HomeMy WebLinkAboutPermit Building 1997-11-10SP FIELE,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 2fi,
LOCATION OF PBOPOSED WOBK:1 e 4/,v4
ASSESSOHS MAP:l)D 7 a5 1t O r.l lec:
LOT:BLOCK:
TAX LOI
SUBDIVISION: '
trts ne s CLfiRK PHONE:
od-STATE:ZIP:nl n a+a
7L{>-? 110
lo
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-.
C.3iDESCRIBE WORK:
MECHANICAL:
-
CPrrtzru€7
EXPIRES ,a PHONEADDRESS /1
iTome L'opetprs
CONTRACTOR'S NAME
ELECTRICAL:
CONST.
CONTRACTOR ,
GENERAL:
PLUMBING
RANGE:
r OF BDRMS:
_ OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAIN:
r OF UNITS:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a24 haur recording. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. will be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prior to
cover.
Flnal Plumbing - When all
plumbing work ls complete.
Slte lnspectlon - To lre made
after excavation, but prior to
setting forms.
Rough Electrlcal - Prior to Final Electrical - When all
electrical work is complete.cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.l-l Flreplace - Prlor to faclngu materlals and framing lnsp.
Flnal Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.
l--l Framlng - Prlor to cover.Qn"
Foundatlon - After forms are
erected but prior to concrete
placement.
[7f other
(2ooWall/Colling lnsulatlon - Prlor to S
cover.Nai t"?rtor
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taping.+
eo,
t +
MOBILE HOME INSP S
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulallon or decking.Wood Stovo - After lnstallatlon.
Post and Beam - Prior to floor
lnsulation or decking.
Blocking and Set.Up - When all
blocking ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & Approaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When cc.jrpleted.
Rough Plumbing - Prior to
cover.
[itr€et Trees - When all requlred
trees are planted.
Flnal - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
JoB NUMBE ^9aJbp3-225 Fifth Street
Spri ngfleld, Oregon 97 477
7--, -"7 /Ul
r
lnsert - After flreplace approvql
and installatlon ot unlt.
fl
[-I Underslab PlumbinorElectrical/U Mechanlcat - Prloi to cover. I I
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tl
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E
E
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tl
tl
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Tvot
-
lnterlor
-
Corner
-
Panhandle '.
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WOBK TN I-dE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this application must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED
Total Value
Building Permit Fee
State Surcharge +-. O31"
Total Fee
BUILDING PERMIT
VALUE
Lh,, l2rol+-@Dt
.{* {U_so
(A)
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
freaut:t
-4g.oJ-'
AND BUILDING PERMTT
This permit 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.
Plans Reviewed By Date
BUILDING VALUE,'lPLAN CHECK
Date Paid
Recei pt Number
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
FEE
No
r'ryls
(c)
FT.
Nc
FT.
,,'i lvt.
Residential Bath(s)
FT.
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
Sanitary Sewer
Water
Storm Sewer
Moblle Home
ADDITIONAL COMMENTS
/s
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure without permission of the Buildlng Safety Divislon.
I further certify that only contractors and employees who
are In compliance with ORS 7O1.O5S will be used on thls
proiect.
I further agree to ensure that all required 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 remain
on the site at all times during construction.
0
q7
fr*,Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total scellaneous Permits (E)
OUNT DUE (excluding electricat)TOTAL
(A, B, C,Q and E Comblned)
2 71b <
/0 Ur*ry><"0>O>-/qq7DATE PAIi)
,07AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
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