HomeMy WebLinkAboutPermit Building 1994-07-22RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Office:726-3759
LOCATION OF PRO s s/z
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
TAX LOIASSESSORS MAP:
'offf,
LOT:BLOCK:
?5
-) -5 IPHONE:
ztPSTATE:
OWNER:
ADDRESS:
CITY:
NEW- REMODEL ADDITION DEMOLISH OTHER
DESCR]BE WORK:
MECHANICAL:
ELECTRICALI
ADDRESS
2-6^1.{f
EXPIRES PHONE
5o,\q--
coCONST.
CONTRAC'TOR'S NA
GENERAL:
PLUMBING:
NTRACTOR
L.-.r c I ( .'.,
RANGE:
r OF BDRMS:
- OFFICE USE -
ZONING CODE:
FLOOD PLAINQUAD AREA:
* OF BLDGS:
SECONDARY HEAI
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. will be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When all
plumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Eleclrical - When all
electrical work is complete.cover.
tl Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When all
mechanical work ls complete.
K Footlng - After trenches are
excavated.Flnal Building - When all
Flreplace - Prlor to faclng
materlals and framlng lnsp.
lred lnspectlons have been
proved and building is
Masonry - Steel locatlon, bond
beams, groutlng.
completed.
Foundatlon - After forms are
erected but prlor to concrete
placement.
N'w-aw,:E
E WalltCelllng lnsulallon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[-l Drywall - Prlor to taplng
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallatlon.
E Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach .- After
forms are erected but prlor to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
E
E
Water Llno - Prlor to fllllng
trench.
Fence - When completed.
Street Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.Rough Plumblng - Prlor to
cover.E
SUBDIVISION:
-
WATER HEATER:
E
L]
Underlloor Plumblngl Mechanlca!
- Prlor to lnsulatlon or decklng.
tf
tl
fl
[--] other
tl
| ""' ..'ii'i:qtti'
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
backs ( -IS.THE PRoPoSED WoBK TN THE -. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordlnator prlor to permit issuance,
APPROVED:
PL,HSE GAR ACC:
N
S
E
VALUE
lg z-
2 31)(A)
x $/so. FT.
22 {o
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT,
Main
Garage
Carport
/'/#
3% ,+Ur,u=-!-a7-
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Revi By Date
Received By:
Plan Check Fee:
Date Paid:
Receipt Nu
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
FEE
(c)
FT.
FT.
N0
FT.
Residential Bath(s)
Plumbing Permlt
State Surcharge
Total Charge
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
ITEM
Fixtures
ADDITIONAL COMMENTS
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 appllcation 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
wlth the Ordinances of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Bullding Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 7O1.O5S wlll be used on thlsproiect.
I further agree to ensure that all requlred lnspections ar€
requested at the proper time, that oach address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
on the slte at all times durlng construcilon.
I
Date
ffsn"tur"
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surcharge
Sidewalk _ ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding etectrlcat)
(A, B, C, D, and E Combined)
3'?
78
3Z
VALIDATION
RECEIPT NUMBER
DATE PAID 2L
AMOUNT RECEIVED
RECEIVED BY
1.-