HomeMy WebLinkAboutPermit Building 1996-10-21RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPFlINGFIELI)
5
JOB NUMBER
225 Fif th Strcet
Sprlngtleld, Ore gorr 97477
-76
t'7 o13 IL TAX LOT:ASSESSORS MAP;
LOT:
-
BLOCK:SUBDIVISION
PHONE:
STATE ztP:
€+
OWNER:
ADDRESS
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES ,l PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR ,'
_ OFFICE USE _
I OF BDRMS:
RANG F.:WATER HEATER:
FLOOD PLAIN:
SECONDARY HEAT: __
SOUARE FOOTAGE
I OF UNITS:
LAND USE:OUAD AREA:
r OF BLDGS:
OCCY GROUP:
E OF STORIES:
ZONING CODE:
CONSTR, TYPE
HEAT SOURCE;
To request an lnspectlon, you must call 726'3769. Tttls ls a 24 hour rccor<1lng. All lnspections requested betorc 7:00 a.m. wlll bcmade tho sante worklng day, lnspections requested after 7:00 a.m. wlll be ma<Je lhe followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Flnal Plumbing - When.allplumblng worl( ls complete.
Slle lnspoctlon - To be madc
alter excavallon, but prlor to
settlng lorrns.
Flnal Eleclrlcal - When allelectrical worl< ls complete.
E Underslab Plumblng/ Eloctrical /
Mechanlcal - Prlor to cover.Eleclrlcal Servlco - Must be
approvecl to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When allmechanical work ls complele.
Foollng - After trenches are
excavat€d.Flreplace - Prlor to faclng
materlals and lraming lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and bullding ls
completed.
Framlng -. Prlor to cover,
Foundatlon - After forms are
erected but prlor to concrete
placemonl,
O thor
WalllCelling lnsutatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor lo taplng.
Underlloor Plumblng/ Mcchanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Slovo - Af ter lnslallatlon
Post and Boam - Prlor to floor
lnsulallon or decklng.lnserl - Af ter f lreplace approvgl
and lnstallatlon of unlt.
Blocking and Set.Up - Wl.ren all
blocklng ls complete.
Floor lnsulallon - Prlor to
decklng.Curbcut & Alrprroach - After
forms are erected but prior to
placemont ol concrctc:.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewor - Prlor to f llllng
lrench,
Storm Sowor - Prior to tllllng
trench.
Sidewalk & Drlveway - A(ter
excavation ls complctc, forms
and sub-base materlal ln place.
Eleclrical Connection - When
blocklng, set.up, and plumblng
lnspections have becn, approved
and tlre home is connected to
the service panel.
Waler Llno - Prlor to lilling
I ren ch.
Fence - When completed
Rough Plumbing - Prior to
cover.
[ilreet Tress - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
na{
E
tl
[-l Rough Mechanlcal - prlor totJ cover.
l-l Rough Electrical - prior tolJ cover.
E E
Masonry - Steel locatlon, bond
beams, groutlng.
E
tl
E
E
E
tl
r
tl
Lot faccs
Lot sq. ftg.
Lot coverage
Topography
Total helgh(
Lot Typs
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Set c
PL.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK iN THE.
HISTORICAL OISTFIICT, OR ON
TI.IE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permlt lssuance.
APPROVED:
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrnrit is grantecJ on the cxpress condiilon that the sald
construction slrall, ln all respects, conform to the Ordlnance
adopted by thc City of Springfleld, includlng the
Developmcnt Code, regulaling the constructlon and use ol
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances.
Plan Check Fee:
Date Pald
Recelpt Numbcr
Received By:
Plans Flcviewed 8y Date
VALIDATION:
RECEIPT NUMBER
DATE PAID
tl
AMOUNT RECEI
FIECEIVED BY -
DTOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combincd)
state Surcha,s. I JJoC,lU Adtt,*Ft*
Totat Fce I
,o,
VALUE
leo
X $/SO. FT.
Total Value
Bullding Permit Fee
BUILDING PERMTT
ITEM SO. FT.
Main
Garagc
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undevelopecl
properties withln the City linrits which are bcing improved.
Resldentlal Bath(s)
Sanllary Sewer
Water
Storm Sewer
Moblle Home
PERMIT
No
FEE
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING
ITEM
Fixtures
ADDITIONAL COMMENTS
By slgnature, I stal.e and agree, that I have carofully examlned
the completed apptication and do hereby cerilfy that all
lnformatlon hereorr ls true and correct, and I further cerilly
that any and all work performed shall be done ln accordanco
wlth the Ordinances of the City ol Sprlngfield, and the Laws
of the State of Orcgon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bulldlr.rg Safety Dlvislon.
I further certlly that only contractors and employees who
are ln compllance with OBS 701.055 wlll be used on thls
proiect.
I further agree to ensurc that all reguired lnspections are
roquested at the proper tlmc, that oach adcjress ls roadablo
from tl'ro slreet, that the permlt card ls located at the lront
of the property, and the approved set of
Slgnature
Dat
plans wlll remaln
on the slte at mes U
Wood Stove/ lnsert/ Flreplace Unl t
Dryer Vent
MISCELLAN EOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-_
ft
Demolitlon
State Surcharge
Total Mlscellaneous Perrnlts (E)
(D)
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Vent Fan No
Mechanlcal Permlt
lssuance
State Surcharge
Total Permit
l
I i,.:,; i. ,,
..1 ,
8.00
Uc'2{)