HomeMy WebLinkAboutPermit Building 1995-05-04I
q 50 5$3
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
ASSESSOBS MAP:
LOT:
SPRI1{GFIELE)
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon g7 471
TAX LOT:
BLOCK:% SUBDIVISION:
ry
PHONE:
STATE:ztP:CITY:
ADDRESS:
OWNER:
EBAD
D
N DEL ITION S H
ADDRESS EXPIRES PHONEECONTRACTOR'S N
MECHANICAL:
ELECTBICAL:
PLUMBING:
GENERAL:
coNsT.
CONTFIACTOR #
- OFFICE USE -
'{ OF BDRMS
WATER HEATEFI:
ZONING CODE:
FLOOD PLAIN:LAND USE:QUAD AREA:
* OF BLDGS:
SECONDARY HEAt
SOUARE FOOTAGE:RANGE:
OCCY GROUP:
I OF STORIES:
CONSTR, TYPE:
HEAT SOURCE:
,f OF UNITS:
--
To req
made
uest an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All Inspecilons requested before 7:00 a.m. w,l bethe same worklng clay, lnspectlons requested after 7:00 a.m. wlll bo made the followlng work day.
REQUIRED INSPECTIONS
n femporary Electrlc Rough Mechanlcal - prlor to
cover,[-l Flnal plumbtng - When ail
'J plumblng work ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor tosettlng forms.
Rough Electrical - prior to FInal Electrlcal - When altelectrlcal work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated.[-l flreptace - Prtor to factng
-
materlals and framlng lnsp.
w Flnal Buildlng - When allrequlred lnspectlons have beenapproved and building ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
fl Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Celllng lnsulatlon - Prlor to
cover.
t] ,'Jffiifl['i,3l"ln'.'-orns - Prior [-l Drywan - prror to taprns.
Underlloor Plumblng/ Mechanlcal
- Prlor to{lnsulatlon or decklng.
Post bnd Beam - Prlor to floor
lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon
lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ail
blocking ls complete.
Floor lnsulatlon * Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
PJumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel,
Slorm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavat,on ,s cornplete, forms
and sub-base materlal in place.
Waler Llne - Prlor to fllling
trench.
Fence - When completed.
Rough Plumblng - Prior to
cover.
Streel Trees - When all requlred
trees are planted,
Final - After all required
lnspections are approved andporches, sklrting, decks, and
ventlng have been lnstalled,
tl
(/7@
I otror
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty
- lnterior
-
Corner
-
Panhandle
-
Cul.de-sac
PL.HSE GAR ACC
N
S
E
ks I IS THE PBOPOSED WORK TN THE ..
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicailon must be signedand approved by the Historlcal
Coordinator prlor to permlt issuance.
APPROVED:
BUILDING PERMIT
VALUE
fu , *.?(i
(A)
5;'e>
SO. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condiUon that the saidconstruction shall, in all respects, conform to the Ordlnanceadopted by the Clty of Sprlngfleld, lncludtng the
Development Code, regulating the constructlon and use ofbulldlngs, and may be suspended or revoked dt any ilme
upon vlolation of any provisions of sald o\dlnances.
DatePIans Fleviewed By
Recelpt Numbe
Date Paid:
Flecelved By:
sysTElrs DEVELOpMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limlts which are being lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FT.
(c)
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerflfy
that any and all work performed shall be done ln accordance
wlth the Ordinanccs of the Clty of Sprlngfteld, and the Lawsof the State of Oregon pertalnlng to the work descrlbed
heroln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Bulldlrrg Safety Dlvislon.I further certlfy that only contractors and employees who
are ln compllance with ORS 7O1.OSS wiil be usec, on thlsprolect.
I further agree to ensure that all requlred lnspectigns are
requested at the proper tlme, that oach address ls readable
from tho street, that the permlt card ls located at the front
Slgnature
Date
ll remalnof the property, and lhe a set of p
on the site at
MISCELLANEOUS PERMITS
Mobile,Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolltlon
Slate Surcharge
Total Mlscellaneous Perml ts (E)
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, D, and E Comblned)
6^ c/-2sDATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
i :.,-' ,:,?
,/2.ro
Plan Check Fee: _
FT.
FT.
./?-y'L/