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