HomeMy WebLinkAboutPermit Building 1999-08-12RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Oftice:726-3759
LOCATION OF PBOPOSED WORK:
SPRINGFIELO
frto>
l7 bz tL L|
35 s '{
.JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
TAX LOT 0/? ooASSESSORS MAP:
LOT:BLOCK:SUBDIVISION
al!STATE
PHOI"IE:74:126
ZIP:q7"7 ft
33t -5 e{z
CITY:
ADDRESS:
OWNEB:
/L /rz
ON _- DEMOLISH OTHER
DESCRIBE WORK:
NEW-- REMODEL ADD
ADDRESS
,U&
EXPIRES 4, PHONECONTRACTOR'S NAME
GENEBAL:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
A^-r--:^ I diF. 4OO O.,AA
- OFFICE USE -
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour rccordlng. All lnspectlons requested before 7:00 a.rn. will be
made the same worklng day, lnspections requested after 7:OO a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric [-l Rouglr Mechanical - Prior toU cover.
Final Plumbing - When all
plumbing worl( is complete.
Site lnspectlon - To lre made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Eleclrical - Wlren all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Electrlcal Servlco - Must be
approved to obtaln permanent
olectrlcal power.
Flnal Mecharrlcal - When all
anical worl< ls cornplete.
Footlng - After trenches are
excavated.al Building - When all
Flroplaco - Prlor to faclng
materlals and framlng lrrsp.
red lnspectlons have been
Masonry - Steel locatlon, bond
beams, groutlng.
approved an<J buildlng is
completed.
- Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover,
Underground Plumbing - Prior
to fllllng trench.[-l Drywall - Prlor to taplnO.
MOBILE HOME INSPE TIONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Slovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulation or decking.lnsert - After flreplace approval
and lnstallatlon oI unlt.
Blocking and Set.Up - When all
blocklng is complete.
Floor lnsulatlon - Prior to
decKing.l--l Qurb*rt & Approach - Afteru forms are er(.'cted but prior to
placomont ol concretcl.
Plumbing Connectlons - When
home has been oonnooted lo
water and sewer.
Sanltary Sewcr - Prlor to lllllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Stonn Sewer - Prior to filling
trench.
[--l Sidewall< & Drivew;ry - After.J excavation ls complete, forms
and sub-base materlal ln place,
Water Llne - Prlor to filling
trench.
Fence - When cciilpleted.
Slreet Trees - When all required
trees are planted.
Final - After all required
lnspectlons are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
tl
Rough Plumblng - Prior to
cover.
PLUMBING:
E
tl
E
E
E
E
E
E
tl
E
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterior
-
Corner
-- Panhandle
-
Cul-de-sac
Selbackc
PL.HSE GAR ACC
N
S
E
IS THE PBOPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE }{ISTORICAL REGISTER? --lf yes, this applicatlon must be signed
arrd approved by the Historical
Coordinator prior to permit issuance.
APPROVEO:
VALUE
jrey_
(A)
.rb
5b
X $/SO. FT.
tro6Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrnrit is granted on thc express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbuildings, and may lte sus;tr:nded or revokod at any time
Plans Rcviewed By Date
upon violation of any provision f said ordinances.
Plan Check Fee:
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
FEE
(c)
N.
FT.
FT.
Besidential Bath(s)
Plumbing Permit
Stato Surchargo
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
Sanitary Sewer
Water
Storm Sewer
Moblle Home
. FT.
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust l{oorl
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Meclranical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accortJance
with the Ordinances of thc City of Sprlngfir.,ld, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be macle of any
structure wi thout perrnission of the Builcling Safety Division.
I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be used on thls
project.
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 permit card ls located at the front
of the property, and the approved set of plans will remain
Slgnatu re
o^rc ),/t z bc
on the site at times during c
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Miscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Comblned)
l4,L
VAI.IDATION:
FIECEIPT NUMBEFI
DATE PAII)6
AMOUNT RECEIVED
A35r?7
q
RECEIVED BY
Z