HomeMy WebLinkAboutPermit Building 1998-07-16RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
SPRInrGFI ELE'
afi,
JOB NUMBER TL
225 Fifth Street
Sprlngfleld, Oregon 97477
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ASSESSORS MAP:/7033{tY TAX LOI /57oo
LOT BLOCK:SUBDIVISION
ffr- t?tc/oO{PHONE:
OaSTATE ZIP:lzqt t
/,
CITY:
ADDRESS:
OWNER:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL
MECHANICAL:
-
AODRESS
CONST.
CONTRACTOR , EXPIRES ,5 PHONEOup
CONTRA TOR'S NAME
GENERAL:
PLUMBING:
ELECTRICAL:
-,rur.r FUFIANYlY
,SABANNN Art-^ -^
IHE I/YOBK
CONSTR.r OF BDBMS:
HEAT SOURCE:
RANGE:WATER HEATER:
FTOOD I)LAIN:QUAD AREA;
r OF BLDGST
SECONDARY HEAT
SOUARE- FOOTAGE:
OCCY GROUP:
r OF STORIES:
ZONING CODE:
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 clay, lnspectlons requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Flnal Plumbing - When alt
plumblng worl< is complete.
Flnal Electrlcal - When all
electrlcal work ls complete.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
Mechanlcal - Prlor to cover.mechanical work ls co mplete.
Footlng - After trenches are
excavated.F1 uilding - When all
Flreplace - Prior to faclng
materlals and f raming lrrsp,
ired lnspectlons have been
Masonry - Steel locatlon, bond
beams, groutlng.
approved and buildlng is
completod.
- Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.[-l Drywall - Prlor to taping
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ 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 alt
blocklng ls complete.
Floor lnsulallon - Prlor to
decklng.Curbcut & Alrproaclr - After
forms are err:cted brrt prior to
placemcnt of concrete.Sanitary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocking, set-up, and plumblng
lnspections have been approved
and the home is connected to
the servlce panel.
Storrn Sewer - Prior to fllling
trench.
Sidewall< & Driveway - After
excavation ls complete, forms
and sub-base malerial ln place.
Water Lln€ - Prlor to filling
trench.
Fence - When col'lpleted
Streel Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
F
Rough Plumblng - Prlor to
cover.
48o *
[--l Rough Mechanlcal - Prlor tol--J cover.
ll Rough Electricat - Prior tot---J cover.
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[-l Plumbing Connectlons - WhenlJ home has been connected to
water and sewer,
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ACCPL.HSE GAR
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type '-
-
lnterior
-
Corner
-
Panhandle I
-
Cul-de-sac
( ._ rHe PROPOSED WORK rN THE -
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
5{ oo
/n i'03
t
(A)
0!a!-C^
Garage
Main
ITEM
Total Value
Building Permit Fee
State Surcharge
Total Fee
_@Lt5,
BUILDING PENMIT
SO. FT. X $/SO, FT.
Thls permit is granted on the cxpress condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
,r
E
73
yi
Recelpt Numbe
36
Plans ewed By
Plan Check Fee
Date Paid:
Received
i5mru cHEcK
RMIT
BUILDING VAUUE
AND BUILDING P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N'
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
A DITI NAL COMMENTS
3"'
By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certlfy that all
lnformation hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure without perrnission oI the Buildirig Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 70i.O5S wlil 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 tlte street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times durlng construction.
[6.Date .D
Slgnatu
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
N0Vent Fan
(D)
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)
VALIDATION
0707?iRECEIPT NUMBER
DATE PAIi-)7
AMOUNT FIECEIVED
tI
RECEIVED BY
4
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1/,c/ff----'/--DEG-
FT.