HomeMy WebLinkAboutPermit Building 1999-07-06SPRINGFIELORESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
,s ---,
?? o s7 7JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PBOPOSED WORK:2ss s
ASSESSOBS MAP:LleZ 7/ L{Z TAX LO]:o lYoa
LOT:BLOCK:
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m, wlll be macje the followlng work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.l--l Flnat Plumblng - When alt]J plumblng worl< ls complete.
E
E
Slte lnspectlon - To lre made
after excavatlon, but prior to
setting forms.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.
- After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prlor
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decking.
Floor lnsulation - Prlor to
decklng.
Sanltary Sewer - Prlor to lllllng
trench.
Slorm Sewer - Prlor to fllllng
trench.
Rough Electrical - Prlor to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framing lnsp.
ng - Prior to cover,
Wall/Celling lnsutatlon - Prlor to
cover.
Final Electrical - When all
electrical work is complete.
Final Mechanlcal - When all
mechanical work is complete.
Bui
red
ilding - When all
lnspectlons have been
l--l Drywatl - Prlor to taplng.
Wood Slovo - After lnstallation.
lnserl - After flreplace approvsl
and lnstallatlon of unlt.
Curbcut & Approaclr - After
forms are erected but prior lo
placement of concrete.
Sidewalk & Drlvewav - After
excavatlon ls complete, forms
and sub-base materlal in place.
n Fence - When cornpteted
Street Trses - When all requlred
trees are planted.
approved and bulldlng is
comploted.
Othor
MOBILE HOME INSPE TIONS
Blocking and Set.Up - When all
blocklng ls complete.
Plumbing Connections - When
home lras been connected to
water and sewer,
Electrical Connection - When
blocking, set.up, and plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
PHONE:
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OtLSTATE:ZlPi 4lr{z r
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CITY:
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cra- f/o
ADDRESS:
OWNER:
NEW- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK: -----r
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ADDRESS TRACTOR EXPIRES ,1r PHONECONTBACTOR'S NAME
MECHANICAL:
ELECTBICAL:
GENERAL:
PLUMBING
RANGE:
- OFFICE USE -
WATER HEATER:
OUAD AREA:
I OF BLDGS:
SECONDARY HEAT
SQUARE FOOTAGE:
# OF BDRMS:
-
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
----
E
SUBDIVISION: -
tl
I
Er
E
E tl
[--l Water Llne - Prlor to fillingu trench.
l--l Rough Plumblng - Prlor toU cover.
FLOOD I)LAIN:
ZONING CODE:
tl
't,' ,' .i ?l*l
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle I
-
Cul-de-sac
THE ,D WORK IN THE .
RICT, OR ON
.HISTORICAL
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlOr to permit issuance,
APPROVED:
PL.HSE GAB ACC
N
S
E
VALUE
tr 58{
{'(.5)
?{b
(o,fb _
(A)
port
Total Value
Building Permit Fee
State Surcharge
Total Fee
'ii t
X $/SQ. FT.
., '}: I .l
BUILDING PERNIIT '
ITEM SQ. FT.
Main
Garage
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordindnce
adopted by the City of Springfie1d, including tlle
Development Code, regulating the construction and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violation of any provislons of sald ordlnances.
Plans Fleviewed By Date
Plan Check Fee:72.7 9
Date Pald:
Repelpt Num
Received By:
BUTLDII\iG VhIrJe
AND BUILDING P
r).
, PLAN CHECK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Fixtures
Besidentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
N.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
z-
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total. Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I further 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 perlalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are In compllance with ORS 701.055 wlll 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
lrom the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Date
on the site at all times duri ng construction.
Slgnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
ToTAL AMOUNT DUE (excludtng etectrica D .3J 3 ?
(A, B, C, Q and E Comblned)
3,t7t/ I
1r
VAI.IDATION:
RECEIPT NUMBER
DATE PAII)
AMOUNT BECEIVED
RECEIVED BY
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