HomeMy WebLinkAboutPermit Building 1996-02-20a
Ef,'-?'?-Iltt,.o,o*
JOB NUMBER
P
Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng lorms.
,Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Floor lnsulatlon - Prlor to
decklng.
Eleclrlcal Serulce - Must be
225 Fifth Street
'sorlno(leld, Oregon 97477,:
Electrical Connecllon - Whenblocking, set.up, and plumblng
lnspectlons have been approvedand the home ls connected to
the servlce panel,
Flnat Plumblng - When all
plumblng worl< ls complete.
Flnal Eleclrlcal - When all
electrlcal work ls complete.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Plumblng Connectlons - Whenhome has been connected towater and sewer,
.\
lnsoections: 726'3769
ottice: 726'3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:2D3 3c /2-TAX LOT:
LOT BLOCK:SUBDIVISION
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 7100 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Z
tf approved
electrlcal
to obtaln permanent
power.
Masonry - Steel locatlon, bond
beams, groutlng.
[l flreplace - prlor ro factng
-
materlals and framlng lnsp.
${flnat Buildlng - When ail
,H-xqqulred lnspecilons have beenapproved and bulldlng ls
completed.
Framlng - Prlor to covor.
Wall/Cbltlng lnsulatlon - prlor to
cov€r.
l-l Underground Ptumblng - prtoru to fllllng trench.Drywal! - Prlor to taplng
UnderlloorPlumblng/Mechanlcal _ --
- Prlor to lnsulatlolr or decktng. I I wood Stovo - After lnstallatlon.
MOBILE HOME INSPECTIONS
Posl and Beam - Prlor to floor
lnsulatlon or decklng.l-l tnaert - Aftor flreplace approvat
-
and lnstallatlon of unlt.
T_l Blocktng and Ser.Up - When ail* blocklng ls complete.
Sanltary Sewer - Prlor to fllllng
trench.
l-l Storm Sewer - prtor to flillnglJ trench.
f-1 yvatef Ltne - prtor to fitilng* trench.
f] ff#?.' Ptumbtns - Prtor to
[-l Curbcut & Approach - Afteru forms are erected but prlor toplacemont of concrete,
Sldewatk & Drtveway - Afterexcavatlon lb complete, forms
and sub-basa materlal ln place.
Fence - When compteted,
PHONE:h 7ZIP:STATE:CITY:
ADDRESS:
OWNER:
MECHANICAL:
ELECTRICAL:
?u
EXPIRES .: PHONE
FANGE:
r OF BDRMS:
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN:
DESCRIBE WORK:
ADDRESS
LO
CONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR #
SECONDARY HEAT:
SOUARE FOOTAGE:
QUAD AREA:
r OF BLDGS:
WATEB HEATER:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
NEW
-
REMODEL ADDITION
---___-.--.....--\
f;i::'"[";i ;" y' "
n a t t re q u t re d
a(g,ZXP-
[--l remporary Eiectrlc l-l Rough Mechanlcal - Prlor tolJ cover.
[-l .Rough Electrlcat - Prlor toIJ cover.E n
x
Other
-
tl
fl
Lot faces
Lot sq. ttg.
Lot coverage
Topography
Total helght
Lot Type -
_- Interior
-
Corner
_- Panhandle
-
Cul-de-sac
P,L.HSE GAR ACc
N
S
W
E
\ -,S TH* ROPOSED WORK IN THE
HISTORICAL DISTBICT, OFI ONTHE HISTOBICAL REGISTER?
--lf yes, lhls application must be signedand approved by the Historlcal
Coordinator prior tg permit issuance.
APPROVED:
ADDITIONAL COMMENTS
By slgnature, I stato and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all wort( performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfleld, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bullding Safety Division.
I further certlfy that only contractors and employees who
are ln compllance wlth ORS 701.055 wlll be used on thls
proiect.
I further agree to qnsure that all roquired inspections 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 all tlmes during con ru n,
Date
VALIDATION:
BECEIPT NUMBER
DATE PAIO
AMOUNT RECEIVE'O
BUILDING PERMTT
ITEM SO. FT..
Maln
Garage
Carport
Tolal Value
Bullding Permit Fee
srate surcharse 4?, X Z,(L
Total Feo (A)
VALUE
%fi
29ruf-" f,l- -
%!-.o*
X $/SQ. FT.
PlJ.t_LD_t.ryc VALUE, PLAN CHECKAND BUILDING PERMIT
This permit is granted on the express condition that the sardconstruction shall, ln all respects, conform to the Ordinanceadopted by the City of Springfleld, including theDeve.lopment Code, regulating the ctnstruction and use ofbulldings, and may be suspended or revoked at any timeupon violation of any provislons of said ordinances.
Plan Check Fee; _
Recelpt Number:_
DatePIans Beviewed By
Date Pald:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthln the City limlts which are being improved.
ITEM
Flxtures
Besidentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FT.
FT,
FT,
(c)
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vont
MECHANICAL PERMIT
(D)
N0
Mechanical Permlt
lssuanco
State Surcharge
Total Permlt
Furnaco
Exhaust Hood
Vent Fan
'z-o
MISCELLANEOUS PERMITS
Moblle Home
Slate lssuance
State Surcharge
Sldewallr --- tt
.Y
(E)
Permits
Ir
Total Mlscell aneous
, CurPcut
i Demolltlon
State Surctrtbe
rlg
LTOTA
B,(A,
RECE IVEO BY
%
t
N0