HomeMy WebLinkAboutPermit Building 1998-03-23t
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
SP'lINGFTELEl
03L
34t
PROPOSI
\o+o
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOI 2fr
SUBDIVISION:
LOCATION OF ED WOBK:
ASSESSORS MAP:o
LOT
-
BLOCK:
PHONE:
STATE:ztP
OWNER:
ADDRESS:
CITY:
NEW- nEMoDEL ----"/ooDtrloN DEMoLtsH orHER_
DESCRIBE WORK:
ADDBESS
CONST.
ELECTRICAL:
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
- OFFTCE USE -
# OF BDRMS
WATER HEATER:
CONSTR. TYP
HEAT
FIANG
LAND USE:QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SOUARF- FOOTAGE:
# OF UNITS:
-_
OCCY GROUP:
I OF STOFIIES:
ZONING CODE:
l--l Site lnspection - To be made|J after excavation, but prior to
setting forms.
To request an inspecti on, you must call 726-3769. Th ls a
made the same worklng day, lnspections requested
REQ UIR
Temporary Electric Rough M
cover.
lng. All lnspections requested before 7:00 a.m. will be
made the following work day.
S
Final Plumbing - When atlplumbing work is complete.
/9.Final Electrical - When all
electrical work is complete.
Final Building - When att
required lnspections have been
approved and building is
completed.
Other
Underslab Plumblng/ Eleclrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or clecking.
Post and Beam - Prior to floor
lnsulatlon or decking.
Floor lnsulation - Prior to
decking.
tary Sewer - Prior to filling
trench
Storrn Sewer - Prior to fllling
trench.
Water Llne - Prlor to filling
trench.
Rough Electrlcal -cover,
Electrlcal Service - Must be
approved to obtaln permanent
electrlcal power.
lnsert - After fireplace approval
and installatlon of unlt.
Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Fence - When ccillpleted.
Str€st Trees - When att requlred
trees are Planted'
(
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocklng is complete.
Plumbing Connections - When
horne lras been connected to
water and sewer.
Eleclrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspectlons are approved and
porches, skirting, decks, and
ventlng have been installed.
J-l Flreptace - Prlor to faclng
-
materlals and framing lnsp.
n Framlng - Prlor to cover.
l-l wal!ICelling lnsutatlon - Prlor to|J cover.
l-_l Drywall - Prior to taping.
[l Wood Stovo - After lnstallation.
tl
E
E
E
E
E E
Flnal Mechanlcal - When all
mechanical work ls complete.
tl
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E
E
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MECHANICAL: _
I
FLOOD I)LAIN:
[] Rougtr Plumbing - Prior to ntJ cover.
E
\
{:rj
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type --
-
lnterior
-_
Corner
-
Panhandle :
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
i-IS THE PROPOSED WOBK IN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
Mrr
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT, X $/SQ. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
BUTLDING VALUC, iTRTt CHECK
AND BUILDING PERMIT
This 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, including 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 Fleviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid:
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tl.re City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
FT. I LIC
)o
N1
FT.
(c)
0
$ ,lo, -
PLUMBING PERMIT
6 ,4,- (. )g
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
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 certify
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Division.
I further certify that only contractors and enrployees who
are in compliance with OFIS 7O1.OS5 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper ilme, that each address ls readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Slgnature
Date
on the s I times during c tion.
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk .- ft
Curbcut
--
ft
Demolition
State Surcharge
(D)
(E)
N0
Total Miscellaneous Permits
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
TOTAL AMOUNT
(A, B, C, e and E
DUE (excluding electricat)
Combined)
VALIDATION:
RECEIPT NUMBE
DATE PAIi.)
AMOUNT RECEIVE
FIECEIVED BY
FT.