HomeMy WebLinkAboutPermit Building 1994-07-14RESIDENTIAL
PERMIT APPLICATTON
lnspectlons: 726.3769
Office: 726-3759
LOCATION OF PRO
IELc,
JOB NUMBER 7
225 Fifth Street
Sprlngfleld, Oregon 97 4ll
K:412PosEt
ASSESSOBS MAP:TAX LOT:
SUBDIVISION: _-
PHONE:
STATE:ZlPio
G/
q I
oY\ S+Z ruta,v..-OWNER:
ADDRESS:
CITYI
n|{Ltl I Iq-JC'-t\I
DEMOLISH
DESCRIBE WORK:
OTHER
b-r s
NEW- REMODEL ADDITION F
PHONE0l
ADDRESS
Trt
TgEr ?
l-"/2G z9 ?aA2
PLUMBING:
MECHANICAL:
ELECTRICAL:
EXPIRESCONTRACTOR'S NAME
GENERAL:
CONST.
CONTBACIOR #
i.,r/ L
* OF BDRMS:
- OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
BANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUAFIE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPEr
HEAT SOURCE:
# OF UNITS: _---
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a,m. will bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.l--l Flnal Plumbing - When alt'J plumblng work ls comptete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - prlor to Flnal Electrlcal - When all
electrlcal work is comptete.cover.
E Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Eleclrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
lVl-Footlng - After trenches are
,lAexcavatea.Flreplace - Prldr to faclng
materlals and framlng lnsp.
ffiflnat Buitdtns - When ail,ts iEqulred lnspectlons have been
approved and building ls
completed.E Maaonry - Steel locatlon, bond
beams, groutlng.fl
tl
Framlng - Prlor to cover.
ft'founaarlon - AftGir forms are
.Serected but prlor to concrete
placement.WalllCblllng lnsulatlon - prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stove - After lnstallatlon
"K Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Ftoor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to filllng
trench,Electrlcal Connection - When
blocking, set-up, and plumbing
lnspectlons have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prlor to fllllng
trench.
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filllng
trench.n Fence - When completed.
Rough Plumblng - Prlor to
cover.
Stroet Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
,*
E
tl
E
tl
n
tl
l---l other
I
'l 1 I ':!l' '' ,. ':; i:. i:-l
t4:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type _-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se (-s
HI
THE PROPOSED WORK TN THE -
STOBICAL DISTBI T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
ACC'P.L.HSE GAR
N
S
W
E
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condltlon that the said
constructlon shall, in all respects, conform to the Ordlnance
adopted by the City of Sprlngf leld, 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 sald ordlnances.
Plans By Date
Receipt Nu
Plan Check Fee:
Date Paid
Fleceived By:
3Z{'
r or?fT i- A,- t '.
(A)
IVALUEx $/so. FT.
3%*)ata,atb----------.-7-8,
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
/,6 5
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certlfy that only contractors and employees who
are ln compliance with ORS 7O'1.055 will be used on this
project.
I further agree to ensure that all reguired lnspections are
requested at the proper time, that oach 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
atu reS
Date
aton the site all times during const
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, D, and E Comblned)
2< //4_e*
DATE PAID
AMOUNT BECEI
FIECEIVED BY
VALIDATION:
BECEIPT NUMBER
i
FT.