HomeMy WebLinkAboutPermit Building 1999-09-23PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:440
ASSESSOBS MAP:3zC3 t
SPtl IhrGFIELO
g/
.1
BLOCK:
JOB NUMBER ?7t ? os
225 Fifth Street
Sprlngfleld, Oregon g7 4ll
TAX LOT:
SUBDIVISION: -LOT
7zl-392/m PHONE:
Dn-STATE:ZlPi 4zq 77
DEMOLISH OTHER
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
NOTICE: _ oFFrcE usE _
OUAD fffi$Pffi :THE WOHft USE:
occv @MUEWIrrr ) FOEbNSTR. rypE:
ADDBESS
r OAI
tes by
L
* or SXrS DAYPERIOD,
EXPIRES ,.1 PHONE
HEAT SOURCE:
ZONING CODE:
WATER HEATEB:RANGE:
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL;
ELECTRICAL:
r OF BDRMS:
CONST,
CONTBACTOR #
SECONDARY HEAT:
SOUARE FOOTAGE:
/ oF w lflJlgl!fl9[umrrs:
Oti rla\/ 00tair, COpteS Ol
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspectlons requested after 7:OO a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanical - Prior to
cover.[_l rlnal Plumblng|J plumblng worl(- When all
ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Eleclrlcal - When all
electrlcal work is complete.cover.
fl Underslab Plumblng/ Electrlca! /
Mechanlcal - Prlor to cover.Electrical Servlqe - Must be
approved to obtain permanent
electrlcal power.
Fina! Mechanlcal - When all
mechanlcal work is complete.
E Footlng - After trenches are
excavated.al Buildlng - When all
Flreplace - Prlor to faclng
materlals and framlng lnsp.
red lnspectlons have been
E Masonry - Steel locatlon, bond
approved and building is
completed.
beams, groutlng.Framlng - Prlor to cover.
E Foundatlon - Aftdr forms are
erected but prlor to concrete
placement.
Other
tl Wall/Celllng lnsulatlon - Prlor to
cover.
l-l Underground Plupblng - Prlorl-r to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblng I Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Ftoor lnsulation - Prior to
decklng.Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storrn Sewer - Prior to fllllng
trench.
Sldewalk & Drlvewav - After
excavatlon ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fence - When coinpleted.
Rough Plumblng - Prlor to
cover.
.$treet Trees - When all requlrod
trees are planted.
Final - After all required
lnspectlons are approved and
porchos, sklrtlng, decks, and
ventlng have been lnstallecl.
E
tl
/t
FLOOD I)LAIN:
tf
fl
tl
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_ Corner
-- Panhandle
-
Cul-de-sac
T
ACC'P,L.HSE GAR
N
E
HE PROPOSED WORK TN THE.
rsroBtcAL DlsTHlcr, oR oN
THE HISTORICAL REGISTER?
-
ll yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordlnator prlbr to permlt lssuance.
27 sL
VALUE
At
/,57t a' z-g-
(A)
257
Total Value
Building Permit Fee
State Surcharge
Total Fee
.T,, *
X $/SO. FT.
BUTLDING penifilr'*
ITEM
Main
Garage
Carport
SQ. FT,
B u r LDr l\i'c rhl-r$r, Fur.t
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springf leld, includlng 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 sald ordinances,
Plans Reviewed By Date
Beceipt Numbe
Plan Check Fee:
Date Paid:
Fleceived By:
CHECK
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln the City llmlts which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
. FT.
AD ITIONAL COMM NTS
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby cerilfy that all
lnformation hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrlance
with the Ordinances of the City of Springfield, and the Laws
of the State of Orc.gon perlainlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Builcling Safety Divislon.
I further certify that only contractors and employees who
are In compllance wlth ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times durlng construction.
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrlcat)
(A, B, C, 4 and E Comblned)
VAI.IDATION:
RECEIPT NUMBER 03 fr"uo
z7DATE PAID
RECEIVED BY
/e t /77
AMOUNT RECEIVED
,l
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
\
t
s