HomeMy WebLinkAboutPermit Building 1997-05-20SPFlIl\rGFIELr)
R ESID ENTIAL.
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Spring(leld, Oregon 97477
LOCATION OF PROPOSED WORK
ASSESSORS MAP:'2 TAX LOT:+
LOT:BLOCK: SUBD|VIS|ON
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumbing worl< ls complete.
Site lnspection - To tre made
after excavation, but prior tosetting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, boncj
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumbing - prlor
to filllng trench.
Underlloor Plumbing/ Mechanical
- Prior to lnsulatlon or decking.
Post and Beam - Prior to floor
lnsulatlon or decking.
Floor lnsulation - Prior to
decki ng.
Sanitary Sewer - Prior to fllling
trench.
Slorm Sewer - Prior to filling
trench.
Water Llne - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Electrlcal - When ail
electrical work is complete,
Final Mechanical - When all
mechanical work ls complete.
Flnal Building - When all
required lnspections have beenapproved and building ls
completed.
MOBILE HOME INSPECTIONS
l-l Fireplace - Prior to factng
-
materlals and framing lnsp.
Framlng - Prior to cover.
Wall/Ceiling lnsulation - Prlor to
cover.
l-_l Drywalt - prior to taping.
Wood Slovo - After lnstallation
lnsert - After flreplace approval
and installation oI unlt.
Curbcut & Apprroach - After
forms are erected but prior toplacemcnt of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
[-l Fence - llhen cornpleted
litreet Trees - When all requlred
trees are planted.
Blocking and Set.Up - When altblocklng is cornplete.
Plumtring Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected tothe service panel.
Final - Atter all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
NEW
-
REMODEL ADDITION DEMOLISH OTHEB
PHONE:
ztPLSTATE:
OWNER:
ADDRESS:
CITY:
DESCFIIBE WORK:
AD Rs EXPIRES : PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONT
PLUMBING:
G EN ERAL:
RANGE:
# OF BDRMS
_ OFFICE USE _
LAND USE:
WATER HEATER
FLOOD I)LAIN
Y OF UNITS:
QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
CONSTFI. TYPE
HEAT SOURCE:
fl
E E
E
E
E
tl
n
n
tl
n tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
-_- lnterior
-__ Corner
-_- PanhandleI
--__ Cul.cje-sac
PL.HSE GAR ACC
N
o
E
Lot Type
APPROVED:
tcT,
J T H E PFIOPO ES D WOR K IN TH EHSTORCALDISTRoFIoNETHHISTORICALREG?STER
hyes,app ocatl n m SU be edgnandappdrovebvheHoCACoordnaoprio r lo 'mpe SS uan ce.
BUILDING PERMIT
VALUE
%l_tfr
2r
B
/sQ' Fr x $/se. FT.
ITEM
Main
Garage
Carport
Total Value
Building permit Fee
State Surcharge
Total Fee
l:l: i,:'S,I""t#i.' ;j,?," l! " ex p res s c o n d i r i o n t h a * h e s a i d
xl.:p,ud ;;'iil, {i,"{i:3i.},::?l:[,:;:i,:r;*:
::*ti!^ili,."tx?'."{il1+i[:*r;wl;:i:?,;:i,"Jupon viotation of 6ny provisions or-""ll"I[inrn""".
Date
ewed LlyPIans Flcvi
Beceipt Numbe
f H'r"Ji,tr'Rb'
IE,P
PER
LAN CHECI(
MIT
Received By:
Plan Check Fee:
Date Paid:
SYSTEMS DEVELOPM T CHARGE (sDC)
(B)
EN
mtesys s Devel o pm en Ch lsarge du one al U ndevel o pedespropethnthecrivTTIswhhtcarebenmsproved
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
FT.
(c)
P LUMBTNG PERMIT
Plumblng permlt
State Surcharge
Total Charge
ADDITI ONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permlt
lssuance
State Surcharge
Total Permit
Furnacc
Exhaust Hood
Vent Fan
By slgnature, I stato and agree, that I have carolully examlnedthe compl€ted appilcaUon and Oo trereOf certtfy that alllnformatlon hereon ls tru€ ancl 60rrect, and I f urthor c€rilfythat any and ail work performed shail be done ln accordancewlth the Ordinanocs of tho Clty of Sprlngf leld, and the Lawsof the State of orcgon pertarnrng to tho work descrrbedhereln, and thet NO OCCUPANCy wlll be made of anystructure wllhout permlsslon of the Bulldl,.l0 Safety Dlvlslon,I further certlfy that only contractors and employees whoare ln compllance with ORS 7O1.O5S wlil be used on thlsproiect.
I further agroe to ensuro that all regulred lnspecilonB arerequested at the prgpor ilmE, lhet oach addr€lo ls readabte
from tlro street, that the pormlt card ls looated at the fronl
of the property, and the approved set of plans will remaln
s duri const ruct lon.
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk .- ft
Curbcut -._..-- ft
Demolition
State Surcharge
Total Miscellaneous pennl ls (E)
TOTAL AMOUNT DUE (exctuding etectricat)(A, B, C, Q and E Combtned)
2
RECEIPT NUMBER ?
DATE PAII)
AMOUNT RECEIVED
RECEIVED BY
-
-
-
__
-_
_
_
(A)
on the site at all
,
VALIDATION: