HomeMy WebLinkAboutPermit Building 1999-04-29RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726€769
Offlce:726.3759
LOCATION OF PROPOSED WOFK:Z
?fott t
_t. 3 ,ra
JOB NUMBER
225 Flfth Street
Sprlngfleld, Orcgon g7 477
TAX LOT o ?1,nASSESSORS MAP:07 hbtt
SUBOIVISION
(b-PHONE:
74So.
ZIP:
CL
STATE:{L ?7ClTY:
ADDRESS:
OWNER:
x Coil,l*uro4lz t. tb dt' c76ilrl f lZilz /,f/ilG &lZrrz,a-
NEW- REMODEL
DESCRIBE WORK:
flt
to
7
EXPTRES 3 PHONEADDRESSCONTRACTOB'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACtrOR '
ru\esby
is1
UtlttY
are torthset
inO
0090
FLOOD PLAIN:
bYtheOUAD AREA:
r OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
, OF BDRMS:--OCCY GBOUP:
r OF STOBTES:
ZONING CODE:
To request an lnspectlon' you must call 726-3769. Thls ls a24hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be macle the followlng work day.
UIRED INSPECTIONS
ugh Mechanlcal - Prlor to l--l Flnat Plumblng - When ail
'J plumblng worli ls comptete.
Slte lnepectlon - To be mado
after excavatlon, but prlor to
settlng forms.
h Electrlcal - Prlor to Electrlcal - When allr.cal work ls complete.
D Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be al Mechanlcal - When all
approved
electrlcal
to obtaln permanent
power.
anlcal work ls complete,
tl Footlng - After trenches are
excavated.t Bultdlng - When ail
lred lnspectlons have beenace - Prlor to faclng
Masonry - Steel locatlon, bond
beams, groutlng.
aterlals and framlng lnsp.proved and bulldlng ls
completed.
- Prlor to cover.€+t
Foundalton - Aftdr forms are
erected but.prlor to concrete
placement.
ther
/Celllng tnsutatlon - Prlor to
Underground Plumblng - Prlor
to fllllng trench.I - Prlor to taplng
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon ol unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulallon -- Prlor- to/NFt,t Plumblng Connectlons - When
home has been connected to
water and sewer.
decklng.(,e ,Curbctrt & Approach - After
forms are erected but prior toplacement of concrete.
-/r
Sanltary Sewer - Prlor to fllling
trench.Electrlcal Connectlon - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prior to fllling
trench.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Waler Llne - Prlor to fllllng
trench.n Fence - \rvhen coiilpleted
Slroot Treos - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporchos, sklrtlng, decks, andventlng have been lnstalted.
l_l Rough Plumblng - Prlor to|J cover.
LOT BLOCK:
E
I femnorary Electrlc
E
tl
E
tl
i,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
I IS THE PROPOSED WOHK tN THE -
HtsroBtcAL DtsTRlcr, oR oN
THE H]STORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
arrd approved by the Hlstorlcal
Coordlnator prlor to p€rmlt lssuance.
I APPROVED:
BUILDING PERMIT
.h
I
X S/SQ. FT.ITEM
Main
Garage
Carport
SO. FT.VALUE
- --O5O6dTotal Value
Building Permit Fee
State Surcharge
Total Fec
{o,f o
'1. ot^
(A)r%rf
BUILDING V,qUUE, FI.Nru CHECK
AND BUILDING PERMIT
This permit is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngf leld, includlng the
Development Code, regulating the constructlon and use of
ouildings, and may be suspended or revoked at any tlme
upon violation of any provislons of sald ordlnances.
Plan Check Fee 3 2-?,
Date Paid
Receipt Num
^"..,ff'0 /,{rr
Plans Rcviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within tlro City limits which are belng lmproved.
PLUMBING PERMIT
ITEM
Fixtu res
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
Nc
FT.
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
/t t,7'/
tz a-7. qttn y' 31?9
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsertl Fl replace Unit
Dryer Vent
6.a nilt
r. so*
>.o>' t- {
Mechanical Permit
lssuance
State Surcharge
Total Permit
E.{
'0
7t'
(D)2 Lt
By slgnature, I state and agree, that I hav€ carefully examlned
the completed applicatlon and do hereby cerilfy that all
lnformatlon hereon ls true ancl correct, and I further cerilfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon perlalnlng to tho work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvlslon.
I further certlfy that only contractors and employees who
are ln compllance wlth ORS 701.05S wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspecilons are
requested at the proper tlme, that each address ls readable
from tho street, that the pormlt card ls located at the lront
of the property, and the approved set of plans wlll remaln
on the site at all times durlng co
Slgnature
Date
n.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
state surcharge
fik{tTotal Mlscellaneous Pormlls (E)
0 7372fBECEIPT NUM
h 2qDATE PAII)
AMOUNT RECEIVED
BECEIVED BY
TOTAL AMOUNT DUE (excludlng electrlca 0 !!).f-t
(A, B, C, Q and E Comblned)
VAl-IDATION: