HomeMy WebLinkAboutPermit Building 1999-03-10RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WOBK:
RINGFIELt)
JOB NUMBER z6
225 Fifth Street
Sprlngfleld, Oregon 97477fity,
+L+2
ASSESSOBS MAP:/70i zCz TAX LOT aZSo c
LOT BLOCK:SUBDIVISION:
OWNER;PHONE:
STATE:ZIP:CITY:
ADDRESS:Iq.,a- -q1 141-l
't+ L+Z t r.-leror-0
NEW
-
REMODEL ADDITION DEMOLISH OTHER _--
DESCFIIBE WORK:
ADDRESS
lLlb.ztft zt
UtilitY
E
1
ATTENTI ON:Oregcn t
EXPIRES .1 PHONE
3.d
CONTRACTOR'S
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
MS:
iesobtai
- oFF,cE,Ys["f88lffi oAR 952'0u1--0010 through
of the rules bY
LAND USE: -='-_ 0090. You may
NDARY HEAT
SOUARE FOOTAGE:
QUAD AREA:E, OF BLDGS: ."', 'L', '---.--7F.-E.
OCCY GROUP:
WATER HEATEFI:pERot,)RANGE:
-'i'., OF STORIES: ,,
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To request an inspectlon, you must call 726-3769. Thls ls a24hour recordlng. All inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested af ter 7:00 a.m. will be made the followlng work day.
REQUIRED INSPECTIONS
l--l Temporary Etectrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When att
plumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng lorms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.
als and framing lrrsp.
Masonry - Steel locatlon, bond
beams, groutlng,ng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement,Wall/Celling lnsulation - Prlor to
cover.
Underground Plumblng - Prlor Drywall - Prior to taping.to fllllng trench.
MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
insulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulataon - Prior to
decking.Curbcut & Alrproaclr - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer-
Sanltary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumblng
lnspections have been approved
and the home is connected to
the servlce panel.
Slonn Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base materlal in place.
Water Llne - Prlor to filling
trench.
Fence - When cciirpleted.
Streel Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty,_
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
IS THE PFIOPOSED WORK iN THE ,
HISTORICAL DISTBI T, OR ON
THE HISTOBICAL REGISTER?
-
lf yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
,!
BUTLDING PERM!T
VALUE
ldao _-
l{ uuw{/[ 1)(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
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
ouildings, and may be suspended or revoked at any time
ewed ByPns
Plan Check Fee:
Date Paid
Receipt Number:
Received
upon violation of any
BUTLDING \TALUE
AND BUILDING P
, PtRt{ cHEcK
ERMIT
plovisions of said ordinances.
4. zr
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
- t-T.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust l-lood By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true anct correct, and I f urther certlfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Division.
I further certify that only contractors and enrployees who
are in compliance 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 is readable
from the 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.
Date
Slgnature
MISCELLANEOUS PERMlTS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng etectricat)
(A, B, C, D, and E Comblned)
VAI.IDATION
RECEIPT NUMBER 037 fi
DATE PAIi)
AMOUNT RECEIVED
RECEIVED BY
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