HomeMy WebLinkAboutPermit Building 1997-11-06GFIELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
JoB NUMBE " ? 7/ ,fgg
225 Fifth Street
Springfleld, Oregon 97477
L
BLOCK:SUBDIVISION
CITY:
ADD
STATE:
PHONE:
ZlPi
?
ADDITION DEMOLISH OTHER
DESCRI WORK:
NEW- REMO
PLUMBING:
MECHANICAL:
ELECTRICAL:
ADDRESS EXPIBES l PHONECONTRACTOR'S NAME
GENERAL:fitdl)R
CONST.
CONTBACTOB #
BANGE:
- OFFICE USE _
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:QUAD AREA:
* OF BLDGS:
SECONDAFIY HEAT:
SOUARE- FOOTAGE:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n Temporary Electric Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting lorms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Eleclrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
\#Footlng
- After rrenches are
,Fexcavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
)d rlnal Buitdlns - When att
Arequired lnspectlons have been
approved and building is
completed.E Masonry - Steel locatlon, bond
beams, grouting.
fft"t'ng - Prlor to cover'
M*"lllcelllng lnsulatlon - Prlor to
)Acover.
Xoo*"tl - Prior to taolns'
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to lllllng trench.
MOBILE HOME INSPE TIONS
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Posl and Beam - Prior to floor
lnsulation or decking.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blockln0 ls complete.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home ls connected to
the service panel.E"::";l,.Sewer - Prior to rrrrins
Sidewalk & Oriveway - After
excavation is complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fence - When co.rlpleted.
gitreet Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.Rough Plumbing - Prlor to
cover.
rAXLor: /ZaOb
OWNER:
, OF BDRMS:
-
LAND USE:
# OF UNITS:
-
E E
E
E
E
E
E T
[--l otner
flFloor lnsulation - Prior to
decking.
f]
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Ty, _
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
\ lS THE PROPOSED WORK tN THE -
HISTORICAL DISTBICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
c t^l fi\,ii',g -49A- &il-
Total Value
Building Permit Fee
state surcharse /,?Z * ltt
Total Fee (A)
BUILDING PERMIT i
VALUE
3 ,o-2
-t
7e f,a)(2 t
ITEM
Main
Garage
Carport
SO. FT. X $/SQ. FT.
This permit is granted on the express condiilon that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any ilmeupon violation of any provisions of said ordinances.
Plans Reviewed By
,
E
Date
Receipt Numbe
Plan Check Fee
Date Paid:
Received By
BUTLDING \ALUE
AND BUILDING P
i5lnru cHEcK
RMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N'
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlnedthe completed apptication and do hereby cerilfy that alllnformatlon hereon is true anct correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Bullding Safety Divislon.I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be usec, on thlsproiect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each
from the street, that the permit card ls
Date _
on the site at all mes durln c
ted
Signature
of the property,the approved plans
ction.
ls readable
at the front
will remaln
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut _ ft
Demolition
State Surcharge
Total Miscellaneous pennits (E)
TOTAL AMOUNT OUE (exctuding etectricat)(A,B,qQandECombtned)
)27?
AMOUNT RECEIVF-D
RECEIVED BY
DATE PAID
VALIDATION:
FIECEIPT NUMBER