HomeMy WebLinkAboutPermit Building 1997-10-13INGFTELE, 4 /4a4F. *^?./ ?^ LOCATION OF PROPOSED WORK: ASSESSORS MAP: SUBDIVISION TAX RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726-3759 JoB NUMBE R ?2//?1 225 Fifth Street Springfleld, Oregon 97477 LOT - BLOCK: PHONE:t STATE:ztP: ?c)gOWNER: ADDBESS: CITY: ,-K ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW- REMODE ADDRESS EXPIRES ,$ PHONE ELECTRICAL: CONTRACTOR'S NAME GENERAL: MECHANICAL: PLUMBING: CONST. CONTRACTOR # - OFFICE USE - LAND USE:QUAD AREA: , OF BLDGS SECONDARY HEAT: SQUARE FOOTAGE; , OF BDRMS: -- OCCY GBOUP: I OF STORIES: FLOOD PLAIN: CONSTR. TYPE HEAT SOURCE: WATER HEATER:RANGE: # OF UNITS: -.-ZONING CODE: To request an lnspecilon, you made the same worklng day, must call 726'3769' Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll belnspections requested after 7:00 a.m. wilr be made the foilowrng work day. REQUIRED TNSPECTIONS Temporary Electrlc Rough Mechanical - prior to cover.Final Plumbing - When altplumblng work ls complete. Slte lnspecllon - To be madeafter excavation, but prior tosettlng forms. Rough Electrical - prior to Final Electrical - When allelectrical work is complete, cover, Underslab Plumblng/ Electricat /Mechanlcal - prior to cover. Footlng - After trenches are excavated. Masonry - Steel locailon, bondbeams, grouilng, Electrical Servlce - Must beapproved to obtaln permanent olectrlcal power. fl Flreptace - prtor to factng.J materlals and framlng lnsfi ffi Framlng - prlor to cover. Foundatlon - After forms areerected but prlor to concreteplacemont.Wall/Celling lnsulation - prlor tocover. l-_l ,'d'ffiH;i;:#.''".rns - Prior [-l orywan - prror to taprns Undertloor plumblng/ Mechanical - Prlor to lnsulatlon or decklng. Post and Beam - prlor to floorlnsulatlon or decklng. MOBILE HOME INSPECTIONS Wood Stovo - After lnstallation ,x [-_l lnsert - After ftreplace approvat - and lnstallailon of unlt. l-_l Blocking and Ser.Up - When ail.-.-. btocklng ls complete. Floor lnsulatlon - prior todecking.Curbcut & Approach - Afterforms are erected but prior toplacement of concrete. Plumbing Connections _ Whenhome has been connected towater and sewer.[-l Sanitary Sewer - prior ro fiillng - trench. Storm Sewer - prior to fllllng trench. Water Llne - prlor to filllngtrench. Rough Ptumblng - prlor to cover. Sidewalk & Driveway - Afterexcavation is complete, formsand sub.base material in place. Eleclrlcal Connection - When P_l9gki1g, set.up, anO prumoinjInspections have been approvedand the home is connected tothe servlce panel. l--l fence - When coinpteted Street Trees - When all requlredtrees are planted. Final - After all requiredinspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. D l--l final Mechanlca! - When ail - mechanical work ls complete. l-l Ftnat Buitdlng - When ail - required lnspectlons have beenapproved and bullding iscompleted. l--l ottrer P.L,HSE GAR ACC N s E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type - lnterlor - Corner - Panhandle ! - Cul-de-sac Set i ts THE PROPOSED WORK iN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: This permit is granted on the cxpress condltlon that the sald construction shall, ln all respects, conform to the Ordlnance adopted by the City of Springfield, including the Development Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. t,}, PLAN CHECK Plans Reviewed By Date Fleceipt Numbe LUE, GPE BUI LDI NG AND BUILDIN Plan Check Fee: Date Paid: Received By: RMITVALUE zbz (A) Total Value Building Permit Fee State Surcharge Total Fee $ffiY/-ra 'ir t X $/SQ. FT. i BUILDING PERMTT ITEM SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties wlthln the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Fixtures Flesldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) Nr FT, FT. PLUMBING PERMIT Plumblng Permlt State Surcharoe Total Charge . FT. Wood Stove/ lnsert/ Flreplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have caretully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout permission of the Building Safety Divislon. I further certify that only contractors and employees who are ln compllance with ORS 701'055 wlll be used on thls prolect. 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 remaln on the site at I times Signature Date constructlon. MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk --- ft Curbcut -- ft Oemolltlon State Surcharge Total Mlscellaneous Permits (E) t 22 - AMOUNT FIECEIVED RECEIVED BY DATE PAID VALIDATION: BECEIPT NUMBER TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) :,.i:,1