HomeMy WebLinkAboutPermit Building 1994-07-12SPRII\lGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
JoB NUMBE a ?%a z'*<
225 Flfth Street
Sprlngfleld, Oregon 97 477
6 aLOCATION OF PROPOSED WORK:
ASSESSORS MAP:a *--
LOI BLOCK:
TAX LOT
SUBDIVISION
5tu->-ZIP:STATE:c-T 7'€=*>CITY:
ADDRESS:
OWNER:
-x-ADDITION DEMOLISH OTHER
DESCR]BE WORK:
NEW- REMODEL
PLUMBING:
MECHANICAL:
ELECTRICAL:
ADDRESS EXPIRES PHON ECONTRACTOR'S NA
GENERAL:
coNsr.
CONTRACTOR #
RANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER
FLOOD PLAIN
* OF UNITS:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
* 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, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day,
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
l--l Flnal Plumblng - When aillJ plumblng work ls complete.
Slte lnspectlon - To be made
after excavation, but prior to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work is complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
E
tl
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
m Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
E tt"'tng - Prlor to cover'
l-l Foundatlon - After forms areU erected but prlor to concrete
Other
placement.WalllCelllng lnsutallon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.f-'1 Drywall - Prlor to taplng.
'L --J
MOBILE HOME INSPECTIONS
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrlcal Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavation ls complete, lorms
and sub-base materlal ln place.
Water Llne - Prlor to fllling
trench.n Fence - When completed.
Streel Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been installed.
E
Rough Plumblng - Prlor to
cover.
a2=-
G-P/t
PHoNE: 7{-t.4u 57
ZONING CODE:
E
E
tl
E
E
E
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
. Cul-de-sac
i lS THE PROPOSEO WORK IN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
artO approved by, the Historlcal
Coofdinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
W
E
SQ. FT. x $/SQ. FT. =I VALUE
BUILDING PERMIT
qa
(A)
'?e
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
seG
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on the express condition that the said
construction shall, in all rqEpects, conform to the Ordlnance
adopted by the City of Springfletd, includtng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at an)/ time
upon violation of any provisions of said ordinances.
Plan Check r.., ? ?.+
ewed By Date
Received By:
Date Paid
Receipt Number:
SYSTEMS DEVELOPMENT CHARGE (SDC)
properties wlthin the City lirnlts which are being lmproved.
Devel enm t dUIS oneopCharge Ial U ndeveloped
ITEM
Fixtures.)
Resldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
(c)
,NO
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State fssuance
State Surcharge
Sldewalk * ft
Curbcut
-
ft
Demolltion
State Surcharge
Total Mlscellaneous Permits (E)
MECHANICAL PERMTT
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
iiVent Fan N0
By slgnature, I state and agree, that I have carefully examlned
the compfeted appllcatlon and do hereby cerilfy that all
lnformatlgfirilreon ls true and correct, and I further cerilfy
thatrahy ahd all Work performed shall be done in accordance
wlth the Ordinances of the Clty 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 Bulldlng Safety Divislon.
I further certlfy that onll contractors and empioyebs who
are ln compllance with ORS 7O1.OS5 wlll be.used on thls
prolect.
I further agree to ensure that all regulred lnspections are
reguested at the proper tinie, that each address ls readable
from the strilet, that the permlt card ls located at the front
approved set of.plans will remaln
DATE PA|D 7^R ?y'
c
?f
d u rlng
of the prope.rty, and the
on the site at ali times
Signature
Date
AMOUNT RECEIVED
RECEIVEO BY
VALIDATION:
RECEIPT NUMBER
;
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, Q and E Comblned), ;
''1'.'..' ...,i ri1
.:.'
a
FT.
FT. .:.:.')).....
I
/,,rC an €&-
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DATE RECI EVEO
ZoFrE
OCCUPANCY C;ROUP
Occ(JPA Nc,Y LOAD
Joe No
;{ar*4lnrr€fuc dp>a'P FP P?4
UNITS
TvPg CoPsr
SYoRlEs
LEG AL L)E:r(lFrP'r roN
AIJTJR l-'Ji;g
OWNER 6WED, WITH
HF-RE OF HA VE RFEN RT:VI
L. OHANGESi'tl !:. coN I t:r'lls
,AI. TERATI ONs INDI cArEo lN (:o l-. R EO PENCI
OR ALTIiR A IIONS MADE AF'T:]R DA'Te RELOW SHALL BE
APIFIoVED BY .THE ButuotN:-OFFICIAL
CITY OF 5P RINGF tELD, oREGoN
BY
7
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6"'./z;(o.ZTTl/
7e $2rr-5<r:6t*'P fryv,
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