HomeMy WebLinkAboutPermit Building 1994-07-01SPR|hlGFIELO
JoB NUMBE ^
a /49 Z
225 Fi{th Street
Sprlngfleld, Oregon 97477
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offtce: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
TAX LOT:O ?>a
SUBDIVISION: _
-
BLOCK:
PHONE:
ZIP:STATE:
o/f 7z
OWNER:
ADDRESS:
CITY:
DEMOLISH OTHER
DESCRIBE WORK:
NEW-- REMODEL ADDITION
ADDRESS
EXPIRES PHONE
I
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
,CONTRACTOR #
# OF BDRMS:
r OF UNITS:
FLOOD PLAIN
RANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
OF STORIES:
ZONING CODE:
CONSTR. TYPE
HEAT SOURCEI
_ OFFICE USE -
LAND USE:
WATER HEATER:-
To request an lnspecflon, you must call 726-3769. Thls ls a24 hourmade the same worklng day, lns pectlons requested after 7:00 a.m
recordlng. All lnspections rerquested before 7:00 a.m. wlll bework day.wlll be made the followlng
REQUIRED INS PECTIONS
l--l remporary Etecrrlc Rough Mechanlcal - prlor tocover.Flnal plumb ing - when ail
Slte lns
plumblng work ls complete.pectlon - To be made Rough Elec[lcat - prlor tocover.
after excavatlo n, but prior tosettlng forms.Final Electrlcal _When allelectrlcal work is complete.
$:*:ir"," It"i :P i5, :c,
r, c a, /
Footlng - After trenches areexcavated.
M_asonry - Steel locailon, bondoeams, grouilng.
Electrlca.t Servtce - Must be l--l t-,lll Mechanlcal _ When a1approved to obtaln oermanent .J mechanicai wo? rs ctmprete.electrlcal power.
f-l Ftreptace - prlor to factno
-
materlals and framlng lnsp]
ffi Framtng - prlor to cover.
f] y-l!!r"etung lnsutailon _ prtor to
-
cover.
B DrVwall - prtor to taptng.
E ['l;i,3Jifl??
";,.yJ i?,,x,, o,
"
napproved and bullding lscompleted.
fl Foundatlon - After forms are
-
erected but prlor to concreteptacement.
Underground plumblng _ priorto fllllng trench.
Undertloor ptumblng/ Mechanlcat
- prtor to lnsulailon or decklng.
Post and Beam - prlor to floorrnsutailon or decklng.
Floor lnsulatlon - prlor todecklng.
Sanllary Sewer - prtor to fllllngtrench.
Wood Stove - After lnstallatlon.
lnserl - After flreplace approvgland lnstallatlon of unlt.
Curbcut & Approach - Afterrorms are erected but prior toplacement of concrete.
Sldewalk & Drlveway _ Afterexcavation ls complete, formsand sub.base materlal in place.
Fence - When completed.
MOBILE HOME INSPECTIONS
E l-l Blocking and Set.Up _ When all.+ blocklng ls complete.
Plumblng Connections _ Whenhome has been connected towater and sewer.
t] ;:""'S.Sewer - Prtor to nnrns
Eleclrlcal Connection _ When
p-,9:Ki19, set-up, and ptumblngrnspections have been approvedand the _home is connected torne servlce panel.l--l y:t:t Ltne - prtor to fiiltns
-
trench.
Rough plumblng
- prtor tocover.Slreel Tre6s - When all requlredtrees are planted.
Flnal - After all requiredrnspecuons are approved and
.?-or9.hu"l sklrilng, decks, andvenung have been lnstalled.
a )4:-
tl
E tl
[--l oth"t _
1,., .. l' : ];)r
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot Typev-
-
lnterior
-
Corner
_- Panhandle
-
Cul'de-sac
tb 1- ;o THE PROPOSED YVCRK IN THE -
HISTORICAL DISTRIfi, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and aPProved bY the H lstorlcal
Coordinator prlor to permlt issuance'
APPROVED:
GAR ACCP.L.HSE
N
S
W
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express conditlon that the said
consiruction shall, in all respects, conform to the Ordinance
.Jopi"O by the City ol Springfield, including the
OLretopment Code, regulating the construction and use ol
Uuf f Oini", and may bJ suspended or revoked at any tlme
upon violation of any provisions of said ordlnances'
Plan Check Fee:
Plans Fleviewed BY Date
Receipt Numbe
Date Paid
Received BY:
BUILDING PERMIT
VALUE
.?2(A)
SO. FT, X $/SO. FT.
{P.e
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
piopertles wlthln the Clty limlts whlch are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
.
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Resldential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FT.
FT.
(c)
Plumblng Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed applicatlon and do hereby certlfy that all
ln(ormatlonhereonistrueandcorrect,andlfurthercertlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield' and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANGY wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon'
I further certify that only contractors and employees who
are ln compllance with ORS 701'055 will be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
the approved set of plans will remaln
Slgnature
Date
site at rlng constructlon.
of the
on the
MISCELLANEOUS PERMITS
Mobile Home
State fssuance
State Surcharge
Sldewalk _-- ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)/2"=oDATE PAID
AMOUNT RECEIVED
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT OUE (excluding electrlcal)
(A, B, C, D, and E Comblned)
FT.