HomeMy WebLinkAboutPermit Building 1995-07-17tl
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3765
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSOHS MAP:
SPR FIELD
LOT:- BLOCK:
JOB NUMBER
225 Fif th Street
Sprlngfleld, Oregon g7 477
TAX LOT:
SUBDIVISION:
-
qfr,
I
PHONE:
ZIP:STATE:?
-,Bgz
CITY:
ADDRESS
OWNER
NEW
-
FIEMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPI RES PHON E
CONTRACTOB'S NAME
MECHANICAL;
ELECIBICAL:
PLUMBING:
G EN ERAL:
CONST.
CONTRACTOR #
\\\\
\, N/
_5RSu)-- OFFICE USE -
WATER HEATER:
E OF BDHMS:
RANGE:
LAND USE:
SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS: _
OCCY GFIOUP:
I OF STORIES:
QUAD AREA:
# OF BLDGS
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recorcjlng. All inspectlons requested before 7:oo a,m. wllt bemade the sante worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - prlor to
cover.T-l Flnal plumbing - When ailu plumblng worl( ls complete.
SIte lnspectlon - To be madc
after excavatlon, but prior tosettlng forms.
Rough Electrlcal - prlor to
cover.Flnal Electrical - When allelectrlcal work is complete.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover,Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechanical - When allmechanical work ls complete.
F Footlng - After trenches are
excavated.[-l Flreplace - Prlor to factng* materlals and framlng lnsp.
| [l Framlng - Prlor to cover.L+J
w Flnal Building - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, boncl
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to f llllng trench.l-l Orywall - Prlor to taptng.
Underlloor Plumblng / Mechanical
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Boam - Prlor to floor
lnsulation or decklng.[--l lnsert - After flreptace approval
-
and lnstallatlon of unlt.
Blocklng and Set.Up - When ailblocklng ls complete,
Floor lnsulatlon - Prlor to
deckl ng.Curbcut & Approaclr - After
forms are erected but prior toplacoment of concrete,
Plumbing Connectlons * When
home has been connected to
water and sewer,
Sanitary Sewer - Prior to fltllng
trench.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlvewav - After
oxcavatlon ls completo, (orms
and sub-base materlal ln place.
Electrical Connection - When
blocklng, set.up, and plumbing
lnspections have been approved
and the homo ls connected to
the servlce panel.
Water Llne - Prlor to filling
trench.[-l Fence - When compteted,
Rough Plumblng - Prior to
cover.
Stroel Trees - When all requlred
trees are planted,
Final - After all required
lnspectlons are approved andporchos, sklrting, decks, andventlng have been lnstalled.
fl
f:
FLOOD PLAIN:
ZON,NG"Or.,E
tf
tf E
E tl D
tlE
tl
tl
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty
-
lnterlor
-
Corner
-
Panhandle
-
Cul.de-sac
Se IS THE PBOPOSED WOBK IN THE.
HISTORICAL DISTRICT, OR ONTHE HISTORICAL REGISTER? _-_
lf yes, thls appllcailon must be signedand approved by the Hlstorlcal
Coordinator prlor to permlt issuance,
APPHOVED:
PL.HSE GAR ACC
N
S
E
=fTz =-22>-
BUTLDING PERMiT
VALUE
state surchargs $-834 t:tO r{ E}-
Total Fee Gt.g1(A)
ru*@a@
SO. FT. X $/SQ, FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
Py.[qtNG VALUE, PLAN CHECKAND BUILDINC PENMif - --'
Thls permit is granted on the express condiilon that the saidconstruction shalr, in arl respecis, conform to the ordrnanceadopted by the City
. of Spitngfief J, inctuOtng theDevelopment code, regurating ine Jonitiuciion and use ofbulldlngs, and may be suspended or revoked at any tlmeupon vlolation of any provisions of sald orJtn"n""",
S-:E-f_
't:/v.By
-5=
ans ew
i1l
Date Pald
Recelpt Number:
Plan Check Fee:
Received By:
SYSTEMS DEVELOPMENT CHAR iqff'-Systems Development Charge ls due on all undevelopedpropertles wlthin the City limits which are being improved,
Residenilat Bath(s)
Sanllary Sewer
Water
Storm Sewer
Moblle Home
FEE
N0
FT.
FT.
(c)
Plumblng permlt
State Surcharge
Total Charge
PLUMBTNG PERMIT
ITEM
Fix t u res
ADDITIONAL COMMENTS
MECHANTCAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
Mechanical permlt
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examinedthe completed appllcation and do hereby cerilfy that alllnformatlon hereon is true and correct, and I f urther cerilfythat any and all work performed shall be done in accordancewlth the Ordinances of the Clty of Sprlngfield, and the Lawsof the state of oregon pertarnrng to the work describedhereln, and that NO OCCUPANCy wlll be made of anystructure wlthout perrnission of the Buildlng Safety Dlvislon.I further certify that only contractors andlmployees whoare ln compliance wlth OFIS 701.055 will be used on thlsproiect.
I further agree to ensure that all regulred lnsuested at the proper ilme, that each add
m the street, that the permlt card ls
the property, and the approved set
req pections are
ress ls readablelrolocated at the frontofof plans wlll remalnon the slte all t urlng constructlon.
Slgnatu re
Date
MISCELLAN EOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk rt
Curbcut _-- ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
VALIDATION
RECEIPT NUMBEH
DATE PAID
AMOUNT RECEIVEDTOTAL AMOUNT DUE (excludlng electricat)(A, B, C, D, and'E Combtned)
cr.
RECEIVED BY
Z
(B)
FT.
-
C---