HomeMy WebLinkAboutPermit Building 1998-04-16PRINGFIELORESIDENTIAL
PERMIT APPLICATION JoB NUMBE
^ -9 K)423
225 Fifth Street
Springfleld, Oregon 97477
lnspections: 726-3769
Olfice: 726-3759
[ocerroru oF PRoPosED WoRK:t12 -?-,i s -c 7-ba-
ASSESSORS MAP:o
LOT BLOCK:
TAX LOT o
SUBDIVISION:
PHONE:
.9 Lo
ZlPioazSTATE:
do**=*,
-Su,u-c J Df -ADDRESS:
CITY:
NEW X REMoDEL ADDtloN DEMoLtsH orHER _
$rescnr BE WORK:
ADDRESSa"3 6lq/"ut'f L"",ls9,
EXPIRES ,. PHONENTRACTOR'S NAME
MECHANICAL:
ELECTRICAL
PLUMBING
GENE
CONST.
CONTRACTOR #
Tre--'-
TWODE
SHtrgil
FLOOD PLAIN:
*rnTlCE
- OFFICE USE _
LAND USE:
WATER HEATER
E OF UNITS:
FOOTAGE:
EAT:
RANGF.:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
*,OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:OO a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
l-l Temporary Electric Rough Mechanlcal - Prior to
cover.
Final Plumbing - When attplumblng worl( is complete.
Site lnspectlon - To be made
after excavation, but prior to
setting (orms.
Rough Electrical - Prior to Flnal Electrlcal - When alt
electrical work is complete.cover.
Understab Plumblng/ Electrlcal /
Mechanical - Prlor to cover,Electrical Service - Must be
approved to obtaln permanent
electrlcal powor.
Final Mechanical - When all
mechanical work ls complete.
I(TFootlng - After trenches are
,)A( excavaled.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng,
.XFramlng - Prlor to cover'tl Other
Walt/Celling lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to filllng trench.Drywall - Prior to taplng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlca!
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallation.
Post and Beam - Prior to floor
lnsulatlon or decking.lnserl - After flreplace approval
and installatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
dec]<ing.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumblng
lnspections have been approved
and the home is connected to
the service panel.
Stonn Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When coinpleted.
Streel Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.E Rough Plumblng - Prlor to
cover.
IIrzt " -
E
E
E
fl
Foundatlon - After forms are
erected but prlor to concrete
placement.
tl
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Setbacks
P.L.HSE GAR ACC
N
S
E
i IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDINGPERII,ITT i ' {
ITEM SQ. FT. X $/SQ. FT.VALUE
Main
Garage
Carport
#/ra-:lsz-
/.1tr t.r5'
4r.57
Total Value
Building Permit Fee
State Surcha ,g" * O ,03 *Lt r'.,-
Total Fee (A)
I
BUTLDING 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.
plan check ree. Z{. a=
Date Paid
Receipt Number:
Received
PI By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N.
FT.
FT.
FT.
Plumbing Permlt
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMTT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ tnsert/ Flreplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Division.
I further certi{y that only contractors and employees who
are in compliance with ORS 7O'1.O55 wiil be used on this
proiect.
I I further agree to ensure that all required lnspections are
I requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times duringtconstruction.
xn^^,
Date a
VALIDATION:
RECEIPT NUMBEFI
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
f,7
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, D, and E Comblned)-4m
Lot Typ-
-
lnterior
-
Corner
-
Panhandle !
-
cui-de-sac
-?A1:2e-
4/; '/ Dale