HomeMy WebLinkAboutPermit Building 1996-03-11SPRI]tGFIELc,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOS
ASSESSORS MAP:TAX LOT:
LVt,
SUBDIVISION
PHONE:
ZIP:STATE:
OWNER:
CITY:
AD
DESCRIBE WOR
NEW-..-.-'- R OTHERDEMOLISHONEMODEL
MECHANICAL:
ELECTRICAL:
ADDRESS'S NAME EXPIRES PHONE
GENERAL:
coN
CONST.
CONTRACTOB #
r OF BDFIMS:
- oFFrcE usE -
LAND USE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER RANGE:
SECONDARY HEAT:
SOUARE FOOTAGE:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
I OF STORIEST
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspeclon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:OO a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
[--l femporarY Electric Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumblng worl< is complete.
Site lnspectlon - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prlor to Final Electrical - When all
electrical work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln Permanent
electrlcal power.
Final ical - When all
work ls complete.
Footlng - After trenches are
excavated.
inal Building - When all
Flreplace - Prlor to faclng
materlals and lramlng lnsP.
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
OtherEFoundatlon - After forms are
erected but Prlor to concrete
placement.
Wall/Celling lnsulatlon - Prlor to
cover,
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taPlng.
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to lnsulatlon or decking'Wood Stovo - After lnstallatlon.
Post and Boam - Prior to floor
lnsulatlon or decking.lnsert - After flreplace aPProval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & Approach - After
forms are erected but Prior to
placemont of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench. I
Sidewalk & Drlveway - After
excavation ls comPlete, forms
and sub-base materlal in Place.
Water Llne - Prlor to lilling
trench.
Fence - When comPleted.
Street Trees - When all required
trees are planted,
Final - After all required
lnspectlons are approved and
porchcs, skirtlng, decks, and
ventlng have been lnstalled.Rough Plumblng - Prior to
cover.
'Y OF UNITSi
-
E tl
E
E
E
tl
E
E
tl
E
tl
E
E
E
E
E
tl
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ-
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Set ISTHE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned'and approved by the Historlcal
Coordinator prior tof permit lssuance,
APPROVED
P.L.HSE GAR ACC
N
S
W
E
VALUE
(A)
x $/so. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Sprlngfield, including theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.
Plan Check Fee: _--
Date Paid;
DatePIans Reviewed By
Recelpt Numbe
Received By
EMS DEVELOPMENT CHARGE (SDC)
(B)
SYST Systems Development Charge ls due on all undevelopedproperties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
FT.
FT.
(c)
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMTT
(D)
N0
Mechanical Permit
lssuance
Stale Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, r state and agree, that r have carefuily examrnedthe completed application and do hereby cerilfy that alllnformatlon hereon is true ancl correct, and I f urther cerilfythat any and all work performed shall be done in accordance
with the Ordinances of the City of Sprtngfield, and the Lawsof the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Bulldirlg Safety Divislon.I further certify that only contractors and employees whoare ln compliance with ORS 701.055 wlll be used on thlsprolect.
I further agree to ensure that all required lnspections arerequested at the proper time, that each address rs readabre
from the street, that the permlt card ls located at the frontof the property, and the approved set of plans will remaln
the site at all times durlng construction.
ure
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk _-- ft
Curbcut --- ft
Demolition
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combined)
DATE PAID
AMOUNT FIECE
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
FT.