilreel Trees - When all requlredtroc. .ra planlod,
Final - After all required
inspectlons are approved andporches, sklrting, decks, andY.nllng havo bron lnctrllod,
FIn
Rough Plumbing - Prlor to
covor,
rulesfollow
Center _ NOTICE:copiesobtain
set lo' irules are.Those
D USE:
OF UNITS:
TYPE:
HEAT SOURCE:
fl
E
E
tl
E
E
tl
r
E
l-_l Drywall - prtor to taptng.
l-l Wood Stovo - Afrer tnsraltarton.
l-l lngcrt - Alter flreptace approval
-
and lnstallatlon of unlt.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-- Corner
.- Panhandle
-
Cul-de-sac
E
1- IS THE PROPOSED WORK iN THE '
HISTOBICAL DISTRICT, OR ON
TI]E IIISTORICAL REGISTER?
-
ll yes, this applicatlon rnust be slgned
arrd approved by the Historical
Coordinalor prlor to permit issuance.
APPROVED:
P.L,iJSF-GAR ACC
N
\)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrrrit is granted on the express condition that the said
construction shall, in all respects, conform to the 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.
Receipt Number:-.
Plans Rcviewed By Date
Date Paid
Received By:
Plan Check Fee L/. /l\t lf" oo l?to
VALUE
jLtu
tzf
95,1f(A)
l1)"--
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Caroort
U,-@-
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N.
F].
FT.
FT.
(c)
Plumblng Permit
Stato Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgrrature, I state and agree, that I have carof ully examlned
the comploted application and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlly
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfir:ld, and the Laws
of thc State of Orcgon perlalnlng to thc work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bullcllrrg Safety Divislon.
I further certify that only contractors and enrployees who
are in compliance with OFIS 701.055 will be used on this
proiect.
I (urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
Signat
7 77.Date
rovcd sct of plans will remalrrof the property, and tho a
all tion the si ng construction.
Wood Stove/ lnsert/Flreplace Urrll
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pertnits (E)
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust l-loorj
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
5t
j(
T
VAI-IDATION
RECEIPT NUMB
DATE PAIi)
AMOUNT FIECEIV
RECEIVED BY