HomeMy WebLinkAboutPermit Building 1995-08-24RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Qffice: 726.3759
I
I
LOCATION OF PROPOSED WOFK:hx A)$fiH t6T 4
SPrlING FIELc,
JoBNUMBE^%
225 Fif th Street
Spring lleld, Oregon 9Z 4ll
ASSESSORS MAP:-2 TAX LOT:
LOT:- BLOCK:_SUBDIVISION:
-
STATE:ztP
6
CITY:4LD,rlA F*S RP
ONE:
e
ADDRESS
OWNER
NEW
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REMODEL ADDITION DEMOLISH OTHER
OLDDESCRIBE WORI(:Eerr oF Il
K'e-f4t'{
*ee-T n RzYz-(-ee-6oof v s/'/F t
EXPIRES PHONEACONTRACTOR'S NAME
MECHANICAL:
ELECTBICAL
PLUMBING:
G EN EBAL:
CONSI.
CONTRACTOR '
_ OFFICE USE -
WATEB HEATER
FLOOD PLAIN
QUAD AFIEA:
f OF BLDGS
SECONDABY HEAT:
SOUARE FOOTAGE:
, OF BDRMS: ---_
BANGE:
OCCY GBOUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOUBCE:
LAND USE:
# oF uNlrs:ZONING CODE:
To request an lnspection, you musl call 726.3769.
made the sanre worklng clay, lnspections requesl
Ttrls ls a24 hour recordrng, Ail rnspections requested before 7:00 a.m. wilr beted after 7:00 a.m. wlll bo made the followlng work day.
REQUIRED INSPECTIONS
Tolnporary Electrlc Rough Mochanlcal - prlor tocover.Flnal Plumbing - When allplumblng worl< ls complete.
Slto lnspection - To be mado
af ter excavatlon, but prlor tosettlnO f<.rrrns.
Rough Electrlcal - prlor to Flnal Electrical - When allelectrlcal work ls complete.
covcr.
I-_l Underslab ptumblng/ Electrical/
-
Mechanlcal - prior to cover.Electrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
Flnal Mechanlcal - When allmechanical work ls complete.
Footlng - Af ter trenches are
excavated,Flnal Buildtng - When altrequlred lnspecilons have beenapproved and bulldlng lscompleted.l-_| Masonry - Steel tocaUon, bonct
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beams, groutlng.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
tl [-_l Framlng - prlor to cover.
Foundallon - After lorms areerected bul prlor to concretoplacomont.
w Othor
Wall/Colllng tnsulatlon - prlor tocover.
[-l Unaorgrourrd plumbinq - priorL_J ro f11iq trench.-"'-"'e J--.l Orywall _ prlor ro taptng.
Underlloor plumblng / Mechanlcal
- Prlor to lnsulalion or decklng.
Posl and Boarry. - prlor to floorlnsulation or docklng,
MOBILE HOME INSPECTIONS
Wood Stovo - Aftor lnstallatlon.
lnserl - Alter flreplace approv6l
anc, lnstallaUon of unlt.
Curbcut & Approach - Afterforms are erected bUt prlor toplacemont of concrete.
Sidewalk & Drlveway - Afterexcavatlon ls completo, forms
ancl sub.base malerlal ln place.
Fenqo - When completed.
Slroel Troes - Whon all requlredtrees are planted.
[--l glocktng and Ser.Up - When ail
-
blocklng ls complele.
Floor lnsulalion - prlor todecklng.Plumblng Connoctions - Whenhomo has been connected towater and sewer.Sanilary Sewer - prior to f lllingtrench.
Slorm Sewer - prlor lo lillingtrench.
Electrlcal Connoclion -,W[enblocklng, set.up, and ptumbinglnspoctions have been approvedand the home ls connected tothe servlce panel.Water Lino - prlor to (illing
lrench.
Rough Plunrbing - prlor to
cover.
Flnal - After all requiredlnspectlons are approved andporchos, sklrtlng, decks, andventlng havo been lnstallod.
-a3,/2 .?2 ^ ,
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
Y
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Se t bac ks
P.L.HSE GAR ACC
N
S
E
.S THE PROPOSED WORK IN THE
HISTORICAL DISTFICT, OR ON
THE HISTORICAL REGISTER?
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lf yes, thls application must be slgned
and approved by the Historical
Coordinator prlor to permit issuance.
APPROVED
VALUE
(A)
I
/6-P
X S/SO. FT.
/r4 A-'fi-:€
Carport
Main
Garagc
Total Value
Building Permit Fee
State Surcharge
Tolal Fee
BUILDING PERMIT
ITEM SQ. FT,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permlt is grante<J on tho express corrcJiliorr that the said
construction sherll,ln all respects, conforrn to the Ordinance
adopted by thc City of Springficlct , irrcluding the
Development Code, regulating the coDstruction a'nd use of
bulldlngs, and may be suspended or rcvokcd at any time
upon violation of any provisions ol said ordinances.
Plans Rcviewec, By Date
Date Pald
Recel pt Nurnbcr:---.
Received By
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all undeveloped
properties withln tlre City linrits which are being improved.
ITEM
Flxtu res
Ftesldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(\-)
FT.
PLUMBING PERM!T
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flroplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssu ance
Stato Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood By slgnature, I state and agree, that I have carcf ully examlned
th6 completed application and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I lurther cerilfy
that any and allwork performed shall bc done in accordance
wlth the Ordinanccs of the City o( Sprlnglield, and the Laws
of the Stato of Oregon pertalnlng to thc work described
hereln, and that NO OCCUPANCY will lle made of any
Structure wlthout perrnission of the Bulldlrrg Safety Dlvislon,
I further certlf y that only contractors and employees who
are In compllance with ORS 701.055 will be used on thls
prolect.
I further agree to ensuro that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set o( plans will remain
on the slte at all times during constructlon.
Date
Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut ' f t
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)
E---4,
2a
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
FT.
FT.