HomeMy WebLinkAboutPermit Building 1996-10-17SPFlINGFIELc)RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of fice: 726-3759 efr,
JOB NUMBEII Qt t+t 5
225 Fitth Street
Sprlngtleld, Orcgorr 97477
LOCATION OF PROPOSED WORK:A:Lc)-F\- S-rr#-ET
ASSESSORS MAP t1 03 1 b t3
LOT:BLOCK:SUBDIVISION
TAX LOT:l2-loO
PHONE:
-
STATE:zlPe ;r,CITY:
ADDRESS:
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OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
((s T) €r_ - \.2_-Ra*rDESCRIBE WORK:
PLUMBING:
ADDRESS
4Z
EXPIRES ,3 PHONECONTRACTOB'S NAME
MECHANICAL
ELECTRICAL:
GENERAL:
CONST,
CONTRACTOR #
_ OFFICE USE _
WATER HEATER
ZONING CODE:
FLOOD PLAINLAND USE:
'd OF UNITS
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SOUARF. FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
OCCY GROUP;
r OF STORIES:
To request an lnspecllon, you musl call 726'3769. Thls ls a 24 hour recordlng. All lnspections requested beforc 7:00 a.m. wlll bemade lhe sante worklng day, lnspections requested af ter 7:00 a.m. wlll be macle the lollowlng work day.
REQUIRED INSPECTTONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Final Plumbing - When- all
plumblng work ls complete.
Slte lnspoctlon - To lre made
alter excavatlon, but prlor to
settlng lorns.
l-l Rough Electrical - Prtor to.J cover-Flnal Elcclrlcal - When all
electrical worl( is complete.
Undsrslab Plumblng/ Eloctrical /
Mechanlcal - Prlor to cover.Electrlcal Servlco - Must be
approved to obtalrr permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls cornplcte.
Footlng - After trenches are
excavated,Flreplace - Prlor to faclng
materlals and framlng lnsp.
| !f Flnal Buildins - Wherr ail
f'requlred lnspectlons have been
approved and building ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.ffi Framlng -.Prlor to cover.PFoundatlon - After forms are
erected but prlor to concrete
placomont.
Othsr
Wall/Celling lnsulatlon - Prlor to
cover,
Undorground Plumblng - Prior
to fllllng trench.[-l Drywall - Prlor to taptng
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME !NSPECTTONS
Wood Slovo - Altor lnstallatlon
Post and Boam - Prlor to floor
lnsulallon or decklng.lnserl - After flreplace approval
and lnstallatlon ot unlt.
Blocking and Set.Up - Wl'ren ail
blocklng ls complele.
Floor lnsulallon - Prlor to
deckl ng.Curbcut & A1:prroach - After
forms are erected bUt prior to
placemcr-rt of concretc.
Plumbing Connections - When
home has been connected lo
water and sewer.
Sanltary Sewer - Prlor to lllling
trench.Electrlcal Connection - When
blocking, set.up, and plumbing
lnspeclions have becn, approved
and tlre home is connected to
the service panel.
Storm Sswer - l)rlor to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls completc, forms
and sub-base malerial in place.
Water Llno - Prlor to filling
trench.
Fence - When cornpleted
Slreet Troos - When all requlred
trces are planted.
Final - A(ter all required
inspections are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
, OF BDRMS: _.=---
E
E
tl
il
tl
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helgh(
Lot Typ.
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de.sac
Setbac
P.L.HSE GAR ACC
N
S
E
r IS THE PROPOSED WORK iN THE.
HISTORICAL DISTRICT, OR ON
TI.IE HISTORICAL REGISTEFI?
-
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permlt issuance.
APPROVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is grantecj on the cxpress conditlon that the saldconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Sprlngf leld, includlng the
Development Cocle, regulating the constructlon and use ofbulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances.
Plan Check Fee:
Date Pald
Receipt Number
Received Byl
Flans RcrG;ed-Lr, --- --Date
Systems Developmcnt Charge is due on all undeveloped
properties within thc City linrits whiclr are bcing improved.
VALIDATION:
RECEIPT NUMBER -
DATE PAID
AMOUNT RECEIVED
VALUE
(A)
7-L So
4 ,It
X $/SO. FT.
Total Value
Bullding Permit Fee
Stato Surcharge
Total Fcc
BUILDING PERMIT
ITEM SO. FT.
Main
Garagc
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flx tu res
Rcsldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed appticatlon and do hereby certlfy that all
lnformation hereon ls lrue and correct, and I further certlfy
lhat any and all work performcd shall be done ln accortjance
wlth the Ordinanccs of the Clty o( Sprlngfleld, and the Laws
of the State of Orcgon pertalnlng to lhe work descrlbed
hereln, and that NO OCCUPANCy wlll be mado of any
structure wlthout perrnission of the Bulldlng Safety Dlvislon.
I f urther certlfy that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
project.
I further agree to cnsure that all requirecl lnspections are
roquested at the proper ilme, that oach address ls rsadable
from tlro street, that the permlt card ls located at the lront
of the property, and the approved set ol plans wlll remaln
-/)74
on the slte at I times d ng cons il
fttgnature
Date
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-_
ft
Demolltlon
State Surcharge
Total Mlscellaneous Perrnlts (E)
(D)
MECHANICAL PERMIT
Fu rn acc
Exhaust Hood
Vent Fan No
Mechanical Permlt
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, D, and E Cornbined)
3i-+
FIECEIVED BY t-!r<
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