HomeMy WebLinkAboutPermit Building 1996-11-27PHONE
STATE ZIP:
L o/l(LOWNEB:
ADDRESS
CITY;
DEMOLISH OTHER
DESCRIBE WORK
NEW _- FIEMODEL ADDITION
NAME ADDRESS
EXPI R ES PHONE
CONTBACTOR'
MECHANICAL:
ELECTRICAL:
CONSI.
CONTBACTOR #
GENERAL:
PLUMBING
_ OFFICE USE -
WATER HEATEFI
HEAT SOURCE
RANGE:
LAND USE:
/ OF UNITS
QUAD AREA:
, OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
CONSTR. TYPE:
--
OCCY GROUP:
E OF STORIES:
FLOOD I)LAIN:
ZONING CODE:
r OF BDRMS: _
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of fice: 726-3759
LOCATION OF PROPOSED WORK: --_
!;PFrtNGFtELO
Q br bo /JOB NUMBER
225 Fif th Street
Springf letcJ, Oregon 97477
ASSESSOBS MAP:110 J5 IZ TAX LOT:qd
LOr BLOCK:SUBDIVISION
To request an lnspectlon, you must call 726_37
made the saole worklng day, lnspections requ
69. Thls ls a 24 hour recordlng. All ins ections requestec.l before 7:00 a.m. wlll befollowing work day.
p
[-l Temporary Etecrric
Site lnspectlon - To be made
af ter excavation, but prior tosetting forms.
sted af ter 7:00 a.m. wlll be made
EQUIRED TNSPECTIONS
Rough Mechanical - prior tocover.
Rough Eleclrical - prior tocover.
cover,
Final Plumbing - When ailplumbing worl( is complete.
Flnal Electrical - When ailelectrical work is complete.
Final Building - When ailrequired lnspections have beenapproved and building iscompleted.
the
R
Underslab plumbi ng / Elec trical/echani cal - Prior to cover.
Footlng - Af ter trenches areexcavated.
Electrical servlce - Must be l--l rinat Mecha.ical - when ail,Pprgyeq to obtaln perrnancnt ..- mcchanicat wort< ls cornplete.electrlcal power.
l-l fvlasonry - Steet tocatton, boncJ
-
oeams, grouilng.
Foundatlon - After forms areerected but prior to concreteplacement.
Flreplace - prior to faclngmalerlals and framing lnsp.
Framlng - prior to cover.
Wall/Celling lnsulatlon - prlor to
O ther
Underground plumbing _ prior
to fllling trench.Drywall - prior to taping
Underlloor plumbing/ Mcchanical
- ptior to lnsulatlon or decl(ing.
Post. and Beam _ prior to floorlnsulation or decking.
Floor lnsulation - prlor todeckl ng.
Sanltary Sewer - prior to fillingtrench.
Slorm Sewer - prior to fillinglren ch.
Water Line - prlor to fillingtrench.
Rough Plumbing - prior tocover.
MOBILE HOME INSPE TIONS
[--l B.tocking and Ser.Up _ When ail.+ blockin0 is complete.
Plumbing Connections _ Whenhome lras been connecled towater and sewer.
Wood Slove - After lnstallatlon
11.:l - After ftreplace approvatano tnstallailon ot unit.
Curbcut & AJ.rprroach _ Afterlorms are erected but prior toplacemcnt of concretc_..
Sidewalk & Driveway _ Afterexcav.rtion ls complctc, lormsand sub-base material in place.
Fence - Vvhen completed.
{ilreel Trees - When all requiredtrees are planted.
Electrical Connection _ When
lr]:-"fll,l, ser.up, and ptumbinsrnspe.cttons havc bcen approvedand the home is connected tothe service panel.
Final - Af ter all requiredrnspections are approved andpor9.hest sl(irting, decks, andvenUng have been installed.
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E
tl
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SO. FT.
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
X S/SO. I.-T VALUE
Main
Garage
Carport
Total Value
Building Permit Fee - t
srate surcharse +310 Li\
Total Fee
Mt^l\ftL:ru[(A) lb,s'U
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
TIJE HISTORICAL REGISTER?
-
ll yes, this application must be signed
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris pcrnrit is granted on the cxpress 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.
Plan Check Fee:
Date Paid
Receipt Numbc
Receivecj By:
Plans Rcviewed t3y Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlrc City linrits which are being improved.
PLUMBING
ITEM
Fixtures
PERMIT
FEE
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
No
F-I.
FT.
Plumblng Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed applicalion and do hereby certi[y that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to thc work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in cornpliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the propor tlme, that each address ls readable
f rom the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the sit I times during construction.
Slg natu re
Date \/ /taz ee
bx
VALIDATION:
RECEIPT NUMBER B12
DATE PAID
AMOUNT RECEIVED I
FIECEIVED BY
E
MECHANICAL PERMlT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalx
-
ft
Curbcut
--
ft
Demolition
State. Surcharge
Total Miscellaneous Pennils (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
Itr-- -W
FT.