HomeMy WebLinkAboutPermit Building 1997-07-29RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
SPRTItGFIELE,
JOBNUMBE^ ?^
225 Fillh Street
Sprlngfleld. Oregon 97 477
LOCATION OF PROPOSED WOBK:rh
ASSESSoRS Mee: / 7^47 '26'= / rAx Lor d/3aa
BLOCK:LOT
OWNER:
?7+77ZIP:-7-r-STATE:
ADDRESS:
CITY:
l2 /- I /,Th
(cnl -, oCe l.J ?*.
NEW- REMODEL AODITION DEMOLISH OTHER
A- weDESCBIBE WORK:
PLUMBING:
MECHANICAL:
ELECTRICAL:
dTe
ADDBESS EXPIRES ,l PHONECONTRACTOR'S NAME
GENERAL:
CONST.
CONTRACTOR '
. OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
RANGE:
QUAD AREA:
E OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDRMS:---
LAND USE:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
, OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requestod after 7:00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
n femporary Etectrlc Rough Mechanlcal - Prlor to
cover.[_l Flnal Plumblng - When ailu plumblng work ls complete.
[-l Rough Electrical - Prlor tol--J cover.Flnal Eleclrlcal - When all
electrlcal work ls complete,
E
a
Site lnspectlon - To lre mado
after excavatlon, but prlor to
settlng forms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlgr to concrete
placemont.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or clecklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
FIoor lnsulatlon - Prior to
decklng.
Sanltary Sewer - Prior to fllling
trench,
Storm Sewer - Prlor to lllllng
trench.
Water Llne - Prlor to filling
trench.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and lramlng lnsp.
Framlng - Prlor to cover.
Wall/Celling lnsulatlon - Prlor to
cover.
l--l Drywall - Prlor to taptng.
Wood Stovo - Afler lnstallatlon
lnsert - After flreplace approval
and lnstallatlon ot unlt.
Curbcut & Agrproaclr - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base materlal ln place.
n Fence - When coi-rrpleted.
Street Treee - Whon all requlred
trees are planted.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.
MOBILE HOME INSPE TIONS
Blocklng and Set.Up - When alt
blocklng ls complete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Electrical Connectlon - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home is connected to
the servlce panel.
E
[--l Final - After alt required
'J lnspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstallecl.
l--l Rough Plumbing - Prior to|J cover.il
SUBOIVISION: -
GeTtevieu€- Han-<on PHoNE: 747-?8 27
tl
tl
E
E
E
[--l ottrer
. i;>, :'=
Lot (aces
Lot sq. ftg.
Lot coverage
Topography
Total helght
t-ot Typs-
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sac
\IS THE PROPOSED WORK IN THE.
HISTORTCAL DISTRIGT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, thls appllcailon must be slgnedand approved by the Htstorlcal
Coordlnator prlor to permlt issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
w_-
BUILDING pennttt i
VALUE
(A)
ti
"t
ITEM
Main
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SQ. FT.
't.BUILDING \ALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on the cxpress condiilon that the sald
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, lncludlng the
Development Code, regulailng the construcilon and use of
bulldlngs, and may be suspended or revoked at any ilme
upon vlolation of any provlsions of said ordinances.
Plans Reviewed By Date
Received By
Date Pald:
Receipl Nu
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City llmlts which are being improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
2?,n-
a,
(c)
2
Nt
FT. 2?,
aaCcfrG
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
(D)
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
By slgnature, I state and agree, that I have carof ully 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 ln accordance
wlth the Ordinances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure without permission of the Bulldlng Safety Dlvislon.
I further certlty that only contractors and employees who
are ln compllance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspectlons are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the tront
of the property, and the approved set of plans will remaln
on the slte at all times durlng constructlon.
Date
Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Stato Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Oemolltlon
State Surcharge
Total Mlscellaneous Permlls (E)
VALIDATION:
REcErPr NUMBER 24gE ?
-a'
> Q>?-9OATE PAID
AMOUNT RECEIVED
RECEIVED BY
Plan Check Fee: _
FT.
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
TOTAL AMOUNT DUE (excludlng electrlcal) .-_-
(A, B, C, Q and E Comblned)