HomeMy WebLinkAboutPermit Building 1998-08-21RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPRINGFIELE,
JOB NUMBEFI r 0 L{L
225 Fifth Street
Sprlngfleld, Oregon 974776zrss
ASSESSORS MAP:/70 23r q3
TAX LOT:lqoo/
BLOCK:SUBDIVISION: -LOT
LV
,.a /LSTATE ZIP:?vL(7 t
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5 t\r nnjOWNER
ADDRESS
CITY:
M o Lls H __+o++ow RIUF EdeB+ed1by@
gon requrres you
DESCRIBE WORK:
NEW- REMODEL ADDITION DE
; n sffiqg!ff 1O th rous$,6ilHtgs2-eo1 -p u o ru r
0090. You may obtain copies ot tnEluled by "-"-co N T RAcTo TT{I $ FE.ffil I T S HALL EXPI R E rT1?fffifu n x
on Utili Notification
MECHANICAL:'lY 180 na'/ Ptr Ill{1n
numberforthe
ELECTRICAL:
GENERAL:
PLUMBlNG:
BANGE
- oFFrcE usE -
WATER HEATER:
r OF UNITS:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARE. FOOTAGE:
# OF BDRMS:
-
LAND USE:
OCCY GROUP:
* OF STORIEST
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls is a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Flnal Plumbing - When ailplumblng worl< is complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting lorms.
Rough Electrlcal - Prior to Flnal Electrical - Wlren all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
ng - After trenches are Flnal Buildlng - Vrihen all
required lnspectlons have been
approved and building is
completed.
avated
Masonry - Steel locatlon, bond
beams, groutlng.
Fo - After forms are
but prlor to concrete
t.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal MOBILE HOME INSPECTIONS
rior to lnsulatlon or decklng.
and Beam - Prlor to floor Blocking and Set.Up - When ailblocklng ls complete.latlon or decklng.lnsert - After flreplace approvql
and lnstallatlon ol unit.
r lnsulation - Prlor to Plumbing Connections - When
home has been connected to
water and sewer.
king.Curbcut & Alrproaclr - After
forms are erected but prior to
placemcnt of concrete.Sanilary Sewer - Prior to fllling
trench.Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base malerial in place.
Water Llne - Prlor trr filling
trench.[--l Fence - When ccllpleted
Stre€t Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.il
7
PHoNE: - ?Ll /- u1 (Y
FLOOD PLAIN:
E
E
[l flreplace - Prlor to faclngu materlals and framing lrrsp.
l-l Framlng - Prtor to cover.
l-l Wall/Celting lnsulatlon - prlor tor-l cover.
f-l Drywall - Prlor to taptng.
n Wooa Stovo - After lnstallatlon.
E
fl
tl
Olher
-
tl
tl
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-- Panhandle !
-
Cul-de-sac
rHE PROPOSED WORK IN THE -
HtsToFltcAL DtsTRlcT, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
arrd approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED
PL.HSE GAR ACC
N
S
E
VALUE
30oo
36 52
3.0t
4t,r((A)
1Ir",n
Total Value
Building Permit Fee
State Surcharge
Total Fee
,t
X $/SQ. FT.
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Caroort
f;^r/o
: '1 . rt.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This 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, includlng the
Development Code, regulating the construction and use of
ouildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
f\'
Plans ewed By
0
0
Receipt Numbe
Z
t
Received By:
Date
zf.Plan Check Fee:
Date Paid:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
Nr
FT.
PLUMBING PERMIT
FT.
Plumbing Permit
State Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
Note:
Building Inspector may require
additional plans information,
and/or ftes for the cornPletion of
this project.
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I lurther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the Cily of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address is readable
Irom the 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 alT time during construction
Slgnatu
Date
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Ferrnits (E)
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Totat Permit
MECHANICAL PERMIT
Furnace
Exhaust Hoori
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
RECEIPT
DATE PAI
AMOUNT
RECEIVEI c o
ERNU
VALIDATION
RECEIVED
DBY
iii