HomeMy WebLinkAboutBuilding Building 1997-08-27SPRIT{GFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Otfice: 726-3759
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:
*fr,
JoB NUMBE a 7)r2.€-
225 Fifth Street
Sprlngfleld, Oregon 97477
BLOCK:
TAX LOT
SUBDIVISION:
2
S
PHONE:) t/) 7,f1t
97?zzsurE:fuztP;
OWNER:
ADDRESS:
CITY:
NEW t/ REMODEL ADDITION DEMOLISH OTHEFI
DESCRIBE WORK:
MECHANICAL:
-
ELECTBICALi
ADDBESSCONTRACTOR'S NAME
rs4/s
coNsT.
CONTBACTOR # EXPIRES ,f PHONE
GENE
FIANGE:
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
SECONDABY HEAT:
SQUARE FOOTAGE:
OUAD AREA:
r OF BLDGS:
LAND USE:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE;
To request an inspection, you must call 726-3769, Thls is a 24 nour recordlng. All inspectlons requested before 7:0O a.m. wlll be
made the same v,,orkrns day, rnspections _T"Jil;ffir;iftlJr;?ilffi the roilowrns work day.
i-.l Temporary Electric Rough Mechanlcal - Prlor to
l--l Site lnspection - To lre made|J after excavation, bul Prior to
setting forms.
f--l Rough Eleclrlcal - Prlor toU cover-
E
cover,
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Plumbing - When all
plumblng work ls complete.
Flnal Eleclrlcal - When all
electrical work ls complete.
Final Mechanlcal - When all
mechanlcal work ls complete.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrlcal Connection - When
blocking, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Flnal - After all required
lnspoctlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
E
'lVlroottno - After trenches are
,/ { excavaied'
Underslab Plumblngl Electrlcal/
Mechanlcal - Prlor to cover.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prior to
decking.
Sanitary Sewer - Prior to fllllng
trench.
Storm Sewer - Prior to fllling
trench.
Waler Llne - Prlor to filllng
trench.
Rough Plumblng - Prlor to
cover.
l-l Flreplace - Prlor to faclng|J materlals and framlng lnsg
Kt'u-tng - Prlor to cover'
tf
i\/ftnat Buildlns - When all
-F4 requlred lnspectlons have been' approved and bullding is
completed.
WaltlCelllng lnsulatlon - Prlor to
cover.
l--l Drirwall - Prlor to taplng.
E Wood Stovo - Afler lnstallatlon.
lnserl - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Fence - When coi'rpleted,
Streel Trees - When all requlred
trees are planted.
, OF BDRMS:-
E
tl tl
E
E
rl
E
n
tl
E
Lot facds
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty*
-
tnterlor
-_ Corner
-
Panhandle !'
-
Cul-de-sac
IS THE PROPOSED WORK IN THE ", HISTORICAL DISTRICf,, OR ON
THE HISTORICAL REGISTER? .--
lf yes, thls appllcatlon must be slgnedand approved by the Historical
Coordinator prlor to permlt isSuance.
APPROVED:
I
4ry4" 74.e
3,/3 t /,gG
ii
(A)
zttr
fo6o/
BUILDING PENNIT
70o'A.ao!r.'+-
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee b7,f/
Thls permit rs granted on the express condition that the saidconstructlon shall, ln all respects, conform to the Ordinanceadopted by the City of Sprlngfleld, inctudtng theDe.velopment Code, regulating the ctnstruction and use ofbulldings, and may be suspended or revoked at any tlmeupon violation of any provisions of sald ordlnances.
Plans Beviewed By Date
E,
PE
LU c HNLA E Kc
D N G MR IT
Plan Check Fee
Received By:
Date Paid:
Fleceipt Nu
BUILDTNG
AND BUIL
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln the City limits which are being improved.
ITEM
Fixtures
Flesldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
Nc
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that ali
lnformatlon hereon ls true ancl correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrl,bed
hereln, and that NO OCCUPANCY wlll be made of any
structure without permission of the Bulldlng Safety Dlvislon.
I further certily that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, 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
vDate 2e- *
Slgnatu
on the slte at all tlmes du construction
MISCELLANEOUS PERMITS
Moblte Home
State lssuance
Stato Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
@7r/L+r't(ii - t','@
/4
Z @
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BYTOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, Q and E Comblned)
PL.HSE GAR ACC
N
S
W
E
', ii"
SQ. FT. X $/SQ. FT. - VALUE
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