HomeMy WebLinkAboutPermit Building 1998-06-03SPRTNGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PFIOPOSED
ASSESSORS MAP:
LOT:
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JOB NUMBEB
225 Fifth Street
Springfleld, Oregon 97477
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BLOCK:
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SUBDIVISION
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OWNER:
ADDRESS:
CITY:
NEW
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BEMODEL ADDITION DEMOLISH OTHER V-t
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DESCFIIBE WORK:
ADDRESS
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NOTICE:
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CONTRACTOR'S NAME
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MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST,
CONTRACTOR '
ANY 180 s{f rtff,f{puse:
COMMENCED OR IS ABANOdfiftFFItr -
# OF BDRMS:
BANGF-:WATER HEATER:
ZONING CODE:
FLOOD I)LAIN:
# OF UNITS
QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPEr
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All inspections requested before 7:00 a.m. wlil be
made the same worklng day, lnspectlons requested after 7:00 a.m. will be macle the followlng work day.
REQUIRED INSPECTIONS
[--l Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
E Underslab Plumblngl Electrical /
Mechanlca! - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
E Footlng - After trenches are
excavated.Final Building - When all
required lnspectlons have been
approved and building is
completed.
Flreplace - Prior to facing
materlals and framing lrrsp.
Masonry - Steel locatlon, bond
beams, grputlng,
Foundatlon - After forms are
erected but prlor to concrete
placement.
Framlng - Prlor to cover.
Other
Wall/Celling lnsulallon - Prlor to
cover,
Underground Plumblng - Prior
to fllllng trench.l-_l orywall - Prlor to taping
MOBILE HOME INSPECTIONS
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Post and Beam - Prior to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and installation of unlt.
Blocking and Set.Up - When alt
blocklng is complete.
Floor lnsulation - Prior to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prlor to fllling
trench.
Sidewall< & Drlveway - After
excavation is complete, forms
and sub-base material in place.
Waler Llne - Prlor to filling
trench.
Fence - When cci-,rpleted.
Street Trees - When all requl
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andRough Plumbing - Prior to
cover.lng have been lnstalled.
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THIS PERMIT SHALL EXPIRE IF THE WORK
2
EXPIBES .: PHONE
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Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
tbacks (IS THE PROPOSED WORK TN THE ,
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUTLDING PERMIT {
ITEM
Main
Garage
Carport
SQ. FT. X $/SQ. FT.VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee
_LSI''
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(A)_il-l!
rl
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 Springfietd, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee
Date Paid
Receipt Numbe
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
FEE
Residential Bath(s)N.
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FT.
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accorrJance
wlth the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon perlaining 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 701.0S5 wlll be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that €ach address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during construction.
Slgnatu
Date 4
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION
RECEIPT NUMBER
DATE PAID ET
AMOUNT RECEIVED zd
BECEIVED BY
0
fi),
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, Q and E Combined)
P,L.I.ISE GAR ACC
N
S
E
Lot Type
-
lnterior
-
Corner
-- Panhandle :
-
Cul-de-sac
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Received By: