HomeMy WebLinkAboutPermit Building 1998-10-09SPRTNGFIELE,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOI
-
BLOCK:
JoB NUMBE ^$goazea225 Fifth Street
Springfleld, Oregon 97477&fi,
TAX LOT
SUBDIVISION
PHONE:
STATE:ztP
5/7-64s
O,a /?,
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-
DESCRIBE WORK:
ADDFIESS
10L
EXPIRES ,A PHONECONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL:
CONST,
CONTRACTOR ',
GENERAL:
PLUMBING
RANGE
FLOOD I)LAINQUAD AREA:
r OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:
, OF BDRMS: .-OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
ZONING CODE: _.
To request an inspectlon, you must call 726-3769. Thls ls a24 hoot recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same working day, lnspections requested after 7:00 a.m. wlll be macje the following work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prior to
cover.
Final Plumbing - When altplumbing worl( is complete.
Site lnspectlon - To be made
after excavation, but prior to
setting forms.
J--l Rough Elecrricat - prior tolJ cover.Final Electrlcal - When allelectrical work is complete.
l-_| Underslab Plumblng/ Etectricat /
-
Mechanlcal - Prior to cover,
Final Mechanlcal - When all
mechanical worl( 18 complete
E Footlng - After trenches are
excavated.Flnal Bulldlng - Whon ail
required lnspectlons have been
approved and bulldlng is
completed.I-l Masonry - SteetlJ beams, groutlng.
on,
l-] FoundatlonU erected brt
placement.
- After fo Othcr
prlor to conc
l-l Underground plumbing -
-
to filling trench.
tl Underlloor Plumblng/M MOBILE HOME INSPE TPNS
- Prior to lnsulatlon or ng.ter lnstallatlon
Post and Beam -. prlor to floor Ilnsulation or decking. I
Floor lnsulatlon -- Prior to I
decking.
- After flreplace approval
[-l Blocking and Set.Up - When alt
-
blocklng ls complete.
installatlon of unit
Curbcut & Alrproach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - Whenhome has been connected towater and sewer.
Sanitary Sewer - Prior to fllling
trench.
[--l Stonn Sewer - prior to filting
-
trench.
Sidewall< & Drivewav - Afterexcavation ls complete, forms
and sub-base malerial in place.
Eleclrical Connection - Whenblocking, set.up, and plumblng
lnspections have been approvedand the home ls connected tothe servlce panel.
Waler Llne - Prlor to filling
trench.
Fence - When coinpleted.
Str€€t Trees - When all required
trees are planted.
[-l Rough Plumbing - prior tolJ cover.
Final - After all requiredinspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
?7 4oz
- OFFICE USE -
LAND USE:
# OF UNITS: ------
WATER HEATER:
E fl
t]
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-- Panhandle i
-
Cul-de-sac
Se
PL.HSE GAR ACC
N
I
S
E
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
arrd approved by the Historical
Coordinator prlor to permit issuance.
APPROVED:
BUILDING PERIOIIT i .'t
ITEM SO. FT. X $/SQ. FT.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING IhIUE, i5MU CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
edopted by tho Clty of Sprlngfleld, inoluding 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.
Plan Check Fee:
Date Paid
Recei pt Numbe
Received By:
Plans Rcviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Flxtures
Besidential Bath(s)
FEE
N!
Sanitary Sewer - FT.
Water
Storm Sewer
Moblle Home
FT.
Plumblng Permlt
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
proiect.
I {urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
{rom tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Slgnatu re
Date /o- z- 79
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
P t^r(e'- '('//e)
Total Mlscellaneous Permits (E)
eo
VAt-IDATION:
RECEIPT NUMBER
DATE PAIi)I
AMOUNT RECEIVED
RECEIVED BY
Oo
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)3€';e