HomeMy WebLinkAboutPermit Building 1995-07-17LOI:- BLoCK:
SPRI }{GFIELE)
TAX LOT:
JOB NUMBER
LOCATION OF PROPOSED WOBK
ASSESSOBS MAP;
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
SUBDIVISION: --
225 Fif th Street
Springfietd, Oregon 97 477
OWNE
ADDf]ES
CITY:STATE:
PHON E
ztP
ADDITI OLISH OTH EI]
DESCRIBE WOR
NEW --._-_ REMODEL
ADDRESS
ES PHONE
I (o
R'S NAMECONTR
G EN ERA L:
PLUMBING
MECHANICAL:
ELECTBICAL:
- OFFICE USE -
LAND USE
FANGE:WATER FiEATEN
QUAD AREA:
' OF BLDGS
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAQE:
# OF BDFIMS: _
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
ro request an inspection, you must cail 726.3769. Thrs rs a 24 hmade the sanre working day, lnspections requested after 7:00 r
rour recordlng. All inspections requestecJ belore 7;00 a.m. will bea.m. wlll bo macje the tollowlng work day.
REQUIRED INSPECTIONS
Site lnspection - To be madeafter excavation, but prior tosettrng {orrils.
I-l Urrderstab ptumbingi Electricat /
-
Mechanical - pnor to cover.
Ternporary Elcctric
Footlng - Af ter trenches areexcavated.
Masonry - Steel locailon, bonclbeams, grouilng.
Foundatlon - After forms areerected but prior to concreteplacemon t.
Underground plunrbing _ prior
to filllng trench.
Underlloor plumbing/ Mechanlcal
- Prlor to insulatlon or decklng.
Posl and Bearry. - prior to f loorinsulation or decl<lng.
Floor lnsulation - prior to
dec ki ng.
Sanitary Sewer - prior to f lllingtrench.
Storm Sewer - prior to fllllngtrench.
Water Line - prior to filling
trench,
Rough Plumbing - prior to
cover.
Rough Mechanical - prlor tocover.
Rough Electrical - prlor tocover.
Electrlcal Service - Must beapproved to obtaln permanent
electrlcal power.
ramlng - Prlor to cover,
Wall/Colllng Insulallon - prlor tocover.
I Fence - When compteted
plu
al Plumbing - When ailmbing worl( ls complete.
l-_l Flnal Etecrricat - When ail'- electrical work ls cgmplete.
[-l Ftnat Mechanical - When atl
-
mechanlcal work ls complete.
l-l Fireptace - prior ro factng.- materlals and framlng lnsf
Flnal Buildlng - When altrequlred lnspecilons have beenapproved and building iscompleted,
Drywall - prior to taping
l--l Wood Stovo - After lnstallatlo'n
MOBILE HOME INSPECTIONS
lnsert - After flreplace approvqlan0 lnstallatlon of unlt.
[-_l Btocking and Ser.Up _ When ail.-..._. btocklng is complete.
Curbcul & Approaclr - Af terlorms are erected but prior toplacemont of concrete.
Plumbing Conneclions _ Whenhome l'ras been connecled towater and sewer.
Sidewalk & Driveway - Af terexcavatlon is completo, formsand sub.base material ln place.
Electrical Connection - When
p_t9cxl1g, set.up, and ptumbtngtnspoctlons have been approvedand the home ls connected tothe servlce panel.
a [-l Street Troos - When ail requtred
-
trees are planted,
Final - Af ter all requiredtnspectlons are approved andporc.hes, sklrting, decks, andventlng have been lnstalled,
[--l othsr
Lot faces
Lot sq. fto.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
' .< THE PROPOSED WORK IN THE
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER? ._-
lf yes, thls application must be slgned
and approved by the Historlcal
Coordlnator prior to permlt lssuance,
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUEX $/SQ. FT,
\?/o I .?"r.
(A)
Total Valuo
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERMTT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is grantec.i on the cxprcss conc.litior.t that the said
construction shall, in all respects, con[orm to ttre Ordinanceadopted by thc City of Springfielc! , inctudtng theDevelopment Code, regulating thc construction and use ofbulldings, ancj may be suspended or revol(ccj at any tlme
upon violation of ar'ry provisions of saicj orcjinances.
Date
Plan Check Fee:
Datc Paid
Becelpt Nurnbcr:---..
Recelvod By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge is cJue on all undeveloped
properties wlthin tlrc City linrits whiclr are bcing improved,
ITEM
Flx t u res
Resldential Bath(s)
Sanitary Sewer
Water
Slorm Sewer
Moblle Home
PLUMBING PERMIT
FEE
(c)
br,b
Plumblng Permlt
State Surcharge -t
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood By slgnature, I statc and agree, that I have carcf ully examlned
the completed apptication and do hereby ceril ly that all
lnformatlon hereorr is true ancl correct, and I lurther certify
that any and all work performed shall bc done in accorcJance
wlth the Ordinances of thc City o( Sprlngf ietd, and the Laws
of the State of Oregon pertalnlng lo thc work described
hereln, and that NO OCCUPANCy wllt be made of any
structure wlthout perrnission of the Bullclirrg Safety Dlvislon.
I further certlfy that only contractors and employees who
are In compliance with ORS 701.055 will be used on thls
p roJec t.
I further agree to ensurc that all requirecl inspections are
requested at the proper ilme, that each add
from the street, that the permlt card ls I
sls
d
ri
Date
perty, and the roved set plan s
ction.durl ng con
ls readable
at the f ront
will remalnof the
on the ala
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut ' ft
Demolltlon
State Surcharge
Iotal Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, D, and E Comblned)
_HS3 EC VE
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT R
RECEIVED
Pt"ans neviewecl-tfy
N0
FT.
FT.
FT.