HomeMy WebLinkAboutPermit Building 1997-08-22RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SPRIhrGFTELO
JoB NUMBEa9.22fi__
225 Fifth Street
Sprin gfleld, Oregon 97477
LOCATION OF PROPOSED WOFIK:b HA 5 fln ob
ASSESSORS MAP:.O2,4>
TAX LOT:
LOT : BLOCK:SUBDIVISION:
--
e C PHONE:4w I 3rv\
STATE:ZIP:CITY:
ADDRESS:
OWNER:
ocD
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
ADDRESS EXPIRES ,'1 PHONECONTRACTOB'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST,
CONTRACTOR #
- OFFICE USE -
FLOOD PLAIN:QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
# OF BDBMS:---
LAND USE:
OCCY GFIOUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
WATER HEATEFI:BANGE:
# OF UNITS: _-ZONING CODE: _
To request an lnspecilon, you must call 726_3769. Th
made the same worklng day, lnspections requested
Temporary Electrlc
ls rs a 24 hour recordrng. Ail rnspecilons requested before 7:00 a.m. wilr beafter 7:00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
Rough Mechanlcal - prlor to
cover.
Rough Electrlca! - prlor to
cover.
Flnal Plumblng - When ailplumblng worl( ls complete.
l--l Flnat Electrlcat - When alt
-
electrical work ls complete.
l-l flnal Mechanical - When ail
-
mechanlcal work ls complete. ,.
lfl rlnd Buitding - When altF- required lnspectlons have beenapproved and bulldlng iscompleted.
Slte lnspectlon - To be madeafter excavatlon, but prlor tosetting forms.
[--l Unaerstab ptumblng/ Electrical/
-
Mechanlcal - prior to cover. I I
Footlng - After trenches areexcavated.
Masonry - Steel locaflon, bondbeams, grouilng.
Foundatlon - After forms areerected but prior to concreteplacement,
[--l UnAerground p]umblng _ prior.J to filllng trench.
l--l Underltoor plumbtng/ Mechanicats - Prior to tnsutaito'n ;;;;k1;;:
Post. and Beam _ prlor to floorlnsulatlon or decklng.
Floor lnsulatlon _ prior tooecKlng.
S-anilary Sewer - prior to fi,lingtrench.
S_rorm Sewer _ prior to fllllngtrench.
Y:]:r- Ltne _ prtor to ,iilinstrench.
i;,H: Prumblns - Prror to
Electrical Servlce - Must beapproved to obtaln permanent
electrlcal power.
fl FtreRlace - prtor to factng
-
materlals and framlng lnspl
fZ fr"-lng - prtor to cover.
Other
I W€llrCbtilng tnsularton _ prtor tocover-
Drywall - prlor to taplng.
Wood Stovo - After lnstallailon.
Ll":tt - Afrer ftreptace approvqtand lnstallailon of unlt.
C-urbcul & AJrproactt _ Afterlorms are erected but prior toptacoment of concrete.
Sidewalk & Driveway _ After
:ffi "J3 [ :* I : ;1x,,;li^;;1,:;
Fence - When cgi,.lpleted.
MOBILE HOME INSPECNONS
I 3,'S:l,T3,i3.i"J;Y[ - when a,
IllTUi"n Connecrions _ When
.r]:Te has been connected towater and sewer.
,flff i'iffl "".", u: *,:l;,.ilffi_l
#j.xi,::Tliit""^* jrii::"
f] ng,"I;ffi;;ynen arr requrred
Biln:-,;[l*TiiJ"f,:#
". i,: :;r,
rl ,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Tgpr
-
lntGrlor
-
Corner
-
Panhandle i''
-
Cul-de-sac
i IS THE PROPOSED WOFIK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
W
E
BUTLDING PERMIT :
VALUE
e"E
(A)2d
{
rq5-
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.
Thls permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Spri ngfield, 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.?.f
8a?-?2
Date
Becei pt Numbe
BUILDING VALUE,
AND BUILDING PE R
LAN CHECK
MIT
Date Paid
Flecei ved
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
Nc
FT.
FT.
PTUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work described
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldltrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with OFIS 701'055 will be used on thls
prolect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the lront
of the property, and the approved set of plans wlll remaln
Slgnature
Oate
on the site at all ti during structlon
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut -- ft
Demolitlon
State Surcharge
(E)Total Mlscellaneous Permits zf tr?fDATE PAID
AMOUNT RECEIVF.D
RECEIVED BY
VALIDATION:
BECEIPT NUMBER
TOTAL AMOUNT
(A, B, c, D, and E
DUE (excluding electrical)
Comblned)
<€.2*
Plan Check Fee: