HomeMy WebLinkAboutPermit Building 1995-03-14t
SP;l!I\lGFIELI)
RESlDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
JOB NUMBER
225 Fif th Street
Springfleld, Oregon 97 477zLOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:TAX LO]I
BLOCK:
PHONE:
ZIP:STATE:
-77{'746-Sto Y). 3en*OWNER:
ADDRESS:
CITY:
NEW
--
REMODEL ADDITION DEMOLISH OTHEFI
DESCRIBE WORK
NAME ADDRESS
ry
EX P I R
S L
{
ESCONTBACTO PHONE
ELECTRICAL:
G EN ERAL:
MECHANICAL:
PLUMBING
CONST.
CONTRACTOR '94-15-1+r1-
RANGE:
r OF BDRMS:
_ OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
I OF UNITS:
OUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you musl call 726-3769. Thls ls a 24 hour recordlng. All Inspections requested before 7:00 a.m. will be
made the sanre working day, lnspections requested after 7:00 a.m, wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Final Plumbing - When all
plumbing worl( is complete.
Site lnspection - To be made
af ter excavation, but prior to
setting forms.
Final Electrical - When all
electrical work is complete.
Electrical Servlce - Must be
approved to obtaln permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Jyl Footlng - After trenches are
7 excavaled.Fireplace - Prlor to faclng
materlals and framing lnsp.
N/flnut Buildinq - When alt
-flrequlred lnsp-ections have beenG approved and building is
completed.Masonry - Steel location, bond
beams, groutlng,Framlng - Prlor to cover.\
l\f4oundatlon - After forms are
t*tected but prlor to concrete/ placement.
Other
Wall/Ceiling lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to f illlng trench.Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulatlon or decking.Wood Stovo - After lnstallation
and Beam - Prior to floor Blocking and Set.Up - When all
blocking ls complete.sulation or decking lnsert - After fireplace approvql
and lnstallatlon of unlt.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Eleclrical Connection -.Whenblocking, set-up, and plumbing
inspections have becn approved
and the home is connected to
the service panel.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
Fence - When completed.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
venting have been lnstalled.Rough Plumbing - Prior to
cover.
E
,l
?go <2./
// ,a n-a
,a/ - - \-/
SUBDIVISION:
-
t
[--l Rough Mechantcal - Prlor toU cover.
[-l Rough Electrlcal - Prlor toU cover.r tl
l-_l Underslab Plumbing/ Electrical /
'J Mechanical - Prior to cover. I I tl
r
tl
fl
fi;:X5.Sewer - Prior to rirrins
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty1
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbac IS THE PROPOSED WOFIK IN THE
HISTOFIICAL DISTRICT, OR ON
rHE HISTORICAL REGISTEFI?
-
lf yes, this applicatlon must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
P.L.HSE GAR ACC
N
S
E
193 + z,zs --2.1/
VALUE
q1 ,t r
ft "tT
(A)
X $/SQ, FT.
//r- <o
w/^.O't s^o14,
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERM!T
ITEM SQ. FT.
Main
Garage
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 Ordi.nanceadopted by the City of Springfield, including the
Development Cocje, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:__
7-
Plan iewed l3y /#-Received B
Date Paid
Plan Check Fee:,\/4
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
/?rs '75
(c)
N0
ao
PLUMBING PERMIT
2- ee
FT.
Plumbing Permlt
State Surcharge
Total Charge
- FT.
.) a az)- lt
ADDITIONAL COMMENTS
M ECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
lnformation hereon is true ancl correct, and I f urther certily
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy wiil be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 70j.O5S will be used on thls
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
nstruct
gnature6,
Date
on the site at all times durin
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut * ft
Demolition
State Surcharge
Total Miscellaneous Permi,ts (E)
TOTAL AMOUNT DUE (exctuding clectricat)
(A, B, C, D, and E Combined)
7t r/
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
,