HomeMy WebLinkAboutPermit Building 1997-10-09SPRINGFTEL()RESID ENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:
LOI BLOCK:
JOB NUMBER
225 Fif th Street
Springfleld, Oregon 97477
7-': /
a L
TAX LOT
SUBDIVISION:
--
PHONE:ov
<-I
oR.c'-ZIP:
t
I
Tohntso "/
OWNER:LCaLnrtAA G-
ADDRESS:
CITY:
E1 Suru
s
*r* y' REMoDEL t/
lesTL
OTHER
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ADDITION DEMOLISH
PHONEkeu
4ut il 7Z I -7at/
)/.S /t3
PLUMBING:
ADDRESS EXPIRESCONTRACTOR'S NAME
GENERAL:
MECHANICAL:
ELECTRICAL:
coNsT.
CONTBACTOFI ,|
_ OFFICE USE -
WATER HEATER
I OF UNITS:
LAND USE:QUAD AREA:
r OF BLDGS:
FLOOD I)LAIN:
ZONING CODE
SECONDARY HEAT
SOUARE FOOTAGE:
, OF BDRMS:-
BANGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon,
made the same worklno ,
' you must call 726'3769' Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspections requested after 7:00 a.m. wlil be made the followrng work day.
REOUIRED INSPECTIONS
n femporary Etectrlc Rough Mechanical - prlor to
cover.Flnal Plumbing - When altplumblng worl( is cornplete.
Slte lnspectlon - To be madoafter excavatlon, but prior tosettlng forms.
Rough Electrlcal - prlor to Final Eleclrical - When allelectrical worlr is ceniplete.cover.
Underslab Plumblnq/ Electrical /Mechanlcal - Prior to cover.Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Final Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated.17 Flnat Buitding - When ailru required lnspecilons have beenapproved and building lscompleted.Masonry - Steel locailon, bond
beams, groutlng.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concreteplacement.Wall/Celllng lnsulatlon - prlor to
cover.
t] l'Jffiifl;'i,::j.'.'-trns - Prior [l Drvwan - prror ro raprns
l-l Underltoor Plumblng/ Mechanlcal
Prior to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallailon.
Post and Beam - prior to floorlnsulatlon or decklng.lnsert - Alter flreplace approvqland lnstallatlon of unlt.
l-l Alocking and Set.Up - When ailu blocklng is cornpteie.
Floor lnsulalion - prlor to
decklng.Curbcut & AJrproach - Afterforms are erected but prlor loplacemcnt of concrete.
Plumbing Connectlons - Whenhome has been connected towater and sewer.Sanltary Sewer - prior to fllllng
trench.
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - Afterexcavation ls complete, formsand sub.base materlal ln place.
Electrical Connection - Whenblocklng, set.up, and plumbinglnspections have been approvedand tlte home is connecled tothe service panel.
l---'l Wate, Llne - prtor ro fiiltnglJ trench.[-l Fence - When complered.
Rough Plumblng - prlor to
cover.T_l Stre€t Tr€os - When ail rcquired
-
trees are planted.
Final - After all requiredinspectlons are approved andporches, sklrting, clecks, andventlng have been lnstalled.
STATE:
(
l-_l otnor
tl
( IS THE PROPOSED WORK TN THE ..
HISTORICAL DISTRIG"T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prlor to permlt issuance.'
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
PL.HSE GAR ACC
N
S
E
acks
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, includlng the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions ol said ordinances.
Plans Flcviewed Ljy Date
Receipt Numbe
21 ,/v
Date Paid
Received By:
Plan Check Fee:
VALUE
^ €' a4>
71:(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Tolal Feo
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Systems Development Charge ls due on all undeveloped
properties wlthln tlrc City linrits which are belng lmproved'
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDTTIONAL COMMENTS
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Tolal Charge
Wood Stove/ lnsert/ Flreplace Unil
Dryer Vent
Mechanical Permit
(D)
N0Vent Fan
lssuance
State Surcharge
Total Permit
iV,! EC!{,^.T! !CAL P ERMIT
Furnacc
Exhaust Hood
By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby certlfy that all
lnformation hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of thc City of Springfield, and the Laws
of the Statc of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout pertnission of the Bulldlrrg Safety Dlvislon.
I further certify that only contractors and employees who
are ln cornpllance with ORS 70'1.055 wlll be used on thls
proiect.
I further agree to ensurc that all required lnspections are
requested at the proper tlme, that oach address ls readable
from tho street, that the pcrmlt card ls located at the front
of the property, and the approved set ol plans will remain
?o
Slgnatu
Date
on the site I times dur ructlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
--
ft
Curbcut _-- ft
Demolitlon
State Surcharge
Total Mlscellaneous Pertnits (E)
RECEIVED BY
7
Z
AMOUNT RECEIVED 3
*/
DATE PAID
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
;ru
FT.