HomeMy WebLinkAboutPermit Building 1998-08-24SPrlIn.GFIEL()RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office:72A4759
LOCATION OF PROPOSED WORK:2.1 e
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JOB NUMBEA U Ll
225 Fi{th Street
Springfleld, Oregon 97477
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ASSESSOBS MAP:TAX LOT do6oo
LOT BLOCK:SUBOIVISIONI .
PHONE:
ZIP:STATE:
,'ef -(d z,trD (urOWNER:
ADDRESS:
CITY:
NEW
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REMODEL ADDITION DEMOLISH OTHEFI
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DESCRIBE WORK:
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EXPIRES .3 PHONECONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
souRCE: callingthecenter. (Notg{[6l0hnhP$frer
_ number for the Oregon Utility NotificationE:-- €enreris r-d'oo-s$$l}SQli;Foornce:
# oF uNtrs: Notilication Center. Thosqffipl
oAR 952-001-in OAR 952-001-0010 throF THE v\{QflGrr. ,"".-O090@tain
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_ OFFICE USE -
QUAD AREA:LAND USE:
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To request an lnspectlon, you must call 726-3769. Thls is a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day.
UIRED INSPECTIONS
ry Electrlc ugh Mechanlcal - Prlor to nal Plumbing - When all
blng worl< is complete.
h Electrical - Prior to Electrical - When all
ical work is complete.t.
Underslab Plumblngl Electrical /
Mechanlca! - Prior to cover.Servlce - Must be
to obtain permanent
rl Mechanical - When all
hanical work ls complete.
ectrlcal power.
Footlng - After trenches are
excavated.Bullding - \l/hen all
Flreplace - Prlor to faclng
and framing lnsp.
ired lnspections have been
Masonry - Steel locatlon, bond
beams, groutlng.
approved and building is
completed.
ng - Prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
/Celllng lnsulatlon - Prlor to
Underground Plumblng
to fllllng trench.- Prior ll - Prlor to taping.
MOBILE HOME INSPESTIONSUnderlloor PlumblnglM Wood Stove - After lnstallatlon.- Prior to lnsulatlon or clecklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvql
and installatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulatlon - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllling
trench.
Sidewall< & Driveway - After
excavation is complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling l--l Fence - When cciilpleted.
$lreel Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved andporches, sklrtlng, decks, and
ventlng have been installed.
R Fi
D
h.
Plumbing - Prior to
T
ADDRESS
E
tl
n
E
E
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
-
lnterior
-_
Corner
-
Panhandle !
-
Cul-de-sac
P.L,TISE GAR ACC
N
S
E
i-_iS THE PROPOSED WORK TN THE .
HrsToRrcAL DtsTRtcT, oR oN
THE HISTOBICAL BEGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
SQ. FT. X $/SO. FT. : VALUE
/147
70f ,.1,1
3n oe>
LII o-"-
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, i5LRru CHECK
AND BUILDING PERMIT
This pernrit 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:_
DatePlans Reviewed By
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
loorw!
I
(c)b,(,ro
Ni
FT.
FT.
FEE
D @''
Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
Note:
Building Inspector may require
additional plans information,
and/or fees for the completion of
this project.
vADDITIONAL COMMEN
tu?,
By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 7O1.O5S will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
Date
on the site at all times durin s
Slgnatu
struction
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Fermits (E)
?. aa
Lf,t7)
)
'r
Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Noj
t{ 2o
la.,,)i-Mechanical Permit
lssuance
State Surcharge
Total Permit
TO1AL AMOUNT DUE (excluding etectricat)
(A, B, C, D, and E Combined)
//?a
VALIDATION:
RECEIPT NUMBEFI
DATE PAI|)
,IC
AMOUNT RECEIVED
RECEIVED BY
,i
FT.
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