HomeMy WebLinkAboutPermit Building 1996-12-06SPrrTl\rGFIELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PRO ED
ASSESSORS MAP:
LOT:
?o /6 3o
t-4 n ,7
JOB NUMBER
225 Fif th Street
Sprlngf leld, Oregon 97477
TAX LOT:
2fi,
&4q
BLOCK:SUBDIVISION: -
a1b b&3+PHON E:
STATE On ztP:g 1
S*evc aWr Ui.ErnortOWNER:
ADDRESS:
CITY:
ADDITION DEMOLISH OTHER
sl;o rYLtODESCRIBE WORK:
NEW- REMODEL
ADDRESS EXPII-1ES PHON ECONTRACTOR'S
MECHANICAL:
ELECTRICAL:
CONSI.
CONTRACTOR ,AME
A-tGENERAL:
PLUMBING
_ OFFICE USE _
WATEFI HEATER:
LAND USE:QUAD AREA:
r OF BLDGS:
FLOOD I)LAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE FOOTAGE:RANGF.:
OCCY GROUPT
/ OF STORIES
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS: _
To request an inspection, you must call 726-3769. Thls ls a 24 hour rccording. All inspections requestecl before 7:00 a.m. wlll bemade the sante working day, lnspections requested after 7:00 a.m. wlll be ma<le the following work day.
REQUIRED INSPECTIONS
[-_l Temporary Electric Rough Meclranical - Prior to
cover.
Final Plumbing - When allplumbing worl< is complete.
Site lnspection - To tre made
after excavation, but prior to
settlng forms.
Rough Eleclrical - Prior to Final Electrical - When allelectrical worl< is complete.cover,
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When alt
mechanical worl( ls complete.
Foollng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Building - When ailrequired inspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Ceiling lnsulation - Prlor to
cover.
MOBILE HOME INSPECTTONS
Wood Slovo - After installation
lnserl - After f lreplace approval
and installatlon of unlt.
Blocking and Set.Up - When ailblockinll ls cornplete.
Floor lnsulalion - Prior to
decking.Curbcut & AJrprroach - After
forms are erected bUt prior to
placement of concretr:.
Plumbing Connections - When
home has been connected lo
water and sewer.
Sanitary Sewer - Prior to f illing
trench.
Slorm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavalion is completc, forms
and sufi-base materlal in place.
Electrical Connection - Whenblocking, set-up, and plumbing
Inspections have been approved
ancl the home is connected tothe service panel.
Waler Line - Prior to filling
trench.
Fence - When completed.
{itreel Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, clecks, andventlng have been lnstalled.
c S-I\ )A/l'.).f4.-- Lc.
, OF BDBMS:
--
E
tl
E
<('", d+< /-/t) =
fl
f] i;*?: Prumbins - Prior to tl
E l'""ffiHlti,lflJn'.'-oins - Prior [l Drywan - prror to tapins.
I-_l Underlloor Plumbing/ MechanicalI | - prior to insutaiio-n';;;;;i'i;;. E
l--l Post and Beam - Prior to floortJ lnsulatlon or decking. E
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set acks
PL,HSE GAR ACC
N
S
E
IS THE PROPOSED WORK iN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL FIEGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
VALUE
(A)
x $/so. t'T,
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMTT
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.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wilhin tha City linrits which are being improved.
FEE
(c)
NN
FT.
FT.
FT.
Residential Bath(s)
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Sanitary Sewer
Water
Slorun Sewer
Moblle Home
ITEM
Fix tu res
ADDITIONAL COMMENTS
wnmal{U/ZLrr
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge ,?ff 'y''t
Total Permit (D)
/f l{ -//17&,f_-
N0
2/.i/. 'f ,! O
26,e
Vent Fan
/o-o{-
/ )*o
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood By signature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertainlng to thc work described
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 compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Date
struct
t{d&noU
ronon the site at all times durin g con
Xnn",u."
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pertnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
26 ?o
o
23 ?z -t
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBER
-e -2L