HomeMy WebLinkAboutPermit Building 1997-10-21RESIDENTIAL
PERMIT APPLICATTON
lnspections: 720-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
hrG
2a
JOB NUMBER
225 Fifth Street
Spri ng f leld, Oregon 91 471
TAX LOT /*?LOT: BLOCK:SUBDIVISION
PHoNE: 226-?ZB
STATE:ZIP:
CITY:
ADDRESS:
OWNER;
NEW
-
REMODEL ADD|T|ON DEMOLTSH oTHER
DESCRIBE WORK:
A Va EXPIRES : PHONE
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
QUAD AREA:
I OF BLDGS:, OF UNITS:
-
ZONING CODE:
CONSTR. TYPE
HEAT SOURCE:
- OFFICE USE -
LAND USE:
Electrlcal Service - Must be
approved to obtain permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Wall/Celling lnsulatlon - Prlor to
cover.
Drywall - Prior to taplng.
Wood Stovo - After lnstallation.
lnsort - After flreplace approval
and lnstallatlon of unlt.
Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Drivewav - After
excavation ls complete, forms
and sub-base material in place.
Fence - lvhen coinpleted.
Street Trees - When all required
trees are planted.
FLOOD I)LAIN:
, OF BDRMS:
-
OCCY GROUP:
* OF STORIES:
WATER HEATER RANGE:
SECONDARY HEAT:
SOUARE. FOOTAGE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wi1 bemade the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Final Plumbing - When ailplumbing worl< ls complete.
[l Rough Mechanlcal - Prior tol4 cover.
ffi Rough Electrical - Prior to-7- COVer.
Slte lnspection - To be made
after excavatlon, but prior to
setting forms.
Underslab Plumblng / Electrical /
Mechanlcal - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng I Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to lloor
lnsulatlon or decklng.
FIoor lnsulation - Prior to
decking.
Sanltary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to fllling
trench.
Water Llne - Prlor to filling
trench.
Rough Plumbing - Prlor to
cover.
ffi Finat Electrlcat - When ailF electrlcal work is complete.
ll Final Mechanlcal - When ail!f{' mechanlcal work ls complete.
fl/ Flnal Building - When ailf, required lnspectlons have been\ approved and building is
completed.
E
w
Other
MOBILE HOME INSPE TIONS
Blocking and Set.Up - When all
blocklng is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Conneclion - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Final - After all required
inspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
e-zspz_
tl
E
flE
!t ' - t;r,
Setbacks
P.L.HSE GAR AGC'
N
S
E
HE PROPOSED WORK TN THE.
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de'sac
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Fleceipt Number:-
Plans Fleviewed By Date
BUILDING LU
Plan Check Fee:
Date Paid
Fleceived By:
AND BUILDING
e, i5tRu cHEcK
PERMITBUILDING PERMIT ,
VALUE
r'eoe
(A)
lr
?effi
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SQ. FT.
Systems Development Charge ls due on all undeveloped
properties withln tlre City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
70v
ei,%
v2" /2(c)
N'
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
MECHANICAL PERMIT.
Furnace / l64ras 42€
Exhaust Hood
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)6.20
No
,^*//'q?
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work described
herein, and that NO OCCUPANCY wlll be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
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 permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during construction.
Slgnat
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrlcat)
(A, B, C, Q and E Comblned)lzef
DArE PA|D 1,a^2/'2-
2
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER