HomeMy WebLinkAboutPermit Building 1997-11-04RES'D ENI'A tPER|IITAPPL,CATION
lnspec tions:726.3 769Office:726-3759
LOCATION OF PBOPOSED WORK:
ASSESSOES MAP;
LOI
JOB NUtvIBER g ar 4 7/
225 Fifth Street
Sprlngfleld, Aregon 97427
BLOCK:
5
o b
TAX LOT
. SUBDIVISION:
PHONE:
O-,>eSTATE:ZIP:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOFIK:
ADDRESS5c EXPIRES .f PHONE
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
SE-40y
# OF BDRMS
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
HEAT SOURCE:
CONSTR. TY
QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SOUABF" FOOTAGE:
OCCY GROUP:
C OF STOBIES:
toF
To request an inspection, you must call 726-3769. Thls ls a24hour recording. All lnspections 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
Temporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Site Inspection - To be made
after excavation, but prior to
setting forms.
Rough Electrlcal - Prior to Final Electrical - When all
electrical work is complete.cover
Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.
Electrlcal Service - Must be
approved to obtain permanent
electrlcal power.
tl Final Mechanlcal - When all
mechanlcal work ls complete.
Foollng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Buildlng - When all
required lnspectlons have been
approved and building is
completed,Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
OtherFoundatlon - After forms are
erected but prlor to concrete
placement.WalltCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllling trench.
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prior to floor
lnsulatlon or decking.
Blocking and Set-Up - When all
blocklng is complete.
Floor lnsulation - Prior to
decking.Curbcut & AJrproach - After
forms are erected btlt Prior to
placoment of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and Plumbing
inspections have been apProved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is comPlete, forms
and sub-base material in Place.
[t7'Wut", Llne - Prlor to filling
\ltrencn.
Fence - When cciriPleted
Rough Plumbing - Prlor to
cover.
Streel Trees - When all required
trees are Planted.
Final - After all required
inspections are aPProved and
porches, sklrting, decks, and
ventlng have been installed'
RANGE:
tl
E
E
E
E
E
E
tf
E
E
E
flE
E
fl
E
E
l--l Drywall - Prlor to taplng.
l-l Wood Stovo - After lnstallatlon.ll
[-_l lnsert - After flreplace approval|J and installation ol unlt.
tl
E
E E
i,,r
Lot taces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type
-
-
lnterior
_* Corner
-
Panhandle !
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E_-
r-\S THE PROPOSED VIORK \N THE .
HISTORICAL DISTtr}CT,on oN
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and aPProved bY the H istorlcal
Coordinator prior to permit issuance'
APPROVED:
VALUE
(A)
-,t
MIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. X $/SO. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
This permit is granted on the cxpress 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 ordlnances.
Plans Reviewed By Date
Receipt Numbe
BU ILDING
AND BUIL
EH KccLANLUE
MR TDNPG
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
51. *a
FEE
a,t*.u<
(c)
N0
PLUMBING PERMIT
FT.
Plumblng Permit
State Surcharge 1, O7'la
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby certify that alllnformation hereon is true ancl correct, and I f urther cerflfy
that any and ail work performed shail be done in accorrjance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Building Safety Division.I further certify that only contractors and employees whoare in compliance with OFIS 701.055 will be usect on thisproject.
I further agree to ensure that all required inspections areuested at the proper time, that each address is readable
m the street, that the permit card ls located at the frontthe property, and the approved set of plans will
Date
req
lro
of remalnon the site at I times duri constructl
Signature
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
MECHANICAL PERMIT
Total Miscellaneous pennits (E)
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Mobile Home
State lssuance
state surcharge
Sidewalk tt
Curbcut
-- ft
Demolition
State Surcharge
Furnace
Exhaust Hood
Vent Fan
TOTAL AMOUNT DUE (excluding electricat)(A, B, C, Q and E Combtned)
tq'{aro--t.*-zzr- [>c.t-
o
DATE PAID
q. 4C)AMOUNT
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
#s.-il-&afi
RESIDENTIAL
PERMIT APPLICATION
lnspections: 226.3769
Office: 726-gt59
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP;
LOT
To request an inspectlon, you
made the same worklng day,
n femporary Electric
Site lnspectlon - To lre made
after excavation, but prior to
setting forms.
Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Underground Plumbing - Prior
to filllng trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prior to floor
lnsulation or decking.
Rough Mechantcal - prior to
cover.
Rough Electrical - Prlor to
cover.
Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Plumbing - When allplumbing work is complete.
Final Electrlcal - When all
electrical work is complete.
Final Mechanical - When all
mechanical work ls complete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home ls connected to
the service panel,
Final - After all required
inspectlons are approved and
porches, skirtlng, decks, and
ventlng have been lnstalled.
FIE
JOB NUtvIBER
225 Fifth Street
Springfleld, Oregon 97477
<?/
TAX LOT:7<Or/
BLOCK:SUBDIVISION
must call 726'3769. Thls ls a 24 hour recordlng. AII lnspections requested before 7:00 a.m. wiil belnspections requested after 7:00 a.m. wlI be made the foilowrng work day.
REOUIRED INSPECTIONS
[-l Flreplace - Prtor to faclng
-
materlals and framing lnsp,
>--__J
J25IJt'-lns - Prlor to cover.
fA Final Building - When ail
'ru required lnspectlons have been
approved and building is
completecl.
[-l Blocking and Ser.Up - When ail.4 blocking ls complete.
WalllCelllng lnsutatlon - Prlor to
cover.
MOBILE HOME TNSPECTIONS
Floor lnsulalion - Prior to
decking.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prlor to fllling
trench.
Water Llne - Prlor to filling
trench.
l-_-l Drywall - Prlor to taptng.
l-_l Wood Stovo - After lnstailation.
lnserl - After flreplace approvgl
and lnstallation of unlt.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Fence - When ccr-rrpleted.
OWNER:
ADDFIESS:
CITY:
PHONE:
ZIP:STATE:
BEMODEL, t
.DEMOLISH OTHERADDITION
DESCRIBE WORK:
NEW ._-
ADD CONST.
IRES ,' PHONE
CONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL:
GENERAL:
PLUMBING
- OFFICE USE -
LAND USE:
, OF UNITS: ----
FLOOD PLAIN:
ZONING CODE:
, OF BDFIMS:
--
WATER HEATER RANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE. FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
tl
Rough Plumblng - Prior to
cover.
E
Other
-
Street Trees - When all requlred
trees are planted.
r
E r
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot TYP*
-
lnterior
-
Corner
-
Panhandle Ii
-
Cul-de'sac
P.L.HSE GAR ACC
N
S
W
E
IS THE PROPOSED WORK TN THE.
HISTORICAL DISTRIC-I', 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 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 ordlnances'
Plans Reviewed BY Date
Recei pt Numbe
BUILDI
AND B1
KECcHLAN
ITMPRLDNGU
Plan Check Fee:
Date Paid
Fleceived By:
VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT, X $/SQ. FT.
BUTLDING PENNfrIT
ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nc
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Buildirrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
proiect.
I {urther agree to ensure that all reguired lnspections are
requested at the proper tlme, that each address ls readable
lrom 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 du
Slg natu re
Date
constructlon.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, Q and E Combtned)
VALIDATION:
RECEIPT NUMBER 276/3
/
DATE PAII-)
AMOUNT HECEIVED
RECEIVED BY
(A)
t
FT.