HomeMy WebLinkAboutPermit Building 1997-09-18RESIDENTIAL
PERMIT APPLICAT'ON
lnspections: 726-3769
Office: 726-3759
senrnrcrrE LD
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JoB NUMBE^ 2 ?/=o3
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT: A 7- - D
SUBDIVISION
+h +r4LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT BLOCK:
PHONE:
ZIP:STATE:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES PHONECONTRACTO,S NAME
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
, OF BDRMS
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD ])LAINOUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GROUP:
I OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED TNSPECTTONS
Temporary Electrlc w Rough Mechanlcal - Prlor to Flnal Plumbing - When allplumblng worl< ls complete.,(
cover.B*qa
Rough Electr
#Slte lnspectlon - To be mado
after excavation, but prlor to
settlng forms.
rlcal - Prlor to Final Electrlcal - When all
electrlcal work is complete.cover.
Underslab Plumblng/ Eloctrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
w Final Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and framlng lnsp.
Final Buildlng - When a[
requlred lnspectlons have been
approved and bulldlng ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.
n Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
)placement.
ffion", DfE, 6f"-
Wall/Celling lnsutatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.[-l Drywall - Prlor t] taptng.
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
insulatlon or decking.l-l lnsert - After flreplace approvallJ and installatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulallon - Prlor to
decking.Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllllng
trench.Eleclrical Connection - When
blocklng, set.up, and plumblng
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Drlvewav - After
excavatlon ls complete, forms
and sub-base materlal in place.
Water Llns - Prlor to filling
trench.n Fence - When coinpleted.
Stroel Trses - When all requlred
trees are planted.
[-_] Final - After ail requireds lnspectlons are approved andporchos, sklrtlng, deckS, andventlng have been lnstalled,
E
Rough Plumblng - Prlor to
cover.
MECHANICAL:
-
\
E
E
fl
E
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot TYPe
-
lnt€rlor
-
Corner
-
Panhandle
-
Cul'de-sac
P.L.HSE GAR ACc
N
S
W
E
ll yes, thls appllcatlon must be slgned
and'aPProved bY the Historlcal
Coordlnator prlor to permit issuance'
APPROVED:
olsTRlcr,
ETHINWORKDPROPOSEETHS
ONRoISTORICALH
?EGISTER'RBICALHISTOHTE
BUILDING PERMIT
VALUE
ri
(A)
J
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.
Thls permit is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springlield, includlng the
Development Code, regulating the constructlon and use of
bulldlnge, end may be Euspended or rovokod at any llme
upon vlolatlon of any provislons of sald ordlnances.
PLAN CHECK
Plans Reviewed By Date
Receipt Numbe
Date Paid:
Received By:
Plan Check Fee
RMIT
BUILDING VALUE, I
AND BUILDING PE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sgwer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
a4.2a
w
(D)
Drye r Vent
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carofully examlned
the completed appllcation and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wltl be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.
I further certify that only contractors and employees who
are ln compllance wlth ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspecilons ere
requeeted 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 wlll remaln
on the site at all tlmes during constru
slg natu re \
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
Stale Surcharge
Total Mlscellaneous Permlls (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Comblned)
=a
OATE PAID 2^/3,j7
VALIDATION:
RECEIPT NUMBEFI 2 2./q>
AMOUNT RECEIVED
RECEIVED BY
: -... :i.
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FT.
FT.
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