HomeMy WebLinkAboutPermit Building 1999-10-21SPRIN FIELDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
jNf tJOB NUMBER
225 Fifth Street
Sprirrgfleld, Oregon 97 477
LOCATION OF PROPOSED WOFIK:Z tcs 2.2-
ASSESSORS MAP:/7 o 7 V Q/3 TAX LOT o zfioo
LOT BLOCK:SUBDIVISION
73PHONE:
STATE ztP:@,q)(77
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCBIBE WORK:
EXPIFIES
b*s(AILB*
MECHANICAL:
ADDRESSCONTBACTOR'S NAME
CONST.
CONTRACTOR #'1 PHONE
7 46 - zfF6GENERAL:
PLUMBING
- OFFICE USE -
t'
SECONI]ARY HEAT:\
ZONING CODE:
ATTFNTo
o
0090" Yc
UdsODAYWATER H
FLOOD I)LAIN:
I OF BDBMS:
follow rrrir
RANGE:
ORIS#oF HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Th
made the same worklng day, lnspections requested
[-_.l femporary Etecrrtc
ls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll beafter 7:O0 a.m. will be macle the following work day.
REOUIRED INSPECTIONS
l-l Underslab Ptumbing/ Electricat/
-
Mechanlcal - prior to cover.
l--l Masonry - Steet locaflon, bond
-
beams, grouilng.
Foundatlon - After forms areerected but prlor to concreteplacement.Wall/Ceiling lnsulation _ prior tocover.
[-l Unaerground ptumbins - prior
'J to fllling trench [-l Drywall - prlor to taping
fl Un{erltoor ptumbtng/Mechantcal
prior to lnsulatlon or decklng.Wood Stovo - After lnstailation
Post. and Beam - prlor to floorlnsulatlon or decklng.
Floor lnsulalion - prior todecklng.
Sanltary Sewer - prior to flllingtrench.
Storrn Sewer - prior to fillingtrench.
Water Llne - prlor to fillingtrench.
Rough plumbing - prlor tocover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - prlor to faclng
materlais and framing lnsp.
Final Building - When altrequired lnspections have beenapproved and building iscompleted.
[-_l Framlng - prior to cover,
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Footlng - After trenches are
excavated.
Rough Mechanical - prior to
cover.
Rough Electrical - prior to
cover,
Final Plunrbing - When allplumbing worl< is complete.
Final Electrical - When allelectrical work is complete.
Final Mechanical - When allmechanical work is complete.
ll1it 1- After ftreptace approvqlano installatlon of unlt.
Curbcr,rt & Approach _ Afterrorms are erected but prior topracemcnt of concrete.
Sidewalk & Driveway - Afterexcavation Is complete, formsand sub.base material ln place.
Fence - When coiilpleted.
MOBILE HOME INSPECTIONS
[-l eloci(ing and Set.Up _ When ail
-
blocking is cornpleie.
lLlTtrins Connecilons _ Whennome has been connected towater and sewer.
Electrical Connection _ When
l,::lLlp, set-up, ano prumoinstnspections have been approvedafld the.home is connected torne service panel.
I i;:T:t"l:H;Iten arr requrred
Final - After all requiredIn_spections are appioved and
.p.ll!,1""1 skirring, decks, anctvenung have been lnstailed.
'T
ELECTRICAL:
ThtA}IbHRE,
NOTrs,
EXPIREIF
TYPE:
--
E
I--l ottrer
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
--
Corner
-- Panhandle I
-
Cul-de-sac
Set IS THE PROPOSED WORK TN THE ". HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls application must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
(A)
MrrBUILDING PER
ITEM SO.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
';t
X $/SQ. FT.
This permit is granted on the express condition that the said
construction shall, in all respects, cohform 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 Reviewed By Date
Fleceipt Numbe
E,
PE
G HNLALd EC K
D N G MR IT
Plan Check Fee:
Date Paid
Received By:
BUILDING
AND BUIL
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
2{"
z7*
FEE
t>
(e2
(c)
N.
FT.
FT,
?s e'
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I further certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfir:ld, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without pertnission of the Builclitrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
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
and the approved set of plans will remaln
sls
Date
of the prope
all times during constructlonon the
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
(D)
(E)
No
Tota I Miscellaneous Permits
Vent Fan
Mechanical Permit
lssuance
State Surcharqe
Total Permit
Mobile Home
State lssuance
State Surcharge
Sidewalk .-..- ft
Curbcut ---- ft
Demolition
State Surcharge
MECHANICAL PERMIT
Furnace
Exhaust llood
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
VAI.IDATION:
RECEIPT NUMBER 0 3bor f
o zt /1DATE PAID
AMOUNT HECEIVED
HECEIVED BY
-2-l
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