HomeMy WebLinkAboutPermit Building 1995-04-25RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
JoBNUMBE^%
225 Fi f th Street
Sprl ng f leld, aregon 97 4Zl
4LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:TAX LOT:
SUBDIVISION:
PHONE:
ZIP:a.STATE:
7?^++ ^
CITY:
ADDRESS:
OWNER:
EXPIRES PHONERCONTRACTOR'S NAME
MECHANICAL:
ELEfiRICAL:
DESCFIIBE WORK:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR 'f
NEW- REMODEL
- OFFICE USE -
FLOOD PLAIN
RANGE:
QUAD AREA:
r OF BLDGST
SECONDARY HEAT:
SQUARE FOOTAGE:
, OF BDRMS:
-WATER HEATER:
OCCY GBOUP:
r OF STOBIES:
CONSTR. TYPE:
HEAT SOURCE;
LAND USE:
, OF UNITS:
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ZONING CODE:
To req
made
uest an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wi, bethe same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n Temporary Electrlc Rough Mechanlcal - prlor to
cover.l--l Flnal Plumbing - When ailu plumblng worl( ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Final Electrlcal - When alt
electrlcal work is complete.cover.
E Underslab Plumblng / Electrical /
Mechanlcal - Prlor to cover,Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated.[-l Flreplaca - prtor to factng
-
materlals and framlng lnsp.
[-l Framlng - Prtor to cover.
Flnal Buildlng - When all
requlred lnspectlons have beenapproved and buildlng ls
completed.Masonry - Steel locatlon, bond
boams, groutlng,
Foundatlon - After forms are
erected but prlor to concrete
placement.
W o'nu'
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.l--l Drywall - Prtor to taptng.
Underlloor Plumblng/ Mechanlcal
- Prlor to", lnsulatlon or decklng.
Post bnd Beam - Prior to floor
lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Slovo - After lnstallatlon
[--l lnsert - After flreplace approvat
-
and lnstallatlon of unlt.
Blocking and Set.Up - When ailblocklng ls complete.
Floor lnsulatlon + Prlor to
decklng.Curbcut & Approaclr - After
forms are erected but prlor toplacomont of concrete,
P.lumbing Connectlons - When
home has been connected to
water and sewer.
Sanllary Sewer - Prlor to fllling
trench.
Storm Sewer - Prlor to filllng
trench.
Sldewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Electrlcal Connection - Whenblocking, set.up, and plumblng
lnspections have been approved
and the home is connected tothe servlce panel.
Water Llne - Prlor to fllling
trench.I Fence - When completed
Rough Plumbing - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lns'pections are approved andporchcs, skirtlng, decks, andventlng have been lnstalled.
E
E
tl
tl
::.,:1r::*r\:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot T1
,v
. lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK IN THE .
HISTORICAL DISTBIST, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgnedand approved by the Hlstorlcal
Coordinator prlor to permlt issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
%2t
z": _
(A)
X $/SQ. FT.
e%Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condlilon that the saldconstructlon shall, ln all respects, conform to the Ordinanceadopted by the City of Springfletd, lncludlng theDevelopment Code, regulating the constructlon and use ofbulldings, and may be suspended or revoked dt any timeupon violation of any provlsions of sald oldlnances.
DatePIans Reviewed By
Beceipt Numbe
Date Pald
Recelved By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being lmproved.
ITEM
Fixtures
Besldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
(c)
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
MECHANICAL PERMTT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mechanlcal Permlt
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have carofully examlnedthe completed appllcatlon and do hereby certlfy that alllnformatlon hereon ls true and coJrect, and I f urther cerilfy
that any and ail work performed shail be done rn accordance
wlth the Ordinances of the Clty of Sprlngfleld, and the Lawsof the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Buildlng Safety Dlvislon.I further certify that only contractors and employees who
are ln compllance with ORS 7O1.OS5 wlll be used on thlsproiect.
I further agree to ensure that all requlred lnspections are
requested at the proper ilme, that each address ls readable
from tho street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
on the slte at all times durlng constructlon.
f/1s-
rA 1i)Slgnature
Date
MISCELLANEOUS PERMITS
Mobile,Home
State lssuance
State Surcharge
Sidewalk _- ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Miscellaneous Permits (E)/*e.
AMOUNT BECEIVED
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
DATE PAID
Plan Check Fee: _
FT.
ll-
TorAL AMOUNT DUE (excluding electricar)
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(A, B, C, Q and E Combtned)