HomeMy WebLinkAboutPermit Building 1999-03-16a-
RESIDENTIAL
P E Ki,I IT :-i PP L I CATI O N 77o3rj
lnspectlons: 72&3769
Offlce:726.3759
JOB NUMBER
225 Fifth Streot
Sprlngf leld, Orelon 97477
LOCATION OF PROPOSED WORK:2520 3r/
ASSESSORS MAP:TAX LOT O/Ja
SUBDIVISION:
PHONE:
/ft_CITY:ztP;
OWNER:
STATE:
7 lt l- t-lt t 7
ADDRESS:
'25/,
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDFIESS
Du"l ra ta-
CONST.
CONTRACTOR ''EXPIRES I PHONECONTBACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
_ OFFICE USE -
ZONING CODE:
FLOOD I)LAIN:
* OF UNITS:
RANGE:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCO/ GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspecilons requested before 7:00 a.m. wlil bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be ma<le the followlng work day.
REOUIRED INSPECTIONStlTemporary Electrlc Rough Mechanlcal - Prlor to
cover.l-l Flnat Plumbtng
'J plumblng work - When all
ls complete.
Slle lnspecllon - To be mado
after excavatlon, but prlor to
settlng lorms,
[-l Rough Elecrrlcat - Prlor tot---J cover.Flnal Electrlcal - When alt
electrlcal work ls complete.
Underslab Plumblngl Electrlca! /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Flnal Mechanlcal - When ail
mechanlcal work ls complete.
- After trenches are Bulldlng - When all
red lnspectlons have beenEFlreplace- Prlor to faclng
ancl framlng lnsp.E
E
tl
tl
E
E
and bulldlng is
bond completecl.
beams, groutlng.
- Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Other
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONSUndcrlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or docklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to lloor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
n Btocklng and Set.Up - When ailu blocklnO ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected b(tt prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrlcal Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sldewall< & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
n Water Llne - Prlor to fllllng l--l rence - when cornpletedu trench.
Rough Plumblng - Prlor to
cover.
Slre€t Tr€es - When all requlred
trees are planted.
Flnal - After all required
lnspecllons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.E E
LOt: BLOCK:
, OF BDRMS:
--
WATER HEATEB:
tl
tl
E
E
Lot Type
-
lnterior
-
Corner
-- Panhandle
-
Cul-de-sac
:
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
i IS THE PROPOSED WOBK TN TH(.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
lf yes, thls appllcatlon must be slgned
arrd approved by the Hlstorlcal
Coordlnator prlor to permit lssuance,
APPROVED:
P.L.HSE GAR ACC
N
S
E
BUILDING PERMIT
VALUE
,/ sn
cf.p](A)
tl
2,r9 /7d
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
SO. FT. X 9/SO. FT.
BUTLDING VAIUE, i5MU CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfleld, includlng the
Development Code, regulatlng the constructlon and use of
ouildings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances.
Plans Reviewed By
o)d
1'*
Receipt Numbe
/)Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tl're City limlts which are belng lmproved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N.
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
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 carofully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I lurther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon perlalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng 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 required lnspections are
requested at the proper tlme, that each address ls readable
from tlro street, that the pormlt oard ls located at the front
d s
'=>(.,,
of the property,and the a pproved set of plans wlll remaln
es durlng onstructlon.on the site
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
ToTAL AMouNT DUE (excrudrng erectrlca D LIA 3
(A, B, C, Q and E Comblned)
(. o5/
qllr-tDATE PAID
AMOUNT BECEIVF.D
BECEIVED BY
VAl-IDATION:
RECEIPT NUMBER >>o(>- /ealGq