HomeMy WebLinkAboutPermit Building 1997-04-09-\SPRINGFTELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:
JOB NUMBE ^
O725
225 Fifth Street
Sprlng fleld, Oregon 97477
TAX LOI
PHONE:
STATE:
?e€->=/Re
ZIP:?2
=
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
z-DESCRIBE WORK:
ADDRESS EXPIRES .l PHONECONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST,
CONTRACTOR #
_ OFFICE USE -
WATEB HEATEFI:
ZONING CODE:
FLOOD PLAIN
* OF UNITS:
LAND USE:QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SQUARE. FOOTAGE:
, OF BDRMS:
-RANGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspect
made the same workl
lon, you must call 726-3769. Thls ls a24hour recordlng. All lnspecilons requested before 7:00 a.m. wlll beng day' lnspections requested after 7;00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
l-l SIte lnspectlon - To be madeu after excavatlon, but prior tosettlng forms.
[--l Understab ptumbtng/ Etectricat /
-
Mechanlcal - prioi to cover.
Temporary Electrlc
Footlng - After trenches areexcavated.
Rough Mechanlcal - prlor to
cover.
Rough Electricat - prior tocover.
l-_l Finat ptumbtng - When ail
-
plumblng worl< ls complete.
l--l finat Etecrrlcal - When ail
-
electrlcal work is complete.
Flnal Mechanical - When allmechanlcal work ls complete.
[/ Ftnat Buitdlng - When ailt requlred lnspecilons have beenapproved and bullding iscompleted.
Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
n masonry - Steel locailon, bond
-
beams, groutlng.
Foundatlon - After forms areerected but prlor to concreteplacement.
[l Flreptace - prlor to factng.J materlals and framlng lnsfi
W ",^rng - Prlor to cover.
Other
[-l Underground plumblnq - prlort-J to fllllng trenctr J-l Drywatl - prtor to taptng.
n Underltoor plumblng/Mechanlcat
Prlor to lnsulatlon or decklng.
n Post and Beam - prlor to floor
-
lnsulatlon or clecklng.
l-l Ftoor tnsulation - prtor to.J decklng.
[-l Sanltary Sewer - prior ro flntng
-
trench.
Slorm Sewer - prlor to fllllngtrench.
Water Llne - prlor to flllingtrench.
Rough Plumblng - prlor to
cover.
[--l Fence - lVhen compteted.
[-l tnsert - After flreptace approval
-
and lnstallailon ot unlt.
l-l Blocking and Set.Up - When ail
-
btocklng ls complete.
Curbcut & Approach - Afterforms are erected bUt prior toplacement of concrete.
Plumblng Connectlons _ Whenhome has been connected towater and sewer.
Sidewalk & Driveway - Afterexcavation is complete, formsand sub-base malerlal in place.
Electrical Connecllon _ Whenblocking, sel-up, and plumOinjlnspections have been approvedand the home ls connected tothe servlce panel.
Wall/Celling tnsulalion - prlor tocover.
Wood Stove - After lnstallailon.
MOBILE HOME INSPECTIONS
I-l Street Trees - When all requlredu trees are planted.
Final - After all requiredlnspectlons are approved andporchcs, sklrting, decks, andventlng have been lnstailed.
,a?
LOT
-
BLOCK:SUBDIVISION:
-
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
KS
PL.HSE GAR ACC
N
S
E
( _.THE PROPOSED WORK iN THE .
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
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, lncluding the
Development Code, regulating the construction and use ol
buildings, and may be suspended or revoked at any time
upon violation of any provisions ol said ordinances.
DatePlans Rcviewed By
Receipt Numbe
E, I
PE
c ECH KNLALUULDGN
MR ITDUBLDNGNA
Plan Check Fee:
Fleceived By:
BUILDING PERMTT
VALUESQ. FT
B
/6- za(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
,t
x s/so. FT.
Systems Development Charge is due on all undeveloped
properties withln the City linrits which are being improved'
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
. FT.
By slgnature, I state and agree, that I have carelully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and l lurther certlly
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield' and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Buildirrg Safety Divislon'
I further certify ihat only contractors and employees who
are in compliance with ORS 701'055 will be used on lhls
prolect.
I {urther agree to ensure that all requlred lnspections are
requested at the proper time, that each address ls readable
from tho street, that tho Pormlt oard ls located at the lront
of the property, and the approved set of plans will remaln
on the site at all times during constructlon'
Slgnature
Date
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
MECHANICAL PERMIT
Total Miscellaneous Perlnits
(D)
(E)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Mobile Home
State lssuance
State Surcharge
Sidewalk -_-
ft
Curbcut -__- ft
Demolition
State Surcharge
Furnace
Exhaust Hood
Vent Fan
?2DATE PAID
AMOUNT RECEIVF.D
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Comblned)
/6,7?
Date Paid:
q -q-q 7