HomeMy WebLinkAboutPermit Building 1998-09-15RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBOPOSED WORK:
SP'lTNGFIELE)
*fi,
JOB NUMBER %tr'7
225 Fifth Street
Sprlng(leld, Oregon 97477
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ASSESSOBS MAP:l7o3 IL TAX LOT:(H7to
LOT:BLOCK:SUBDIVISION:
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PHONE 7+l / 217
CITY:
ADDRESS:
OWNER:
,A A//,
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW-. REMoDEL f
torthe
PLU
on
Note:
bythe EXPIBES 1 PHONE
952-001
the telePhone
ELECTRI
GENE
coN
e rules bY
0090.
MECHAN
CONST.
CONTRACTOR #
H
- oFFrcE I|SH|{ORIZED UN
LAND USE:COMMENCED OR IS
ZONING CODE:
, OF BDRMS:
WATER HEATER:
g OF UNITS:
SECONDABY HEAT: _
SOUABE FOOTAGE
QUAD AREA:
* OF BLDGS:
RANGE:
ABANDONED FO
FLOOD I)LAIN
OCCY GROUP:
,I OF STORIESI
CONSTR. TYPE:
HEAT SOURCE:
To req
made
uest an inspection, you must call 726-3769. This ls a24hour recordlng. All lnspections requested before 7:00 a,m. wlll bethe same working day, lnspections requested after 7:00 a.m. wlll be macje the followlng work day.
REQUIRED INSPECTIONS
Rough Mechanical - Prior to
cover.
Final Plumbing - When ailplumbing worl( is complete.
Slte lnspection - To be made
after excavation, but prior tosetting forms.
Rough Electrical - Prior to Final Electricat - When alt
electrical work is complete.cover,
l--l Underslab Ptumbing/Electricat/.J Mechanlcal - Prior to cover.
f-=l Footlng - After trenches are|J excavated.
[--l Masonry - Steet tocailon, bond
-
beams, groutlng.
Electrlcal Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When allmechanical work ls complete.
FI Building - When all
red lnspections have beenf-l Flreplace - prtor to facing
-
materlals and framing lnsp.approved and building is
completed.
Ing - Prior to cover.
Foundatlon - After forms areerected but prior to concrete
placement.
Other
Wall/Celling Insutatlon - prlor to
cover.
tl ,'Jflii:rl;:"i.,'.'-trng - Prror [-l Drywau - prior to tapins
Underlloor Plumbing / Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPECTIONS
Wood Slove - Afler lnstallation.
Post and Beam - prior to floorinsulation or decking.[-l lnsert - After flreplace approval
-
and installailon of unlt.
[--l elocking and Ser.Up - When all
-
blocklng ls cornplete.
Floor lnsulation - prior to
decking.Curbcut & Alrproach - Afterforms are ert,.cted but prior toplacement of concrete.
Plumbing Connections - Whenhome lras been connected towater and sewer.Sanitary Sewer - Prior to filling
trench.
Stonn Sewer - Pr'ior to filling
trench.
Sidewalk & Driveway - Afterexcavation is complete, forms
and sub-base material in place.
Fence - When ccinpleted.
T_] Electrlcal Connectlon - When,4 blocking, set-up, and plumbing
lnspections have been approv6dand the home is connected tothe servlce panel.l--l Water Line - prior to fiuing.J trench.
Final - After all requiredinspections are approved andporchos, sklrting, decks, andventlng have been lnstalled.
Rough Plumbing - prior to
cover.l--l $trcer Trees - When ail roquired
-
trees are planted.
ANY 1BO NAY PERIOO.
l--l femporary Electric
PL.GAR ACCIISE
N
S
E
Lot faces
Lot sq. ftg.
Lot oovrrrgo
Topography
Total helght
Lot Typ--
-
lnterior
--
Corncr
-- Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK iN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll y.r, thlo rppllortlon murt b. .lon.d
arrd approved by the Hlstorlcal
Coordinalor prior to permit issuance.
APPHOVED:
BUILDING PERMIT
VALUE
fl.er
J-sDe-
1g5n
Llt ,{ d
W,.,
(A)
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress condition that the said
construction shall, in all respccts, 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.
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Receipt Number:
Received By
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Note:
Building Inspector may require
additional plans information,
andior fees for the cornPletion of
this project.
tL
u*/a'|ray'
II
Uru
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N
FT.
FT.
FT.
(c)
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City o( Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and enrployees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
lt
Slg natu re
Date 7't; 1tr
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)f
7
RECEIPT NUMBER
DATE PAID
/125
AMOUNT FIECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
',,:
/,r)aL,,-/ Lr;/r/,/
VAI-IDATION:
iIoB ADDRESS: tf t
o$rNER , tutt /1 hry o
COMTRJACTOR:
CITY OF SPRINGFIEI,D
Development Services DePartment
Building SafetY Dj-visj-on
Reeidential PIan Review
CITYiIOB#,7f il|7
PHoNE , 1v7- /?s7
PHONE:
Lr $
P
Items listed below are incorporat.ed into this project in
addition to any requirements appearing on the construction
plans. A corresponding number will- be marked on your plans
where applicable.
A11 references are Lo the 1995 Oregon State One and Two Family
Dwelling specialty Code, (1995 cABo one and Two Family Dwelling
Code as amended by the State of Oregon, and ]-991- Dwelling
Requirements of the Uniform Plumbing Code as amended ) unless
noCed otherwise. A copy of this code may be obtained from the
Building Tech Bookstore, Inc., 8020 S.W. Cirrus Dr. Beaverton,
Oregon 97008-5985.
Your signature on the Building Pe:rsrit is an agreement that all
items circled herein wiII be installed or corrected, and that
all work on this project will comply with applicable codes.
PLANS REVIEWED BY PHoNE a2c"l 6rt-
Wood trusses shall be designed, manufactured, and installed in
accordance with approved standards. Sr:bmit copy of engineered
designr to City for approval prior to placement of roof
system. (R-802.l-1) .
Metal truss ties (Hurricane clips) sha1l be used to connect
the trusses to aII bearing waIls and supporting members.
Trusses sha11 be fastened to non-bearing wal1s using approved
"sIip cIips" which allow the truss vertical movement
independent of the waII. (Tab1e Ba2.l2) .
Roof storm drains sha11 be provided to capture roof drainage.
Storm drainage sha1l be piped to an approved drainage way.
Drain lines within five feet of buildings sha1l consist of a
mat.erial approved for use within buildings, such as ABS/DWV or
PVC/DWV. Perforated drain lines used for sub surface drainage
need not comply with t.his requj-rement. (R-801.3) .
a1 sheathing shaIl have a minimum panel span index of
Al U^*/
1
2
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