HomeMy WebLinkAboutPermit Building 1995-08-04RESIDENTIAL
PERMIT APPLICATTON
lnspections: 726.3769
Office: 726-3759
LOCATION OF PBOPOSED WOFIK:
ASSESSORS MAP;
LOT:
Il\lGFIELE,
z7
JOB NUMBER 7 ?
225 Fif th Street
Sprlngfleld, Oregon g7 4Zl
TAX LOT:,/32 o2_
SUBDIVISION: _BLOCK:
PHONE
STATE:ztPCITY:
ADDRESS:
OWNER:
NEW . REMODEL ADDITION DEMOLISH OTHEB
DESCRIBE WORK:
ADDBESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST,
CONTFIACTOR #
G ENERAL:
PLUMBING
, OF BDRMS:
_ OFFICE USE _
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
SECONDARY HEAT: _-
SOUARE FOOTAGE
Y OF UNITS:
OUAD AREA:
* OF BLDGST
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested beforc 7:00 a.rn. wlll bemade the same worklng day, lnspections requested after 7:OO a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
Temporary Electric Rough Mechanlcal - Prlor to
cover.l--l Final Plumbtng - When aillJ plumblng worl( ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prlor to Flnal Electrlcal - When all
electrlcal work ls complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When allmechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framlng lnsp.
f/ flnat Buttdlng - When ail
flq:qulred lnspectlons have been' approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
(t'ut'ng - Prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.
Othor
Wall/Celling lnsulation - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.| - Prlor to taplng.
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME TNSPECTIONS
Wood Slovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decking.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When alt
blocklng ls complete.
Floor lnsulatlon - Prlor to
deckl ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer,
Sanltary Sewer - Prlor to fllling
trench.Electrical Connecllon - When
blocking, set.up, and plumblng
lnspections have been approveQ
and the home ls connected to '
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub.base materlal ln place.
Water LIne - Prlor to filling
trench.
Fence - When completed.
Street Tregs - When all requlred
trees are planted.
Flnal - After all required
lnspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumblng - Prior to
cover.
L7,(
RANGE:
E
E
tl
fl
tf
E
fl
E
E
r
E
E
E tl
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Typr
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK IN THE . :
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be signed
and approved by the Hlstorlcal
Coordlnator prior to permit issuance.
. APPROVED:
P,L.HSE GAR ACC
N
S
E
VALUE
€tOPPa
,?f +, /f
_/sy
./ .z 2-O/_@__(A)
X $/SQ. FT.
zo
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT,
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Sprlngfield, includlng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon vlolation of any provisions of sald ordinances.
Fleceipt Number:
Plans Rcviewed By Dale
Date Pald
Received By
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthln tlre City limits which are being improved,
FEE
(c)
FT.
FT.
N0Resldential Bath(s)
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
Sanitary Sewer
Water
$torm Sewer
Moblle Home
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fl replace Unlt
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have carelully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to tho work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Bulldirrg Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with OFIS 70.1.055 will be used on thls
Project.
I (urther agree to ensure 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 of plans will remain
Date 3^q-6
on the sit
Slg natu re @r-rn*{.L
e at all times durin g constructlon.g(*-."*
'TOTAL AMOUNT DUE (exctudlng electricat)
(A, B, C, D, and E Combined)
1dz,
MISCELLANEOUS PERMTTS
Moblle Home
State lssuance
Stato Surcharge
Sidewalk .-_- ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
LO
Zry .<-
FT.