HomeMy WebLinkAboutPermit Building 1998-03-05RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPRI]tlGFIELD
225 Fifth Street
Sprlngfleld, Oregon 97 477'53Ao o R Ec?N n ()
ASSESSORS MAP:L
LOT
TAX LOT:
BLOCK: SUBD|VIS|ON
CL'+RK PHONE:
ZIP:STATE:CITY:efi'ng
)
,Tn rvt/5///r+eB tADDRESS:
OWNER
€- Greoo€
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
33 NiEo"ro n,,/t zffftxpr R ESADDRESS
il),3 PHONE
ELECTRICAL:
CONTRACTOR'S NAME
PLUMBING:
GENERAL:
BANGE:
# OF BDRMS
- OFFICE USE -
WATER HEATER:
FLOOD PLAIN:OUAD AREA:
I OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlil bemade the same working day, lnspections requested after 7:00 a.m. wlll be ma<le the followlng work day.
REOUIRED INSPECTIONS \F
l--l temporary Electric [-l Rough Mechanicat -l--l cover.
n all
${\sSlte lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior rical - When allcover.work is complete.
Electrlcat Servlce - tutust OAN\
approved to obtaln permanent
electrloal power.
180
gh'{
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover,
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon -erected but prl
placement.
After forms are
or to concrete
W'zywtlll:"/?il;?
Underground Plumblng - Prior
to filllng trench.
E Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPESTIONS
Post and Beam - Prior to floor
lnsulatlon or decking.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ailblocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & A1>proach - After
forms are erected bUt prior toplacomont of concrete.
Plumbing Connectlons - When
home has been connected to
water and gewer.
Sanltary Sewer - Prlor to fllllng
trench.
Storrn Sewer - Prior to tilllng
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Electrical Connection - Whenblocking, set-up, and plumblng
inspections have been approved
and the home ls connected to
the service panel.
Water Llne - Prlor to filling
trench.
Fence - When coiilpleted.
$treet Trees - When all required
trees are planted.
Final - After all required
Inspections are approved andporches, sklrting, decks, andventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
rl
JoB NUMBE "-?ffi %4
>/0pa
MECHANICAL:
n Wallrcelling lnsulatlon - prlor to|J cover.
l-l Drywall - Prtor to taptng.
n Wooa Stovo - Afler lnstailation.
ffifln"t Buitdlng - When ailfiqquired lnspectlons have been
aplroved and bultdlng is
completed.
xo,n., DtzYRsT l^l( - coeNezs
E
E
tl
E
tl
E
fl
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot T1
v
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
IS THE PROPOSED WORK TN THE .
HISTOFIICAL DISTBICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
l(l',tl ,ti"a. (af <^ii 4m?
VALUE
Zf3 t /,r\
(A).fr
-10,S'
i;*
x $/so. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERNIIT i
ITEM SO. FT.
Main
Garage
Carport
D5-
This permit is granted on the express condition that the said
construction shall, ln 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 ewed By Date
Plan Check Fee:
Date Paid
Receivecl By
BUTLDING VALUE
AND BUILDTNG P
, i5tRru cHEcK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerflfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
atu reA"
Date 3 -r-9 k
n conston the site all on.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
s4{
zbaT
AMOUNT RECEIVED
RECEIVED BY
DATE PAIi)
VALIDATION:
BECEIPT NUMBER
;i.,, :.
. ll .
N/t
No