HomeMy WebLinkAboutPermit Building 1995-09-12SPRt NGFIELT)
JoBNUMBE^%
225 Fif tlr Street
SpringllelcJ, Oregon 97 417
ASSESSORS MAP;^2;-
TAX LOT
LOT:BLOCK:SUBDIV|S|ON: _
PHONE;
STATE:ZlPt,fi
OWNER;
ADDRESS:
CITY:
AODITION DEMOLISH OTHER
DESCBIBE WORI(:
NEW ._- REMODEL
ADDBESS
EXPI RES PHONEy'4za N TR RACTO
CONTRACTOR'S NAME
MECHANICALI
ELECTFTICAL
CONST.
PLUMBING:
G EN EBA L:
- OFFICE USE -
LAND USE:
# OF UNITS:
WATER HEATER
FLOOO PLAIN:
OUAD AREA:
, OF BLDGS
SECONDABY HEAT:
SQUABE FOOTAGE:
, OF BDFIMS:
RANGE: _-
OCCY GROUP:
E OF STORIES:
CONSTR. TYPE
HEAT SOUBCE:
To requesl an lnspection, you must call 726.3made the sanre worklng day, lnspections req
Ternporary Eleclrlc
Sllo lnspcction - To be madoatter excavailon, bul prlor tossttlng f<lrrrrs.
U-nderslab plumblng/ Eleclrical /Mochanlcal - prtoi lo cover.
Footlng - Alter trenches areexcavaled.
I-u_":n.V - Steel tocauon, bonctoeamS, grouting.
Foundallon - Af ter lorms areerected but prlor to concreteplacolnent.
I Underground plumblng _ priorto filllnq trench.
Underlloor plumblng/ Mechanlcal
- Yilot to lnsulalion or c,ecklng.
l-o-.,. ,.Ta Boany. - prtor to ,loorrnsutallon or docklng,
Floor tnsulation _ prlor tooeckl ng.
Sarrllary Scwer _ prior to fllllng
t rench.
P.l":: Sewor _ prior to tiiltngrrench.
Y:t:l Llne - prtor ro fiilinstronch.
[-l Rough plurrrbing _ prtor ro
-
cover.
769, Thls ls a24 hour recordlng. Alluested a(ter 7:00 a.m. wlll bo macle
REOUIRED INSPECTIONS
lnspectlons requestecl belore 7;00 a.m. wlll betho followlng worl< day.
[-l Rough Mechanlcal - prlor to r-----.1 cr^^rt-r cover. L] Final. Plumblng - Whon alt
-
ptumblng work ls complete.
[-l nough Etecrrlcal _ prtor to
-
covcr.Flnal Eloclrlcal - 'eay'hsn s|1etectrlcal work ls complete.
Eleclrlcal Servlce - Musf beapOroyed to obtaln permanentoteclrlcal power.
Flroplace - prlor to faclngmaterlals and framlng lnspl
Framlng - prlor to cover.
Wall/Colling lnsulaUon _ prlor tocover.
Drywall - prlor to taplng.
Flnal Mochanlcal - When allmechanlcal work ls complele.
w
x fi.r',b%_
[--l Wood Stovo - Af tor lnstallatton,
MOBILE HOME INSPE TIONS
Flnal Buildlng - When ailrequlred .lnspectlons have beenapprovod and bulldlng lscompleted,
[-7] otnor
lnserl - After fireplace approvsl
Curbcul & Approach _ Alterrorms are eroctod bUt prior toptacomont o, concrt.l tc.
Sidewalk & Drlveway _ Alterexc,availon ls compl'eto. formsand sub.base matertal in pirJu.
Fence - When compleled.
Streel Troos - Whon all roqulredlroes are planted.
3,';:['lS,Tj"i"J;y[.- when a,,
filmUfno Connocilons _ Whentromc has been connectec, towater and sewer.
Eleclrlcal Connoction _ Whenp]?:ftlg, set.up, ano prumLrriernspoctlons have beon approvedand the .home ls connected tothe servlce panel.
FInal - Af ter all requiredrnspections are appioved and
.p.ll?,!9t: skt ru ns,' decxs, anJvenUng havo been lnstalled,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
gff,ce: 726.3159
\
LOCATION OF PROPOSED WOBK;
-
Lot (aces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type _
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de.sac
..-J THE PROPOSED WORK IN THE
HISTOBICAL DISTRICT. OR ON
THE HISTORICAL BEGISTER?
lf yes, thls applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
P,L.HSE GAB ACC
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the cxprcss condition that the said
constructlon shall,ln all respects, conforrn to ttre Ordinance
adopted by thc City of Sprirtg(iclcl , includlng the
Development Code, regulating the cooslruction and use of
bulldlngs, and may be suspended or revoked at any time
upon vlolation of any provisions of said ordtnances.
DatePlans Rcvlewc<J t3y
Plan Check Fee
Date Pald:
Beceived By:
VALUE4*
/9,o>(A)
X $/SO. FT,
Total Valuo
Building Permit Feo
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Maln
Garagc
Carport
Systems Developmcnt Charge ls due on all undeveloped
properlles wlthln tlre City llnrits which are being lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtu res
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT
FT,
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
tho completed application and do hereby certlfy that all
lnformatlon hereon ls true atlcl correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngf ield, and the Laws
of the Stato ol Orcgon pertalnlng to thc work descrlbed
heroln, and that NO OCCUPANCY will be made of any
structure wlthout perlnission of the Buil<jirrg Safety Dlvislon,
I further certl(y that only contractors and employees who
are ln compllance with ORS 701,055 will be used on thls
prolect.
I f urther agree to ensulo that all requlred lnspections are
roquested at the proper tlme, that oach address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set ol plans will remaln
on th€ slte at all times durlng construction'
Slgnatu
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
{t
Curbcut f t
Demolltlon
Slate Surcharge
Total Mlscellaneous Permlts (E)qB?vz -*DATE PAID
AMOUNT BECEIVF.D
RECEIVEO BY -_-
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding clectrlcal)
(A, B, C, D, and E Comblned)
6
/Y,E
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