HomeMy WebLinkAboutPermit Building 1998-07-21o1 o,
JOB NUMBE'R
EEi',HF.I$L,.*'o*
lnsoections: 726'3769
ottice,726'3759 €rt,
225 Fi(th Street
To],' ngr'*rtJ' oregon 97 4?7
LOOATION OF PROPOSED WORK
ASSESSORS MAP:
LOT a
3 RA
j 6 l?o I77TAX LOI
SUBDIVISION:BLOCK:
J2
ztPSTATE:
ln ,.1{,eLJ*Yn<SOWNER:
ADDRESS:
CITY:
PHONE:&s4t
NEW ._- REMODEL ADDITION DEMOLISH OTHER
tDESCRIBE WORK:/ €r,
ADDRESS EXPIRES a, PHONECONTRACTOR'S NAME
ELECTRICAL:
MECHANICAL:
PLUMBING:
GENERAL:
CONST,
CONTFIACTOR #
To request an lnspectlon, you must call 726-3769. This is a24hour recordlng. All inspections requested before 7:00 a.m. wlll bemade the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTTONS
Temporary Eleclrlc Rough Mechanical - Prior to
cover.I--l rinal PlumbingtJ plumbing worl<- When all
ls complete.
SIte lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When ailelectrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanlca! - Prior to cover.Electrical Service - Must be
approved to obtairr permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
- After trenches are I Building - \lihen ailFlreplace - Prior to facing
materlals and framing lnsp.
uired inspections have been
Masonry - Steel locailon, bond
approved and building is
completed.s, groutlng.Framing - Prior to cover.
- After forms are Other
but prlor to concrete Wall/Celling lnsulatlon - prlor toacement.cover,
t] ,'Jffiifllli3fljn'.'-oing - Prior [-l Drywan - prior to tapins
Underlloor Plu mbing/ Mechanlcal MOBILE HOME INSPECTIONS
Prior to lnsulatlon or decking Wood Stove - After lnstallation.
st and Beam - prior to floor [-_] Blocking and Ser.Up - When all
-
blocklnO is cornplete.nsulatlon or decking lnserl - After fireplace approvql
and installation of unlt.
Floor lnsulation - Prior to
decking.Curbcut & Alrproach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - Whenhome lras been connected towater ancl sewer.Sanitary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filling
trench.
Sidewall< & Driveway - Afterexcavation is complete, forms
and sub-base material in place.
Electrical Connection - Whenblocking, set.up, and plumbing
inspections have been approvedand the home is connected tothe service panel.
Waler Line - Prlor to filling
trench.
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventlng have been installed.
Rough Plumbing - Prior to
cover.
- OFFICE US
FLOOD PLAIN:
ZONING CODE:
r OF BDFIMS:
SECONDARY HEAT
SQUARE FOOTAGE:
lr. (9 (n- L -(*
JeG^ EQc{ (
133'28o7
?-, -e
WATER Utility
fl
tl
fl
tl
[-_l Fence - When cclrpteted.
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type -
._* Interior
---- Corner
-- Panhandle !
.- Cul-de-sac
Set KS
PL.HSE GAR ACC
N
S
E
, -rS THE PROPOSED WO RK IN THEHISTORICAL DI STRICT, OR ONTHE HISTOR ICAL REGISTER?
-
lf yes, this applicailon must be slgnedand approved by the HistoilcatCoordinator prlor to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
1,b0
e
(A)
't
U)
9{ lo
323o
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
SQ. FT. X $/SQ. FT.
This pernrit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the c--onstruction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordlnances.
Plans Flcviewed By
?
!)o
t/,(,!r
BUILDING VA
AND BUILDIN
LUE,
GPE R
LAN CHECK
MIT
Receipt Numbe
Plan Check Fee:
Date Paid
Received Byi
AV
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
Ltt nt
/
,{=", s ,
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N'
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
. FT.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hoorj By slgnature, 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 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 pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Buildirlg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
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 permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during constructlon.
Date 7-at- 7s
Slgnatu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
t
L
0
7t
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVF-D
TOIAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
FT.
FT.
RECEIVED BY