HomeMy WebLinkAboutPermit Plumbing 1999-09-01SPRINGFTELE'RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
??trqrJOB NUMBER
225 Fifth Street
Sprlngflelrl, Oregon 97 477
LOCATION OF PROPOSED WORK:\%vlro,A a\c
ASSESSOBS MAP:flo335rr TAX LOT m700
LOI
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BLOCK:SUBDIVISION
PHONE:
ZIP:STATE:
OWNER:
ADDRESS:
CITY:
NEW
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REMODEL ADDITION DEMOLISH OTHER
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DESCRIBE WORK:
ADDRESS
'7
CONST.
CONTFIACTOR #EXPIRES ,, PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
- OFFICE USE -
center
loN:uregu
r.T
952'001d OF STORI
WATER H
OCCY GRO
QUAO AREA:
r OF BLDGS:
To reques an NS pect lon,call 726-3769.Th ls ls a 24 hou record ng.AI NS pec tl ons requ ested be fo 7:00 il berea.m.made he same worklng day,ns pect lon S requested af ter 7:00 a.m.lil be made he fol low ng wo rk day.
REQUIRED INSPECTIONS
l-l Temporary Etectrlc Rough Mechanical - Prlor to
cover.
Flnal Plumblng - When altplumblng worl< ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng forms.
Flnal Electrlcal - When all
electrlcal work ls complete.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Service - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal work is complete.
Footlng - After trenches are
excavated.[-l Flreptaco - prlor to factng
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materlals and framlng lnsp.
Flnal Buildlng - When allrequlred lnspectlons have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Framlng - Prior to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Celllng lnsulallon - prlor to
cover.
Underground Plumblng - prlor
to fllllng trench.l--.l Drywalt - prtor to taptng.
l--l Underltoor Plumbtns/MechanlcalI I - Prlor to tnsutatto-n .r J;;kI;g: n wood slovo - After lnstatlatlon
MOBILE HOME INSPECTIONS
E Posl and Beam - Prlor to floor
lnsulatlon or decklng.I-l lnsert - After ftre;:tace approval
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and lnstallatlon of unlt.
[-l glocking and Set.Up - When ail
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blocklng ls complete.
Floor lnsulatlon - Prlor to Plumblng Connectlons - Whenhome lras been connected towater and sewer.
ng Curbcr,rt & Agrproach - Afterforms are erected but prior toplacement of concrete.Itary Sewer - prlor to fllllng
h.
[--l Storrn Sewer - Prior to fllilng
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trench.
Sidewalk & Driveway - Afterexcavatlon ls complete, forms
and sub-base materlal ln place.
Electrlcal Connection - Whenblocklng, set.up, and plumblng
lnspections have been approvedand the home ls connected tothe servlce panel.
l-_l Water Llne - Prtor to flling
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lrench.
Fence - When coiitpleted.
Rough Plumblng - Prlor to
cover.T_l Street Trees - When all requlred
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trees are planted.
Flnal - After all requiredlnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
c
tl [-l Rough Elecrrical - prlor tot----J cover. I I
E
[-_l othertl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ--
-
lnterlor
-
Corner
.- Panhandle !
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Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
I
S
E
IS THE PROPOSED WORK TN THE .
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
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l( yes, thls applidatlon must be slgned
and approved by the H istorlcal
Coordinator prlot to permlt issuance.
APPFIOVED:
BU I LDI NG
AND BUIL
LIJE,
GPE
LAN CHECK
DIN RMIT
Thls permit is granted on the cxpress conditlon 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 of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plan Check Fee
Date Paid:
Recei pt Num
Received By;
Plans Reviewed By Date
Systems Development Charge ls due on all undeveloped
properties withln tho City limits which are being lmproved.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby certlfy that all
lnformatlon hereon ls true anct correct, and I f urther certlfy
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 pertalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlthout pertnission of the Bullctlng Safety Division.
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 ,roved set of plans wlll remaln
ng gonstructlon.
Slgnature
Date
on the site at all tim
VAI-IDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVF.D
f{o
VALUE
(A)
Mrr i
Total Value
Building Permit Fee
State Surcharge
Total Fee
,.
1
X $/SQ. FT.
BUILDING PER
ITEM SQ.
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
2t*SO,
,i, n
4)2f ?A.
(c)
Nt
FT.
FI
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
. FT.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT OUE (excluding electrlcal)
(A, B, C, Q and E Comblned)RECEIVED BY
)rn
.' J., :n:
. l,t 1