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HomeMy WebLinkAboutPermit Building 1995-10-31SPFtII\lGFI RESIDENTIAL PERMIT APPLICATION lnspections:726'3769 Office: 726-3759 JOB NUMBER Qs t 6bZ 225 Fif th Street Springfleld, Oregon 97477 LOCATION OF PROPOSED WOBK: ASSESSORS MAP:r? oz _28 \TAX LOT: LOT:BLOCK:SUBDIVISION To request an inspecilon, you made the sante worklng day, must call 726'376s' Thls ls a 24 hour recordlng. All lnspections reguested before 7;00 a.mlnspections requested after 7:00 a.m. wilr be made the folrowrng work day. REQUIRED TNSPECTIONS wlll be Temporary Electrlc Site lnspeclion - To be madeafter excavatlon, but prior tosetting forms. Underslab Plumblng/ Electrical/Mechanlcal - prior to cover. Foollng - After trenches areexcavaled. Masonry - Steel locailon, bonclbeams, grouting, Foundatlon - After forms areerected but prlor to concreteplacement. Post and Beam - prlor to floorinsulation or decklng. Floor lnsulation - prior todecking. Water Line - Prlor to filling trench. Rough Plumbing - prior to cover. Rough Mechanlcal - prlor to cover. Rough Electrlcal - prlor to cover. Flnal Plumbing - When ailplumblng worl< ls complete. Finat Electrical - When allelectrical work is complete. Final Mechanlcal - When allmnical work ls complete. FInal Buildlng - When allrequlred lnspecilons have beenapproved and building iscompleted. Electrical Servlce - Must beapproved to obtaln permanent electrlcal power, [-l Flreplaco - prtor to faclng.J materlals and framlng lnspi lng - Prlor to cover. Wall/Celling lnsulatlon - prior tocover. [--'l Unaerground plumbinq _ priorL-J to filling trench f Drywall - prlor to taplng Underlloor plumblng / Mechanical - Prior to lnsulatlon or decking. MOBILE HOME TNSPECTIONS Wood Slovo : After lnstallatlon. lnsert - After flreplace approvaland lnstallatlon of unlt. [-l glocking and Set.Up - When ail - btocklng ls complete. Plumbing Connectlons - Whenhome has been connected towater and sewer,[--l Sanltary Sewer - prior ro fiilingu trench. Curbcut & Approach - Afterforms are erected but prior toplacemcnt o, concrete. Storm Sewer - prlor to filling trench. Sidewalk & Oriveway - Afterexcavation ls complete, formsand sub-base material ln place. Fence - When completed. Electrical Connection _ Whenblocklng, set-up, and plumbinglnspections have been approvedand the home is connected tothe servlce panel. NEW - REMODEL ADDITION DEMOLISH OTH PHONE: APor rJoF1g.qr6; CONST. CONTRACTOR ,'ADDRESS EXPIRES PHONE &STATE:ZIP:9-*t7 Jo."s*' Vat-"ra** t4Gs Pqre-e,t tL->1b-Ll"iAA KK bPL- CITY: CONIRACTOR'S NAME ADORESS OWNER MECHANICAL ELECTFIICAL DESCRIBE WOFK: GENERAL: PLUMBING , OF BDRMS - OFFICE USE _ LAND USE: ZONING CODE: SECONDABY HEAT: I OF UNITS: SOUARE FOOTAGE: QUAD AREA: r OF BLDGS: OCCY GROUP: r OF STORIES: FLOOD PLAIN: CONSTR. TYPE: HEAT SOURCE; RANGE: Street Troos - When all requlredtrees are planted, Final - Af ter all requiredtnspectlons are approved andporchos, sklrilng, decks, andventlng have been lnstalled. Erru.uO Er.Gs * Da.< Qar ?.ePQvrz WATER HEATER: tl tl Lot laces Lot sq. ftg. Lot coverage Topography Total helght Lot Type- - lnterlor -- Corner - Panhandle - Cul-de.sac PL.HSE GAR ACC N s E I\ ISTHE PROPOSED WORK IN THE HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? ".._-ll yes, this appllcailon must be slgnedand approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: VALU (A) BUILDING PERMIT Total Value Building Permit Fee State Surcharge Total Fee 2sao %.so .3.o8 4i FrZ SQ. FT, X $/SO. FT.ITEM Maln Garage Carport BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT Thls permit is granted on the express condiilon that the saidconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Springfield, includtng theDevelopment Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any ilme upon violation of any provisions of said ordinances. Recei pt Number:--..-.......=---.-..._- Plans RcGwcd-13y Date Date Paid Received By: Plan Check Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties within the City limlts which are being improved. ITEM Fixtures Resldential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE FT. FT. FT. (c) PLUMBING PERMIT Plumblng Permlt State Surcharge Tolal Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Flreplace Unlt Dryer Vent (D) NoVent Fan Mechanical Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carcf ully examlned the completed application and do hereby certlfy that all lnformation hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of thc City of Springf ield, and the Laws of the State of Oregon pertalnlng to thc work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout perrnission of the Building Safety Divislon. I further certlfy that only contractors and employees who are ln compllance with ORS 701.055 will be used on thls proiect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the perrjlt card ls located at the front of the property, and the approved set of plans will remaln X on the site at Itimes durlng const ructlon Slgnatu re Date .-2 MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk - ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Permits (E) TOTAL AMOUNT DUE (excluding elec\rical) (A, B, C, D, and E Comblned) At,ca VALIDATION: BECEIPT NUMBER o144bl DATE PAID AMOUNT BECEIVED 4\.4 RECEIVED BY -ber+- N0 JOB NUMBE " ?V68 ,16 Fitth street i-pringf i.rO, Oregon 97477EEi"ff,1.I$t'"o''o* lnsoections:726'3769 Ot(ice: 726'3759 LQOATION Otr PF{OPOSED WORK: ASSESSORS MAP: TAX LOX SUBDIVISION:LoT: BLocK: PHONE: ZIP:STATE: OWNER: ADDRESS: CITY: ADDITION DEMOLISH OTHER DESCFIIBE WORK: NEW .---- REMODEL MECHANICAL: - ELECTFIICALi PHONEEXPIRESADDRESSCONTRACTOB'S NAME CONST, CONTRACTOR # GENERAL: PLUMBING RANGE I OF BDRMS: - OFFICE USE - LAND USE: ZONING CODE: WATER HEATEFI: SECONDARY HEAT: SQUARE FOOTAGE: QUAD AREA: # OF BLDGS OCCY GFTOUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS: _- To request an inspectlon, you must call 726-3769. Thls is a24hour recording. All lnspections requested before 7:00 a.m. wlll be made the same working day, lnspections requested after 7:00 a.m. will be made the following work day. REQU IRED TNSPECTIONS [--l Temporary Electricll Rough Mechanical - Prlor to cover. Final Plumbing - When all plumblng worl< ls complete. Site lnspection - To be made af ter excavation, but prior to setting forms. Rough Electrical - Prior to Final Eleclrical - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Servlce - Must be approved to obtain permanent electrical power. Final Mechanical - When all mechanical work ls complete. Footlng - After trenches are excavated.Fireplace - Prlor to facing materlals and framing lnsp. Final Building - When all required lnspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundatlon - After forms are erected but prlor to concrete placement.Wall/Celling ln.sulatlon - Prlor to cover, Underground Plumbing - Prior to fllling trench.Drywall - Prlor to taping MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanical - Prior to insulatlon or decking.Wood Stovo - After lnstallatlon Post and Beam - Prior to floor insulation or decking.lnserl - After flreplace approval and lnstallatlon o{ unlt. Blocking and Set-Up - When all blocking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to f llling trench.Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. Waler Line - Prior to filling trench. l--l Fence - When completed Street Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, sklrting, decks, and ventlng have been installed.Rough Plumbing - Prior to cover. h, ) FLOOD PLAIN: E E tl E w fl E E E fl E E E tl E tf E tl E E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typ, v -- Interior _*_ Corner - Panhandle .- Cul-de-sac PL.HSE GAR ACC N S E s IS THE PROPOSED WORK iN THEHISTOFIICAL DISTR rc]1 OR oNTHE HISTOFIICAL R EGISTER? lf yes, this application must be slgned 1nd approved by the UistoitcalCoordinator prior to permit issuance. APPFIOVED: BUILDING PERMIT VALUE (A) SQ. FT. X $/SQ. FT. ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Dl.ry.g_v.ALu E, PLAN CH ECKBUILDING Pi=RMIT This permit is granted on the express condition lhat the said .construction shalt, in all respecis, "onio, io-tne Ordinanceadopted bv the citv, gf spiingrieiJ, incrudins theDeveropmenr code. regurating in" Jon"Ju"iion ,nd use otbuildings, and may be suspended or revoked at any timeupon violation of any provisions of saiJ orJin"n""". DatePIans Reviewed By BUIL AND Plan Check Fee; Date Paid: Receipt Number: Received By: EMS DEVELOPMENT CHARGE (SDC) (B) SYST Systems Development Charge is due on all undevelopedproperties within ilre City limits which are being improved. ITEM Fixtures Besidential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT No Fr.<fur 7).a FEE FT. FT. (c) 4>.< -4dfrrePlumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) Mechanical Permit lssuance State Surcharge Total Permit By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby certify that allinformation hereon is true ancl correct, and I f urther certify that any and ail work performed shail be done in accordance with the Ordinances of the City of Springf ield, and the Lawsof the State of Oregon pertaining to the work described hereln, and that NO OCCUPANCy will be made of anystructure without perrnission of the Building Safety Divislon.I further certily that only contractors and employees who are in compliance with ORS 701.055 will be used on thisprolect. I f urther agree to ensure that all required inspections arerequested at the proper time, that each address is readable from the street, that the permit card is located at the fronlof the property, and the approved set of plans will remain Slgnatu re /0* z) -?,Date r on the site at ll times during construction MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk -- ft Curbcut _ ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (exctuding etec$icat) (A, B, C, D, and E Combined) vhuoRrroN: RECEIPT NUMBER DATE PAID -27 .=, AMOUNT RECEIVED RECEIVED BY <68,