HomeMy WebLinkAboutPermit Building 1998-06-28RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office; 726-3759
LOCATION OF PBOPOSED WOBK:
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SPRtNGFtELr,
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JOB NUMBER ?tr07? 7
225 Fifth Street
Springfleld, Oregoa 97 477
7oASSESSORS MAP:31 t (TAX LOT:
LOT;
-
BLOCK:SUBDIVISION
ADDITION DEMOLISH OTHER
/ - 1oPHONE:
STATE:ZIP:
5C
€3
,Ft 5a tt
<87
CITY:
7?.3 *A<**- l.'4a/6
ADDRESS:
OWNER:
DESCBIBE WOR
NEW- REM.DEL X
ADDFIESS EXPIRES
3a4 -Cfaz
Z.
PLUMBING 6tzi
13q?Z 3-L
J&c"6
MECHANICAL:
ELECTBICAL:
NAME
ERAL:
CONST.
CONTRACTOR #.j PHONEcoN
GEN
# oF SToRIES:
-__--__*Ny
1g0
RANG
NO TlCf;*o - OFFICE USE _
ZONING CODE:
FLOOD PLAIN
OCCY GROUP:
SECONDARY HEAT
SOUARF. FOOTAGE:
QUAD AREA:
* OF BLDGS:
To request an lnspection, you must call 726-3769. Thls ls a24hour recordlng. All lnspecilons requested before Z:oo a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prior to
cover.
nal Plumbing - When allplumbing worl< is complete.
Slte lnspectlon - To tre made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrical work is complete.cover,
l--l Understab Ptumbing/ Electrical/
-
Mechanlcal - Prior to cover.Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete,
Footlng - After trenches are
excavated.Flreplace - Prlor to facing ul
Building - When all
red lnspections have been
Masonry - Steel locatlon, bond
beams, groutlng.
als and framing lnsp.approved and building is
completed.
- Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.Celling lnsulatlon - Prlor to
Underground Plumblng - prlor
to filling trench.- Prior to taping
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approvql
and installatlon of unlt.
T_l Blocking and Set.Up - When ail.J blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected bUt prior toplacement of concrete.
Plumbing Connections - When
home has been connected towater and sewer.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base material ln place.
Electrical Connection - Whenblocking, set-up, and plumbing
inspections have been approved
and the home is connected tothe service panel.
Water Llne Prl or to fi ili n s Fence - When cci'rrpleted.
h.
h Plumbing - Prior to
Final - After all required
lnspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.r.
Street Trees - When all requlred
trees are planted.
6,2
14
, OF BDRMS:
-
WATER HEATER:
fl
E tl
Other
-
tl
n
..,:l
,i.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ.-
-
lnterior
-
Corner
.- Pbnhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
try__
E
I IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRI T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPFIOVED
VALUE
,nJ frtbtat--
,|
MtT
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. X $/SQ. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
BUILDING \ALUE, iSTRU CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress 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.
Reviewed By Date
Rb v:
PI
cei Nu
Plan Check Fee:
Date Paid
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
FEE
/o-
q;
Lu" l, t-o
4 ?.zt
{
(c)
FT.
FT.
Nr
Fix tu res
Residential Bath(s)
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng 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 employees who
are ln compliance with ORS 701.055 will be used on lhls
proiect.
I further agree to ensure that all required inspections are
reguested at the proper tlme, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Slgnature
Date
ionon the site at es during cons
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Pennits (E)
,la$
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
t ote 03
VALIDATION
RECEIPT NUMBER
DATE PAI[)
AMOUNT RECEIVED
c ?t
RECEIVED BY
6
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