HomeMy WebLinkAboutPermit Building 1998-04-27GFIELE,RESIDENTIAL
PERM!T APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOI
to
JOB NUMBEB
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT
BLOCK:SUBDIVISION
PHONE:
5
STATE:CITY:
ADDRESS
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOBK:
NAME ADDRESS NEEXPIRES aCONTRACTOB
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
- OFFICE USE -
LAND USE:
WATER HEATEFI:
ZONING CODE:I OF UNITS:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT
SOUARE. FOOTAGE:
OCCY GROUP:
I OF STORIES:
CONSTR. 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, lnspections requested after 7:OO a.m, will be macle the followlng work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prior to
cover.
Flnal Plumbing - When att
plumblng worl< is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrlcal /
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power,
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.[l Flreplace - Prlor to faclng.J materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundallon - After forms are
erected but prlor to concrete
placemont.
Other
WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.[-l Drywal] - Prior to taplng,
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulation or decking.lnserl - After flreplace approvql
and installatlon of unlt.
Floor lnsulation - Prior to
decking.Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.fr"r;"g.sewer
- Prior to rllling
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When cci',rpleted
l!l Flnal - After all required
,Fllnspectlons are approved and' porches, sklrting, decks, and
ventlng have been lnstallecl.
Rough Plumbing - Prior to
cover.
Slreet Trees - When all required
trees are planted.
L L 4* zre, 73///
, OF BDRMS:
-
FLOOD PLAIN:
E
E
E
tl
E
E
E
E
E
fl
E
[--l Blocking and Set.Up - When aillJ blocklng ls complete.
[-l Plumbing Connectlons - WhenlJ home lras been connected to
water and sewer.
tl
ii; l,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ-
-
lnterlor
-
Corner
-
Panhandle i'
-
Cul-de-sac
IS THE PROPOSED WOBK TN THE .
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
\
Prdz/./eu/ /,,,$.?,<Olo
Total Value
Building Permit Fee
State Surcharge ,7{ f ,y'f
Total Fee (A)
VALUE
/b?:-
FT.
MtT i,f
X $/SQ. FT.
Jfr?-
/,au
BUILDING PER
ITEM SO.
Main
Garage
Carport
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City ol 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 Reviewed By
,
E
Date
Receipt Numbe
Date Paid:
Received By:
'IPLAN CH ECK
RMIT
BUTLDING VALUE
AND BUILDING P
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
,7ftLr/f /.zo
FEE
,<2 0/o'H/{/,
.bP(c)
FT.
N'
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully 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 in accorrJance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Divislon.
I further certi{y that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construcilon.
)e'
Date
natu
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Total Miscellaneous Perrnits (E)
(D)
NoVent Fan
Sidewalk
-
ft
Curbcut
-
ft
Oemolltlon
State Surcharge
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Comblned)
aL/!.)?.
L
a
VALIDATION:
RECEIPT NUMBEFI
DATE PAIi-)
AMOUNT RECEIVED
RECEIVED BY
PL.HSE GAR ACC
N
S
E
Plan Check Fee:
-
SYSTEMS DEVELOPMENT CHARGE (SDC)
FT.