HomeMy WebLinkAboutPermit Building 1996-05-10IELc,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
z
,oe Nur,ree ^ %QAza-
225 Fifth Street
Sprl ng f leld, Oregon 97 477
'I
TAX LOT 2 02
SUBDIVISIONBLOCK:
14)n ,v4 P;.''"tt )F4r
STATE:ZIP:
tu
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OWNER:PHoNE: 7y'-* - Lt 7
ADDRESS
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
o 2DESCRIBE WORK:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL
ELECTRICAL:
CONST.
CONTRACTOR ''
GENERAL:
PLUMBING
RANGE:
# OF BDRMS
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
SOUARF. FOOTAGE:
SECONDARY HEAT:
* OF UNITS:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the sante worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When all
plumblng worl< is complete.
Sile lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Eleclrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work ls complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls cornplete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
IVf Flnal Buildins - When all
-,Auequired lnspections have beent upproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.,Framlng - Prlor to cover.
Other
Foundatlon - After forms are
erected but prlor to concrete
placement.WalllCblllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllling trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flrePlace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decki ng.Curbcut & ApProach - After
forms are erected bttt Prior to
placoment of concrete..
Sidewalk & Orlveway J After
excavatlon ls comPlote,' forms
and sub-base materlal ln Place.
Plumbing.Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prlor to fllllng
trench.Electrical Connection - When
blocking, set.up, and plumbing
lnspections have been apProved
and the home ls connccted to
the service panel.
Slorm Sewer - Prlor to fllllng
trench.
Water Llne - Prlor to filllng
trench.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decl(s, and
ventlng have been lnstalled.
tl tf
E
tl
E
E
E
E
tl
tl
tl
E
tl
fl
l-l Fence - When comoleted.
E
E
tl
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set IS THE PROPOSEO WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-_
lf yes, this appllcatlon must be slgned
and approved by the Historicat
Coordinator prlor to permit issuance.
APPROVED:
BUILDING LUE LAN CHECK
AND BUILDING P
t
E RMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfteld, inctuding the
Development Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any time
upon violation of any provisions of sald ordinances.
Plan Check Fee:
-_-__-.==----.-Date Paid:
Beceipt Numbe
Received By:
Plans Reviewe By Date
Systems Developmcnt Charge is due on all undeveloped
properties wlthln tlre City linrits which are being Improved,
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examinedtho completed appllcatlon and do hereby cerilfy that altlnformatlon hereon ls true ancl correct, and I f urther certify
that any and arr work performed shail be done in accordance
with the Ordinanccs of the City of Springfield, and the Lawsof the State of Oregon pertainlng to thc work described
hereln, and that NO OCCUPANCy will be made of anystructure wlthout permission of the Building Safety Division.I further certi{y that only contractors and emptoyees whoare ln compliance with ORS 701.055 will be used on thisprolect.
I {urther agree to ensure that all required inspections arerequested at the proper trme, that each address is readabre
from the street, that the permrt card rs located at the frontof the property, and the approved set of prans wirr remainon the slte at all times du rlng construcilon.
/
Slgnature
ACC
Total Value
Building Permit Fee
State Surcharge, 7f *,/f
Total Fce (A)
VALUE
/7' 1,Jq6WZ n#D )/)6.ffi8
X $/SO. FT.
2_O
?\AP
_/< D,o
BUILDING PERMIT
ITEM SO, FT.
Main
Garage
Carport
/e:g_
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
N0
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fix tu res
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
M ECHANICAL PERMTT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk =.--- ft
Curbcut =_.- ft
Demolition
State Surcharge
ti
Total Miscellaneous perrnils (E)
TOTAL AMOUNT DUE (exctuding etectrican .2b_2(A, B, C, D, and E Combined) i'
4
o
DATE PAID
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
RECEIPT NUMBER
Date s--1c ?4
Fr. _-__
FT.
5'