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HomeMy WebLinkAboutPermit Building 1995-04-17RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 RII.rGFIELt) 9sSJOB NUMBER 225 Fif th Street Sprlngf leld, Oregon g7 4?7 LOAATION OF PROPOSED WOBK: ASSESSOBS MAP;TAX LOT:D 23 SUBDIVISION:-- { PHON E ZIP:STATE: _{(r/q 22 OWNERI ADDRESS: CITY: OTHER DESCR E WORK: ADDITION V. DEMOLISHNEW- REMODEL ADDRESS EXPI RES PHON E CONTRACTOR'S NAME MECHANICAL ELECTHICAL: PLUMBING: GENERAL: CONST. CONTRACTOB # l\A Y OF BDBMS: - OFFICE USE - LAND USE: + OF UNITS: QUAD AREA: r OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: OCCY GROUP: " OF STORIES: CONSTB, TYPE; HEAT SOURCE: WATER HEATER:BANGE: To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recorcllng. All lnspecilons requested bemade the same worklng day, lnspeclions requested after 7:00 a.m, wlll be made the foltowlng work day, REQUIRED INSPECTTONS re 7100 a.m. wlll [--l Temporary El€crrtc Rough Mechanlcal - prlor to cover.Flnal Plumblng - When ailplumblng worl( ls complete. Slto lnspectlon - To be madeafter excavatlon, but prlor tosettlng forms. Rough Electrlcal - prlor to Flnal Electrlcal - When ailelectrlcal work ls complete,covor. [--l Underslab Plumblng/ Etectricat/* Mechanlcal - Prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent olectrlcal power. Flnal Mechanlcal - When allmechanical work ls complete. Footlng - After trenches are excavated.[l Flreplaca - prtor to factng - materlals and framlng lnsp. ffitt"*'ng - Prlor to cover. pf,ftnat Buitding - When ailFl.\requl red lnsp"ectlons have beenapproved and bullding is completed.l-_l Masonry - Steol locatlon, bonct - beams, groutlng. Foundatlon - After forms are erected but prlor to concreto placement, Othor Wall/Celllng lnsulatlon - prlor to cover. E l'Jfiii:fi,!ij;:,brns - Prior [-l Drywau - prror to taprns Underlloor Plumbtng / Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPE TIONS Wood Slovo - After lnstallatlon Post and Beam - prlor to floorlnsulatlon or decklng.Tl lnsert - After fireplace approvat - and lnstallauon of unlt. Blocklng and Set.Up - When aIblocklng ls complete. Floor lnsulatlon - Prlor to deckl ng.Curbcul & Approaclr - After forms are erected brrt prlor toplacomont of concrele, Sidewalk & Drlveway - Afterexcavatlon ls completo, formsand sub.bas6 materlal ln place. Fence - When completed. Plumbing Connectlons - Whenhome has been connected to water and sewer. )Sanltary Sewer - Prior to f llling trench. Storm Sewer - prlor to fllllng trench. Electrlcal Connection - Whenblocking, set.up, and plumbing lnspectlons have been approvedand the home ls connected tothe servlce panel.Waler Llne - Prlor to filling trench; Rough Plumblng - prlor to cover. Flnal - After all reeuiredlnspectlons are approveo aroporchos, skirilng, decks, andventlng have been lnstalled Slroet Troes - When all requlredtrses are planted. t FLOOD PLAIN: zoNrNG"oo.'E rl tl tl ?,9{ Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Typ _- lnterlor --- Corner __ Panhandle - Cul-de.sac Se P.L.HSE GAB ACC N S E I IS THE PBoPoSED WOFIK TN THEHISTORICAL OISTFII CT, OR ONTHE HISTOBICAL REGISTER? lf yes, thls appllcailon must be slgnedand approved by the HlstoilcatCoordinator prlor to permit lssuance. APPROVED: s/aQ //< _jy Total Value Building permit Fee State Surcharge ,gg+,57 Total Fee BUILDING PERMiT VALUE r.4r ?ez,?r (A) 7.fo ?/ SO, FT, X $/SQ, FT,ITEM M ain Garage Carport !,.l-l.D_t.ryc vALUE, PLAN CHECKND BUtLDtNc penMif -"bv'\ This permrt ls granted on the express condrilon that the sardconstruction shall, ln all respecis, "onfo* il the ordlnanceadopted bv the citv, gi splrrelurJ, inctuotng rhepe.ye.looment code, regurailng ir," "'on.'til"ron and use ofbulldlngs, and may be suspended or revoked at any tlmeupon vlolation of any provislons of s"tO'orjtnances. ?r eviewed 2 PI ans Recelpt Numbe 5s Becelved B A Plan Check Fee: Date Paldl DEVELOPMENT CHARGE (SD C)#(B)--e SYSTEMS velopment Charge ls duo on all undevelopedIthln ilre City limlts which are belng improved, Systems De, propertles w ITEM Flx t u res Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home N0 FT. FT, (c) PLUMBING PERMIT Plumblng permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Fireplace Unit Dryer Vent MECHANICAL PERMIT (D)- N0 Mechanical permit I ss u ance State Surcharge Total Permit Fu rn ace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlnedthe completed appilcatlon and Oo nereOf cerilfy that alllnformatlon hereon ls true ancj correct, ani I f urther cerilf ythat any and all work performed shall Ue Oone in accordancewlth the Ordinanccs of the Ctty of sprtngrieio, and the Lawsof the state of oregon pertarnrng to tho work descrlbedheroln, and that NO OCCUPANCY wlll be made o{ anystructure wlthout perrnission of the Bulldlng Safety Divlslon,I further certily that only contractors and-emptoyees whoare ln compliance wtth OFS 7O1.O5S wlll be used on thlsproject. I further agree to ensure that all requlred lns tU Date ? pectlons ararequested at the proper ilm e, that each address ls readablefrom the street, that the pe rmlt card ls located at the frontof the propert the a pproved set of plan ll remalnon the slte construcilo MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk tt Curbcut tt Demolitlon State Surcharge Total Miscellaneous permlts (tr) VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT BECEIVEDroTAL AMOUNT DUE (exctu.dtng erecrricaD . /Zirf/(A, B, C, D, and E'Combtned) BECEIVED BY /44 7, - FT. FEE -