HomeMy WebLinkAboutPermit Building 1997-07-07BESIDENTIAL
PERMIT APPLICATION
lnspections:726.3269
Office: 726.3759
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP
SPFlt xcr=ter_o
JOA NUMBER 1t
efr,225 Fif th Street
Springf leld, Oregon gZ47l
TAX LOT:
&\n.\tr
LOT: BLOCK:SUBDIVISION
OWNE
ADDR
CITY:
HONE:
STATE:ZIP:
DITION DEMOLISH OTHER
DESCRIBE WOR
NEW- REMODEL
ADDRE oJ PHO E
CONTRACTOR'S N
MECHANICAL:
ELECTRICAL:
CONST.
CONT
GENERAL:
PLUMBING
19
_ OFFICE USE _
r OF EDRMS:
WATER HEATER:
ZONING CODE:
CONSTR. TYPE
HEAT SOUR
GF-:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
I OF STORIES:
LAND USE:
'/ OF UNITS
To request an inspection, you must call recording. All inspections requested before 7:00 a.m. wlll be
will be made the following work day.made the sante working day, lnspectio S
NSPECTIONS
ical - Prior to Final Plumbing - When all
plumblng worl< is complete.
Site lnspection - To lre made
af ter excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical worl< is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When atl
mechanical work ls complete.
Footlng - After trenches are
excavated.Fireplace - Prlor to facing
materlals and framing lnsp.
Final Building - Wherr all
required lnspectlons have been
approved and building is
Masonry - Steel locatlon, bond
beams, grouting.
completed
Framing - Prior to cover,
Other
Foundatlon - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsutation - Prlor to
cover.
Underground Plumbing - Prior
to fllling trench.Drywall - Prior to taping.
MOBILE HOME INSPE TIONS
Underlloor Plumbing / Mechanical
- Prior to insulation or decking.Wood Stovo - After installation.
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After fireplace approval
and installatlon of unit.
Blocking and Set-Up - When all
blockinr3 is complete.
Floor lnsulation - Prior to
decking.Curbcut & Alrprroach - After
forms are erected bUt prior to
placemcnt of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and tlre home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base malerial in place.
Water Line - Prior to filling
trench.l-_l Fence - When completed.
{;tresl Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
R\
FLOOD I)LAIN:
l-l Temporary Electric
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ry )
tl
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tl
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Setbac 1 .*' THE PFIOPOSED WORK TN THE .
' HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and approved bY the Historlcal
Coordinator prior to permit issuancer
APPROVED
GAR ACCP.L.HSE
N
S
E
VALUE
\
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fce
SO. FT, X $/SQ, FT.ITEM
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springf ield, 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.
Reccipt Numbcr:-
Plans Rcviewed [3y Date
Plan Check Fee
Date Paid
Receiveci By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
(c)
PLUMBING PERMIT
ITEM
Fix t u res
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert / Fi replace Urrit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnaco
Exhaust Hoorj By slgnature, I state ancl agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, 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 Buildir.rg Safety Divislon.
I further certify that only contractors and employees who
are in cornpliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensurc that all required inspections are
requesled at the proper time, that each address is readable
from thc street, that the permit card ls located at the front
Date
and the ap
str
of the pro
on the siti
si!'hiture
perty,
eatal
of plans will remain
uction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
Stale Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
3=\\
BY
D__
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT R
RECEIVED