HomeMy WebLinkAboutPermit Building 1994-09-15SPFlINGFTELT'
R
P
ESIDENTIAL
ERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
3 saLOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT
SUBDIVISION:LOT:BLOCK:
(
6-oPHONE:a3
ZIP:
OWNER:
ADDRESS:
CITY:
DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL ADDITION
MECHANICAL:
-
AD EXPIBES PHONE15
E
I f z9t
ELECTRICAL:
PLUMBING:
GENERAL:
CONST,
CONTRACTOR #
RANGE:
FTOOD PLAIN
- OFFICE USE -
LAND USE:
ZONING CODE:I OF UNITS:
, OF BDRMS: .-
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:SECONDARY HEAT:
SQUARE FOOTAGE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.l--l Flnal Plumbing - When ail|J plumblng work is complete.
Slle lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
ll Rough Electrical - Prlor tot-J cover.Flnat Electrical - tA,tren all
electrical work is complete.B
Underslab Plumblng/ Electrical /
Mechanlca! - Prlor to cover.Electrlcat Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are F Flnal Buildlng - When ail
requlred lnspectlons have been
approved and building is
completed.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Masonry - Steel locatlon, bond
beam9, groutlng.Framlng - Prlor to cover.X Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.n Drywall - Prlor to taping
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
pf nost and Beam - Prior to floorDl*lnsulatlon or decklng.Inserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - Whep ail
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior to
placoment of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrical Conneclion - When
blocking, set-up, and plurgbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base material ln place.
Water Llno - Prlor to filllng
trench.
Fence - When completed
Streel Trees - llhen all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prior to
cover.
?i, / ;
/n
SIATE:
WATER HEATER:
E
E
tl
E
E
tl
tf
E
E
tl Other
-
fltl
tl
E
1:1
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
i iS THE PROPOSED WORK tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPFIOVED:
P.L.HSE GAR ACC
N
S
E
1o6.f,o
8Z-^?f ^'u-rn'
X $/SQ. FT. = VALUE
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
",v,) ?o ad+r*.t. --)aa-(A) ?,?,fr
BUILDING PERMIT
ITEM SQ, FT.
Main
Gaqage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Spri ngfield, 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 sald ordinances.
Receipt Number:-
iewed By 34{r/P
Plan Check Fee:
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limlts which are being improved.
ITEM
Fixturest
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
No
FEE
FT.
FT.
(c)
PLUMBING PERMIT
Plumbing Permit
State. Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuahce
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Bullding Safety Dlvislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
Proiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved
tructXSDate
on the site at all times duri ng
ans wlll remaln
natu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(4, B, C, D, and E Comblned)
RECEIPT N
DATE PAID
AMOUNT H
RECEIVED
72/
2
BY
VALIDATION:
UMBER
ECEIVED
,1,, ,
FT.
7z ??