HomeMy WebLinkAboutPermit Building 1994-10-251
SPRINGFIELElRESIDENTIAL
PERMIT APPLTCATION
lnspectlons: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
/oaa=aao*S MAP:
LOT:- BLOCK:
JoB NUMBE ^ ?4 /44 /
('\)*-S
225 Fifth Street
Sprlngfield, Otegon 97 477
TAX LOT
SUBDIVISION:
-OWNER:PHONE:
ZIP:
Qy
STATE:Ox-CITY:SA
ADDRESS:37?d
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES PHONE
r{-}r\^/
M
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR ''
tv
I
5t',w
- OFFICE USE -
WATER HEATER
LAND USE:
* OF BDRMS:
* OF UNITS:
RANGE:
SECONDABY HEAt
SQUARE FOOTAGE:
OCCY GROUP:
r OF STORIES:
QUAD AREA:
* OF BLDGST
FLOOD PLAIN:
ZONING CODE
CONSTB. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested atler 7:OQ a.m. will be made the followlng work day.
REQUIRED INSPECTIONS
[-l Temporary Electrlc Rough Mechanlcal - Prlor to
cover.m Flnal Plumbing - When ail
plumblng work is complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrlcal - Prlor to [- V l Final Electrical - Wfren ail
? electrical work is complete.t
ffi Finat Mechanlcal - When all4 mechanical work ls complete.
cover.
Undersiab Plumblng / Electrlcal /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
[71 Footlng - After trenches areP excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
m Flnal Building - When att
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng,Framlng - Prlor to cover.
m
n
tE
E
tr
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllling trench.Drywall - Prior to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Slove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulation or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - Whep all
blocklng ls complete.
Floor tnsulatlon - Prior todecklng. .:.Curbcut & Approach - After
forms are erected but prior to
pllceinent of concrete.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base material ln place.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocklng, set-up, and plurpbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
ry
E
Water Llne - Prlor to filling
trench.
Fence - When completed.
Streel Trees - When all requlred
trees are planted.
Final - After all requlred
inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
&rc4'ol
)
SPSC--
tl
ry
N
tr
tl
E
E
E
tl
fl
tl
tl
'1.rr ::'
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
.1 IS THE PBOPOSED WORK TN THE.
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this application must be slgned
and approved by the Historical
Coordinator prior to permit issuance,
APPBOVED:
P,L,HSE GAR ACC
N
S
E
315R5
t6.rb_
Ao&qP
fr8-lL
Gaqage
Zo
Carport
- VALUE
sl-ras
Total Value
Building Permit Fee
State Surcharge
Total Fee
\o.rot3?
(A)
BUILDING PERMIT
ITEM SO. FT.
Main 5c7-
x $/so. FT.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
olsqlt t
Fleviewed ByPI
3o
r DEtr-
Plan Check Fee
Date Pald:
Receipt Numbe
Beceived By;
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures,
Residentiai Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
\6.5-s
FT.
(c)
]-S.qo
.tS t3? \ .A o
PLUMBING PERMIT
Plumbing Permit
State. Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
t5.a
(D)
3. rla
_uLE-
fS+r? t.qs
Vent Fan
Mechanical Permit
lssuahce
Statersurcharge
Total Permit
cl.)((). -
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Nol
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCy will be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with OFIS 70j.O5S will be used on this
Proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times d ring constructlon
Slgnature
Date
MISCELLAN EOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
vTotal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, D, and E Combined)
qo R{o
-7
?-ar)
O.
rtbs."rLAMOUNT RECEIVE
BECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBER
r/X.^
No_
FT.
t 'l vvv 'tY' #
CrTy 0F I .INGFIELD SYSTEMS DEVELoPMATT CHARGE q{t'* <'/
WORKSHEET
(COMHERCIAL & RESIDENTIAL)
NME OR COHPAI'IY:
-r'4LOCATION:4oq s. 3z
DEVELoPMENT TYPE,& ,1%H-
BUILDING SIZE:
1. STORH NRAINAGF.
IHPERVIOUS SQ. FT.
2. SANITARY SFI^JFR-CTTY
NO. OF PFU'S
(See Rever"se)
OT SIZ
X $0.209 PER SQ. FT.
X $43.26 PER PFU
.Ft
3 TRANSPORTATTON
NO OF UNITS X TRiP RATE X COST PER TRIP
x _ x $436.i9
x _ x $436.19
_x_x$436.19
4. SANITARY SFWFR-M|{MC
NO. OF PFU'S(Use PFU Total
SUBTOTAL (ADD ITEHS i,2, & 3)s /3 7.?4
iil;li PER pFU + s10 Mrlrllc ADMiN.FEE s //
s-M
s
q
s
s /sz.r 4
5
From item 2
ML^IMC CREDIT IF APPLICABLE (StE REVERSE)
TOTAI -MI^,MC SNC
SUBTOTAL (ADD IIEMS 1.2.3 & 4)
ANMTNTSTATIVT FFFS
BASE ) x .05
7-o-
ary i g.P. E.
SDC
(
82. SDC
i nator
Date:
TOTAI SDC $ ,y'r', tr4.
Qao ( 4,P-rr-)
-