HomeMy WebLinkAboutPermit Building 1996-03-05RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SP
Zfr,
JoBNUMBE^ a -'4a>
225 Fifth street
Sprlngfleld, Oregon 97477
ae
ASSESSOBS MAP:7=-TAX LOT
LO'L BLOCK:SUBDIVISION: ----
PHONE:
ZIP:STATE:
OWNER
CITY:
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
EXPIRES PHONE
2
CONTRACTOR'S NAME
GENERA
PLUMBING
MECHANICAL:
ELECTRICAL:
coNsT.
CONTRACTOR #
- OFFICE USE -
LAND USE:
# OF UNITS:
----
FLOOO PLAIN:
ZONING CODE:
, OF BDRMS:
-
SECONDARY HEAT:_.
SQUARE FOOTAGE:
WATER HEATER:
QUAD AFIEA:
# OF BLDGS
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
To request an lnspectlon
made the same worklng ' you must call 726'3769' Thls ls a24hour recordlng. All inspections requested before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wlll be made the followrng work day.
REQUIRED INSPECTIONS
Rough Mechanlcal - prior to
cover.
Rough Electrical - prior to
cover_
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Flnal Plumbing - When altplumbing work is complete.
Flnal Electrlcat - When ailelectrical work ls complete.
Final Mechanlcal - When allmechanlcal work ls complete.
Temporary Electric
Sile lnspectlon - To be madeafter excavation, but prior tosettlng forms.
Underslab Plumbing/ Electrical /Mechanlcal - Prlor to cover.
Foollng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placement.
Underground Plumbing - Prior
to filllng trench.
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.
Post and Beam - Prlor to floor
lnsulatlon or decking.
Floor lnsulatlon - Prlor to
decki ng.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prlor to filllng
trench.
Water Llne - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
[-l Flreptace - prtor ro faclng
-
materlals and framing lnsp.
ffi Framlng - prlor to cover.
ly'l Ftnat Buitdtns - When ail,H requlred lnspections have beenapproved and building is
completed.
Wall/Celling lnsulatlon - prlor to
cover.
l--l Drywall - prlor to taptng
Wood Stovo - After lnstallatlon
lnsert - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Alrproach - After
forms are erected but prior to
placemcnt of concrete.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Fence - When completed
Str€et Tr€es - When all requlred
trees are planted.
Other
MOBILE HOME TNSPECTIONS
Blocking and Set.Up - When altblocklng is complete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Flnal - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
ADDRESS:
E
fl
tl
E
r
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set rS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved bY the Historical
Coordinator prlor to permit issuance.
APPROVED
GAR ACCP.L.HSE
N
S
E
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'
Plans Rcviewed BY Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By:
BUILDING PERMIT
VALUE
(A)
ffifa
SO. FT, X $/SQ. FT.
#--A
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
Systems Development Charge is due on all undeveloped
properties wlthln the City linrits which are being improved'
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
M ECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examined
th€ completed application and do hereby certify 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 pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Builditrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
prolect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
Date 3-5- rb
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State SurcharOe
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludiilg electrical)
(A, B, C, D, and E Combined)
6?, /
VALIDATION:
RECEIPT NUMBER 2O66 /
DATE PAID
AMOUNT HECEIVED
RECEIVED BY