HomeMy WebLinkAboutPermit Building 1999-09-20(*schp ta S*ZDz -6358 Hn^RESIDENTIAL
PERMIT APPLICATION
tnspections: l26.9169
Office: 726.9759
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LOCATION OF PROPOSED WOFIK:6s T,
ASSESSORS MAP:l7h3 35t >
LOI BLOCK:
-
SUBDIVISION
il
JOB NUMBER ?fo I sr
225 Fifth Street
Sprlngfteld, Oregon 91 4t?
TAX LOI oo
5
PHONE:
ZIP:
Y
SIATE:
CITY:
OWNER:
ADDR
oADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
NAME ADDRESS
PHONEEXPIRES ,.1
5-
ELECTRICALI
MECHANICAL;
PLUMBING:
GENERAL:
co CONST.
CONTRACTOR #
Y
atlon
FLOOD I]LAIN:
ZONING rthCODE:
# OF BDFIMS:
SECON DARY }.IEAT:
SQUAFIEito o1Torequesanyoumustcall726-s769.made the same workl Thr S s 24 h our recordl n s.AI pec il onsday,lns pec ti o NS req ues tecl af ter ns requested before 7:00 a.m. wlll beg work day.
7:00 a.m.lil be made the fol lowl n
[-l femporary Etectrtc
REQUIRED INSPECTIONS
Rough Mechanical _ prlor to f--l Final plumbing _ When ailcover. U prumbing worl( ls complete.Slte lnspectlon - To be madoafter excavaflon, but prior tosetting forms.
Rough Electrlcat - prlor tocover.FInal Eleclrlcat - When allelectrlcal work ls complete.
E H':$:,1i"'"i':T,i:? 1 5' ::l?:." "Electrlcal Servlce - Must beapproved to obtaln permanent
etectrlcal power.
Flreplace - prlor to liclngmaterlals and framlng lnspl
Framlng - prlor to cover,
Final Mechanlcal - Wh,mechanlcal work ls com
en all
rplete.
tlng - After trenches areexcavated.Building -red lnspecil,
When allqulons have beenn Masonry - Steel locatlon, bond
-
Deams, grouilng.
approved and buildlng iscompteted.
ndatlon - After forms are Othererected but prlor to concreteplacement.Wal!/Celling lnsulatlon - prlor tocover.
[-l Unaerground pluu t.'rrrrii;;;;t."-bins - Prior
f-_l Drywan _ prlor to raplns.
Underltoor Plumblng/Mechanlcal
- Prlor to lnsulailon or decklng,
Post and Beam - prlor to ,loorlnsulatlon or decklng.
l-l Wood Stovo - Aftor tnstailailon,
f--l tnsert - After ftreplace approvsl
-
and lnstallatlon of unlt.
MOBILE HOME INSPECTIONS
[-l ploct<lng and Ser.Up - When ail
-
btoct(tno ls complete.
Floor lnsulatlon - prlor to
decking.Curbcut & AJrproaclr - Afterforms are erected but prior toplacomont of concrete.
Plumbing Conneciions - Whenhome has been connected towater and sewer.
Sanltary Sewer - Prlor to lllllng
trench.[-l Electrical Connection - WhenH bloeklng, sct.up, and plumbing
lnspectlons have been approved
and the home ls connected tothe servlce panel.
Storm Sewer - Prlor to tl'lllng
trench.
Bldrwrlk & Drlvlwnv - Alter
excavatlon ls complete, forms
and sub-base mar.erial in place.
water Llne - Prlor to lilllng
trench.
Fence - !\Jhen ccinpleted
Rough Plumblng - Prlor to
cover.
Str€et Trees - When all requlred
trees are Planted.
Flnal - After all required
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled'
/1
os vou to
)fl u
lnspectlon,a
n
fl E fl
Itl
tr
E
E tl
t'
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot Type
-
lnterlor
__ Corner
-- Panhandle !
-
Cul'de'sac
P.L.HSE GAR ACC'
N
S
W
E
IS THE PROPOSED WORK fN THE.
' HrsroRlcAL DlsTRlcT, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and'aPProved bY the Historlcal
Coordinator prlor to permit issuance'
APPFOVED:
Thls permlt is granted on the express condition that the said
construction shall, ln ,il '"upu"i",
conform to the Ordlndnce
;;;;i; Ly the' citv oi sprlngflrild' lncludlns tl'le
Oor"fop."nt Code, rejulating the construction and use of
orrjoini", and may bJsuspended or revoked at any tlme
upon vi-otation of any provisions of said ordinances'
Plan Check ,"., 52'
'
>
Receipt Number:
i lai'i*Z"Plans Revi ewed BY
Received
CKEHNcLANGLDUB
MR ITNGPUBLDNAD
Date Paid:
BUILDING PE
/Qooo
VALUE
?
(A)
P
1l
Go
nrdttr
q6,9
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
Systems Development Charge ls due on all undeveloped
pioperties wlthln tlre City limlts which are belng lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Flesldential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N'
FT.
FT.
(c)
Plumbing Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
th6 completed appllcation and do hereby'certlfy that all
lnformatlonhereonlstrueanctcorrect,andlfurthercertlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structurewlthoutpermissionoftheBullcllngsafetyDivislon.
I further certify that only contractors and employees who
are ln compllance wlth ORS 7O1.055 wlll be used on thls
prolect.
I {urther agree to ensure that all requlred lnspections are
requested at the Proper tlme,that each address ls readable
from the street, that the Perm It card ls located at
Slg
ring
Date
f ront
remalnset of plansof the proPerty, and the
on the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk __- ft
Curbcut
--
ft
Oemolltlon
State Surcharge
(E)Total Ml,scel laneous Permits
ToTAL AMOUNT DUE (excluding electrical)
(A, B, C, O, and E Comblned)
VAI.IDATION:
RECEIPT NUMBER
DATE PAI[)
AMOUNT RECEIVED
03 rbof
FIECEIVED BY u
{
FT.