HomeMy WebLinkAboutPermit Building 1996-08-31SPNINGFIELO
ffi,
POSED WOHK:
SUBDIVISION
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
'225 Fif th Street
Sprlng(lelc.t, Oregon 97477
t
--JOBNUMBTn 7 ^\
TAX LOT:
LOCATION OF PRO
ASSESSORS MAP;
PHONE:
STATE ztP
OWNER
ADDRESS
CITY:
r ADDITION DEMOLISH OTHEFI
DESCRIBE WORK
NEW
-
REMODEL
ELECTRICAL:
-
AD EXPI RES PHONEoJCONTBACTOR'S NAME
MECHANICAL:
PLUMBING:
G EN ERAL:
CONST.
CONTRACTOB #
r OF BDRMS:
_ OFFICE USE _
WATER HEATER
ZONING CODE:
FLOOD PLAIN:QUAD ABEA:
I OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
OCCY GROUP:
# OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requesled before 7:00 a.m, wlll be
made the sante worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Eloclrlc Rough Mechanlcal - Prlor to
cover.
Site lnspectlon - To be madc
af ter excavatlon, but prlor losettlng forrns.
m Rough Electrlcal - Prior to lfi flnA Etectricat - When altiu electrlcal work is complete.cover.
[-_l Underslab Plumblng/ Etecrrical/
-
Mechanlcal - Prlor to cover.Electrical Servlco - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When ail
mechanlcal work ls complete.
Footlng - Af ter trenches are
excavated.W Flnal Buildlng - When allrequired lnspectlons have beenapproved and bullding ls
completed,Masonry - Steel locatlon, bond
beams, groutlnO,
Flreplaco - Prlor to faclng
materlals and f ramlng lnsp.
w
w
Framlng - Prlor to cover,
Foundatlon - After forms are
erected but prlor to concrete
placement.
Othor
Wall/Colling lnsulatlon - prior to
cover.
E l';',fiii:;"ii::JJ.'-trng - Prior l,,l o,-y*uu - prror to taprrle
Underlloor Plumbtng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon
w Post and Boant - Prlor to floorlnsulatlon or decklng.[--l tnsert - After ftreptace approval
-
and lnstallatlon of unlt.
[-_l Alocking and Ser.Up - When ail.- blocklng ls complete.
lfr Floor lnsulalion - prtor to\r+J decklng.
[-l Sanitary Sewer - prior to tiiltngtJ trench.
Curbcut & AJrproach - Afterforms are erected but prior loplacemont oI concrete,
Plumbing Connectlons - Whenhome lras been connected towater and sewer.
Slorm Sewer - t)rior to lllllngtrench. r
Sidewalk & Drlveway - Aftercxcavatlon ls complcte, formsand sub.base materlal ln place.
Electrlcal Connection - Whenblocklng, set-up, and plumblnglnspectlons have been approvedand the home ls connected tothe servlce panel.Water Llne - Prlor ro filllng
trench.
Fence - Wtten completed.
Rough Plumbing - Prlor ro
cover.{itreel Treos - Whcn all rcqulredtrees are planted.
Final - After all requiredlnspectlons are approved andporches, skirilng, decks, andventlng have been lnstalled.
LOI:
-
BLOCK:
-rw
,n/ ^
bh
RN NGE:
LAND USE:
# OF UNITS:
--
E
E
[--l Flnal Plumblng - When ailtJ plumblng worl< ls complete,
En
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
_- lnterlor
-
Corner
-
Panhandle
-
Cul-de.sac
ks -- THE PROPOSED WORK iN THE -
H;STORICAL DISTHICT, OR ON
THE HISTORICAL REGISTER? .--
It yes, thls appllcatlon must be slgnedarrd approved by the Hlstorlcal
Coordinator prlor to permit issuance.
APPROVED
P,L.HSE GAR ACC
N
S
E
VALUE
/r4r?/2.5trU'*--,vgrr___g
(A) - 2/
BUILDING PERMIT
Total Value
Bulldlng Permit Fee
State Surcharge
Total Fec
SO. FT. X $/SQ, FT.ITEM
Maln
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls permit is grantecJ on the express condltion that the saldconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City of Springfleld, includlng theDevelopment CocJe, regulating the constructlon and use ofbulldings, and may be suspended or revokcd at any tlmeupon violation of any provisions of said ordinances.
Becelpt Number:--*
Plans Bcvlewc<J By Date
Plan Chcck Fce:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Dcvelopment Charge ls due on all undeveloped
properties wlthln tho City linrlts which are belng lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
FT.
FT,
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I statc and agree, that I have carof ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlf y
that any and all work performed shall be done in accordance
wlth the Ordinanccs of thc City of Sprlngfield, and the Laws
of the Statc ol Oregon pertainlng to thc work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout pennission of the Bulldlrrg Safety Dlvislon.
I f urther certlfy that only contractors and employees who
aro ln cornpliancc with ORS 701.055 wlll be used on thls
pro jec t.
lfurther agree to ensurc that all required lnspections are
requested at the proper tlme, that oach address ls readable
f rom the street, that the permlt card ls located at the f ront
rty, and the approved set of plans will
Slgnatu
Date
of the prope n
uon the slte at all ti onst
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
Total Mlscellaneous Pertnlts (E)
TorAL AMouNT DUE (excludln-g clectrlca\ .3-e
(A, B, C, D, and E Comblned)
NoVent Fan
(D)
MECHANICAL PERMIT
Furnacc
Exhaust Hood
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
%.2?
I
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State SurchargP