HomeMy WebLinkAboutPermit Building 1997-07-29RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
FIELO
JoB NUMBE R ?2/ :
225 Fifth Street
Sprlngfleld, Oregon 97 477
LOCATION OF PROPOSED WOBK:/2s 5<=a4 ?^
ASSESSORS MAP:
LOT:
-
BLOCK: SUBDIVISIoN
e?-TAX LO-l.a aVaa
PHONE:-/85at5< =A
STATE:ztP;
l./^/24 3 cx"8>CITY:
ADDRESS:
OWNER:
DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL ADDITION
PLUMBING:
MECHANICAL:
ELECTRICAL:
ADDRESS
CONST.
CONTBACTOR 'EXPIRES ,,a PHONECONTRACTOB'S NAME
GENERAL:
* OF BDRMS:
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
RANGE:
QUAD AFEA:
* OF BLDGS:
SECONDARY HEAT:
SOUARF. FOOTAGE:WATER HEATER:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
l-.l TemporarY Electrlc l--l Rough Mechanlcal - Prlor toU cover.
Flnal Plumblng - When all
plumblng work ls complete.
Slte lnspectlon - To lre made
after excavatlon, but Prigr to
setting forms.
Rough Electrlcal - Prlor to
cover.tl Flnal Electrlcal - When all
electrlcal work ls complete.
Underslab Plumblng I Electrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated,
Electrical Servlce - Must be
approved lo obtaln Permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Flreplace - Prlor to faclng
materlals and framing lnsP
n Flnal Buildlng - When all
requlred lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng'Framlng - Prlor to cover.
E Foundatlon - After forms are
erected but Prior to concrete
placement.
l--l otner
E WallrC'elling lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to lllllng trench.[Yl DrYwall - Prlor to taolns
MOBILE HOME INSPE TIONS
Underttoor Plumblng/ Mochanlcal
- Prlor to lnsulatlon or decklng.E Wood Stovo - Aftor lnstallatlon'
Post and Beam - Prlor to floor
lnsulatlon or decklng.
E Blocking and Set.Up - When all
blocklng ls complete.tnserl - After flreplace aPProval
and lnstallatlon of unlt'
Floor lnsulation - Prior to
decklng.Curbcut & APProach - After
forms are erected btrt Prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filllng
trench.Electrlcal Conneclion - When
blocklng, set-uP, and Plumbing
lnspectlons have been approved
and the home ls connected to
the servlce Panel.
Storm Sewer - Prlor to lllllng
trench.
Sldewalk & Driveway - After
excavation ls comPlete, forms
and sub-base materlal ln Place.
Water Llne - Prlor to filling
trench.
E Fence - When coinPleted
Rough Plumblng - Prior to
cover,
Street Tress - When all requlred
trees aro Planted.
Flnal - After all required
lnspectlons are aPproved and
porchos, sklrtlng, decks' and
ventlng have been lnstalled.n r
LAND USE:
n
r
E
E
tl
;l
Lot laces
Lot sq. ttg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sac
( IS THE PROPOSED WORK TN THE "
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REG ISTER?
ll yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordlnator prlor to permit issuance.
APPFIOVED:
PL.HSE GAR ACC
N
S
W
E
VALUE
>(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
1fuao
t.EO'V?G
'i, fi
x $/so. FT.
BUILDING PERMIT
ITEM
Main
Garage
Carport
so. FT.
.t.
BUILDING VALUE, PLAru CHECK
AND BUILDING PERMIT
This permit ls granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, including the
Development Code, regulatlng the constructlon and uee ol
bulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Plan Gheck Fee:
Date Paid:
Recelpt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are belng improved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N'
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unlt
Dryer Vent
MECHANTCAL PERMIT
(D)
No
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe completed appllcation and do hereby cerUfy that altlnformatlon hereon is true and correct, and I further certlfy
that any and a[ work performed shail be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertalnlng to the work descrl.bedhereln, and that NO OCCUPANCy wiil be made of anystructure wlthout permission of the Bullding Safety Dlvislon.I further certlfy that only contractors and employees whoare ln compliance with ORS 701.055 wlll be usect on thlsproject.
I further agree to ensure that all required lnspeclions arerequested at the proper ilme, that each address
from the street, that the permlt card ls located
of the property, and the approved set of plans
Slgnature
Date
ls readable
at the front
will remaln
on n.all times durlng c
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Stale Surcharge
Sldewalk _ ft
Curbcut _ ft
Demolltlon
State Surcharge
Total Mlscellaneous permlts (E)
TOTAL AMOUNT DUE (excluding etectrtca\ /3, Z
(A, B, C, Q and E Combtned)
6.?a
OATE PAID
AMOUNT RECEIVEO
RECE'VED BY
VALIDATION:
RECEIPT NUMBER
FT,
FT.