HomeMy WebLinkAboutPermit Building 1999-04-23PFlIh.G ELE,RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 7264769
Office: 726-3759
LOCATION OF PROPOSED WORK:
JOB NUMBER )r/
225 Fifth Street
Spring fleld, Oregon 97 477
,5?l Woor>C rz;:Kr Dz
ASSESSORS MAP:/1031'/ rj TAX LOT 0 2roo
LOI
-
BLOCK:SUBDIVISION
fllo,w PHONE:
17ztP
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71v f37
STATE:oftCITY:
ADDRESS:
OWNER:
7 Lc- Ort
lrY9f+ 1/ fuo u4....Jvt
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
AL
EXPIRES ,f PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICALI
CONST.
CONTRACTOR #
cfinlf6E 1-800-332-2344).
fmloeqrBeryoutoATTENTION:Oregoo
theOregon UtilitYfollow rul
OCCY GROUP:
* OF STORIES:
WATER HEATER:
ZONING CODE:
FLOOD I)LAIN:QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
'r OF BDBMS:
--
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
[--l Temporary Electrlc Rough Mechanlcal - Prior to
cover.l--l Final PlumbtnslJ plumbing worl<- When all
is complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms,
Rough Electrical - Prior to Final Eleclrlcal - When all
electrical work is complete.cover
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
I Bulldlng - When all
ired lnspectlons have been
materlals and framin g lnsp.approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng..4')
- Prlor to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior l-_l Orywall - Prlor to taplng.to fllllng trench.
MOBILE HOME INSPE TIONSUnderlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvgl
and installatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulatlon - Prior to
decklng.Curbcut & AJrproach - After
forms are erected but prior lo
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Slorrn Sewer - Prior to fllllng
trench.
Waler Llne - Prlor to filling
trench.Final - After all required
inspections are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
E
Rough Plumblng - Prlor to
cover.
0090.
calling
952-001-
fl
E
E
tl[-l Sidewall< & Driveway - After
'J excavation ls complete, forms
and sub-base malerial in place.
l--l Fence - When cciilpleted.II
T-l Str€et Trees - When all requlred|J trees are planted.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type v
-_
lnterlor
-- Corner
-- Panhandle
-
Cul-de-sac
S i-TS THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL,}{SE GAR ACC
N
S
E
VALUE
/(?)(A)
Total Value
Building Permit Fee
State Surcharge
Total Feo
,t
X $/SQ. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
.l
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit 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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid:
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
Nc
f:T.
FT
FT.
(c)
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Note:- Builcling InsPector may require
- additional Plans information,
- and/or t-ces for the completion of
this project.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust llood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs 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 permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
pro ject.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that eactr address ls readable
from tho street, that the permlt card ls located at the front
of the property, and the approved set of ptans will remain
Signatu re
on.
I
0\
"lrDate
on the site times durl
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curpcut
-_
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)7/r/h
3t 672VAl.IDATION:
RECEIPT NUMBER
DATE PAIi-)
AMOUNT FIECEIVED
RECEIVED BY
7roTOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Comblned)
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