HomeMy WebLinkAboutPermit Building 1996-04-07RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOS WO
ASSESSORS MAP:
LOT
SPRII\.GF!ELI)
JOB NUMBER Qutiz'l
7q
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT
BLOCK:SUBDIVISION
PHONE:
ZIP:vSTATE:
OWNER:
ADDR
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
\JDESCRIBE WORK:
MECHANICAL:
-
ELECTFIICAL;
t.f oooruaa R#PHONE's NAME Lh'v,
PLUMBING:
CONST.
CONTFI.
RANGE:
I OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAIN
* OF UNITS:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUABE. FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made lhe {ollowlng work day.
REOUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
umblng worl< ls complete.
Slte lnspectlon - To be made
alter excavatlon, but prior to
settlng forms.
l-l Rough Eleclrical - Prlor tot---J cover.Flnal Electrlcal - When all
electrlcal work is complete.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Ste6l locatlon, bond
beams, groutlng,Framlng - Prlor to cover.
tl Foundatlon - Alter forms are
erected but prlor to concrete
placemont.Wall/Celllng lnsulatlon - Prlor to
cover.
E Underground Plumblng - Prior
to fllllng trench.l--l Drywall - Prlor to taplng
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approvgl
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Alrproach - After
forms are erected but prior lo
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllllng
trench.Electrical Connection - When
blocking, set-up, and plumblng
inspections have been approved
and the home is connected to
the servlce panel.
Slorm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When completed.
Rough Plumblng - Prlor to
cover.
Streel Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
GENERAL:
/
ZONING CODE:
E
I--l otrer
tl
E
tl
'it-, :'i
L: ,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type v
-
lnterior
-
Corner
-
Panhandle :'
-
Cul-de-sac
Set THE PROPOSED WORK TN THE
lFrsroRrceL DrsrRrgr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fec
,)t'l ;, 'f
X $/SQ. FT.
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, 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.
Plans Rcviewed By Date
BU I LDI NG
AND BUIL
LAN CHECK
IMIT
E tl
E RD(:N P
Plan Check Fee:
Date Paid
Receipt Number
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Flxtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
stato surcha rsu tTlr)4 hl^U
Plumblng Permit
&t
Total Charge
F EE
(c)
No
PLUMBING PERMIT
- FT.
ADDITIONAL COMMENTS
(D)
Mechanical _Permit
lssuance
State Surcharge
Totat Permit
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 cerilly
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
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlrrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
prolect.
I further agree to ensure that all required inspections 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, a the a
on the site at all m uri S
set of
Signatu
Date
plans wlll remaln
lon.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
,t
Oemolitlon
State Surcharge
Total Miscellaneous Penni ts (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combined)
x
FIECEIVED BY
DATE PAID
AMOUNT RECEIVF.D
VALIDATION:
RECEIPT NUMBERq'74
I
st@--Alrup
FT.
,, Wl.fr
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
Z-q)
RESIDENTIAL
PEBMIT APPLICATION
lnspections:726,3769
Office: 726.3759
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
SP rlINGFIELD
eir,
JOB NUMBER
225 Fif tlr Street
Spring(ietd, Oregon g7477
TAX LOT:
1
LOT: -=._- BLOCK:SUBDIVtS|ON: ---
PHONE:
-
STATE:ZIP:
z
227y'2CITY:
ADDRESS:
OWNER:
DEMOLISH OTHER
DESCRIBE WORK
NEW -.-.-- REMODEL ADDITION
NAME ADD 7 EX E
CONTRACTO
S,.1P
MECHANICAL
ELECTFIICAL:
CONST.
CONTRACTOR
G ENERAL:
PLUMBING
_ OFFICE USE _
r OF UNITS:
QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SQUARF. FOOTAGE:
, OF BDRMS: --
RANGE:
OCCY GROUP:
r OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:FLOOD PLAIN:
To request an lnspecilon, you must czrll 726-3769. Tlr
made the sanle worklng day, lnspections requesled
ls ls a 24 hour recordrng. Ail rnspecilons requested be(ore 7:00 a.m. wilr beafter 7:00 a.m. wlll be mac.te the followlng worl< day.
REQUIRED TNSPECTIONS
I Temporary Electric Rough Meclranlcal - prior to
cover.
Slte lnspectlon - To be madc
af ter excavatlon, but prior tosettlng forms.
Rough Electrical - prior tocover.
[-_l Underslab plumbtng/ Electricat/
-
Mechanlcal - prlor to cover.Electrical Servlce - Must beapproved to obtalr-r perrnanent
electrlcal power.Footlng - After trenches are
excavated.
[-l Masonry - Steel tocailon, boncl
-
beams, grouilng.
Foundatlon - Alter forms are
erected but prior to concrete
placemen t.Wall/Celling lnsulatlon - prlor tocover.
Underground Plumbing - prior
to lllllng trench.[_l Drywalt - prtor ro taptng
Underlloor Plumblng/ Mechanlcal
- Prior to Insulatlon or decl<ing.
MOBILE HOME INSPE TIONS
I Wood Stovo - After lnstailatlon
tl Post and Beam - Prlor to floorinsulation or decl<lng.I-_l tnsert - Afrcr ftreJ)lace approval
-
and installatlon ol unlt.
l-_l Blocking and Ser.Up - Wrren ail
-
blocktnl) ls complcte.
Floor lnsulalion - Prior to
decki ng.Curbcut & A1:1_rroach - Af terlornrs are er0cted but prlor toplacerncrrt of concrctc.
Plumbing Conncctions - Whenhome has been connectecl tow;llcr ilnd sewer.Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Driveway - Afterexcavation ls cornplete, fornrsand sub.base material in place..
Electrical Connection - Whenblocking, set.up, and plumblnglnspections lrave becn approvedand the home is connected tothe servlce panel.
[-_l water Line - prtor to fiiling
-
trench.[--l Fence - When compteted.
Slr€ot Treos - Wlren all requlred
trees are plartted.
Final - After all required
inspectlons are approved andporches, sklrting, decl(s, andventlng have been lnstalled.
Rough Plumbing - Prlor to
cover.
9ats4-
WATEB HEATER: --
t:]
fl rinat ptumbing - When ail
-
plumblng worl< ls completc.
[--l rinat Etcctrtcat _ When ail'- electrlcal work is complete.
ll FInat Mechanlcal - When ail
-
mcchanlcal worl( ls cornplcle.
pfFlnat Buitdtng - When ail
_,Rfequired lnspecilons have been/ approved and bullding lscompleted.
l---l Otherll-
[-l Flreplace - prtor to factng
-
malerlals and framlng lnsp.
ffi Framlng - prior to cover.
tf
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-_
lnterior
-_ Corner
-
PanhancJle 1
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
Se IS THE PBOPOSED WORK iN THE -
HISTORICAL DISTRICT, OR ONT}IE HISTORICAL REGISTER? -.-lf yes, thls applicailon must be signedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED
BUILDING PERMIT
VALUE
3,43 r z?+
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garagc
Carport
Total Value
Building Permit Feo
State Surclrarge
Total Fcc
Aaa
./a Sa
--@2>-r ..- -_se
73Ja_
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls pcrr-rit is granted on the cxpress concJition that the saidconstruction sh;rll, in all respccts, conform to the Ordlnanceadopted by the City of Springfield, includlng theDevelopment Codc, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordlnances.
Receipt Number:____
DatePlans Rovicwec.l t3v
Datc Paid
ReccivecJ EIy
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systcms Dcvelopmcnt Charge is clue on all unctevelopedproperties within thr: City linrits whiclr are being improved.
ITEM
Flx t u res
Residentiat Bath(s)
Sanitary Sewer
Water
Storrn Sewer
PLUMBING PERMIT
FEE
N0
Et'
FT.
trT.
(c)
Plumbin Permit
e-Mobile
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, r state ancJ agree, that r have caref uily examrnedtlre completed applicaUon and do hereby cerilfy that allinformation hereon is true anrl correct, and I lurther certif ythat any and ail work performed shail be done in accorrJancewlth the Ordinances of the City of Sprlngfield, and the Lawsof the Statc of Oregon pertalnlng to thc work descrlbedherein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Building Safety Divislon.I furthcr certify that only contractors and employees whoare ln cornpliance with ORS 701.055 wlll be used on thlsproiect.
I furtlrcr agrce to cnsurc iltat all roquired inspecttons arouested at the proper time, that each adcJress is readablem the street, that the permlt card ls located at the front
l/
Slgnature
Date
req
rl
(ro
of the property, and the app set of plans will remalnon the slte at al sl ruct lon
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
(D)
Total Miscellaneous perrnits (E)
Mechanical Permit
lssuance
State Surcharge
Total Permit
Mobile Home
State Issuance
Statc Surcharge
Sidewalk .--.- ft
Curbcut
--
ft
Demolition
State Surcharge
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Vent Fan No
VALIDATION:
RECEIPT NUMBER z3Zr(
DATE PAID
AMOUNT RECEIVED -TOTAL A,MOUNT DUE (cxclucling ctecrric.rD 73J) _(A, B, C, D, ancl E CornbinccJ) q-
RECEIVED BY -_.
z
77
rt