HomeMy WebLinkAboutPermit Miscellaneous 1997-06-03RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
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TOCATION OF PROPOSED WORK:7fr ,fu rq n( 7 f
4t 5JOB NUMBER
225 Filth Street
Sprlngfleld, Oregon 97477
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TAX LOT:oq(toASSESSORS MAP:
LOT:BLOCK:SUBDIVISION
(s
O4Eoat 7F7 7ZIP:
lul
STATE:
PHONE 7a6- 57 af o,( 7&6'Ys?6J
CITY:A./
ADDBESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
ooN {irl4
I
tDESCRIBE WORK
GENERAL:
ELECTRICAL:
ADDRESS EXPIRES PHONE
o-*6-/64/00 07 -?Co,
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR .'
RANGE:
r OF BDBMS:
- OFFICE USE -
LAND USE:
WATER HEATER
ZONING CODE:
FLOOD PLAINOUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SOUARF. FOOTAGE:
OCCY GROUP:
I OF STORIEST
CONSTB. TYPE
HEAT SOURCE:
, OF UNITS:
-_
To request an lnspectlon, you must call 726-3769. Thls ls a24hoor recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requ after 7:00 a.m. wlll be made the followlng work day.
OUIRED TNSPECTIONS
Temporary Electric Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When allplumblng worl( is complete.
Slt6 lnspectlon - To be madc
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prior to Flnal Electrical - When allcover.trlcal work is complete.
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanical work ls compleie.
Foollng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and f ramlng lnsp,
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bullding ls
Masonry - Steel locatlon, bond
beams, groutlng.
mpleted.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Colllng lnsutatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[--l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - Af ler lnstallatlon.
Posl and Boam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Agrproach - After
forms are erected but prlor lo
placemont of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench,Electrical Connectlon - When
blocking, set.up, and plumblng
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench. r
Sidewalk & Drlveway - A{ter
excavation ls complete, lorms
and sub-base materlal ln place.
Water Llne - Prlor to filling
trench.
Fence - When completed
Rough Plumblng - Prlor to
cover.
Street Treos - When all requlred
trees are planted.
Flnal - After all requlred
lnspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
PLUMBING:
E
tl
E
tl
tl
fl
E
tl
E
E
E
E
E
tl
E
E
PL.HSE GAB ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
.-TS THE PROPOSED WORK iN THE
HISTORICAL OISTBICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
k
VALUE
(A)
X $/SQ. FT.
Garage
Carport
BUILDING PERMIT
ITEM SO. FT.
Main
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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 construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances.
Recei pt Number:-
DatePlans Revl ewed By
Plan Check Fee:
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tho City linrlts which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT,
PLUMBING PERMIT
FT,
Plumblng Permlt
Stato Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carelully examlned
the completed apptication and do hereby cerilfy that all
lnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertainlng to the work described
hereln, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Building Safety Divislon,
I further certify that only contractors and employees who
are ln compllance wtth ORS 701.055 wlll be used on this
Proiect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
f rom the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
Slgnature
b -z-?7Date
0 *P
(ructlon.on the slte I times
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
state surcha ,su +flu Cly LLW.JI
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surchargg
Total Miscellaneous Pennils (E)
Fu ace
NICAL PERMIT
l4At\\
(D)Total Permlt
N0
Mechanical Permlt
lssuance
Exhaust Hood
Vent Fan
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, D, and E Combtned)
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT.
1
VALIDATION: