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
-