HomeMy WebLinkAboutPermit Plumbing 1996-04-29SP]tI]tGFIELE)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
h,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:DZ)oo
BLOCK:SUBDIVISION
PHONE
ZIP:STATE:CITY:
ADDRESS
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
GENERAL:
MECHANICAL:
EXPIRES PHONEADDRESSCONTRACTOB'S NAME
PLUMBING:
CONST.
CONTRACTOR #
r OF BDRMS:
- OFFICE USE -
LAND USE:FLOOD PLAIN
r OF UNITS:
RANGE:
SECONDARY HEAT:
SOUARE. FOOTAGE:
QUAD AREA:
I OF BLDGS:ZONING CODE:
WATER HEATEB:
OCCY GROUP:
I OF STORIEST
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a'm. wlll be
made the same worklng day, lnspections requested after 7:OO a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
l-l femporary Electrlc Rough Mechanlcal - Prlor to
cover.
[---l Flnal PlumbingtJ plumblng worl<- When all
ls complete.
Site lnspectlon - To be made
after excavation, but Prior to
setting forms.
Rough Electrlcal - Prior to Flnal Electrlcal - When all
electrical work ls comPlete.cover,
Understab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Electrlcal ServlcE - Must be
approved to obtaln Permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanical work ls comPlete.
Footlng - After trenches are
excavated.[l Flreplace - Prlor to faclngu materlals and framlng lnsP.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.f] Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement,
WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prior to insulatlon or decklng.Wood Stovo - After lnstallation.
Post and Beam - Prior to floor
insulation or decking.lnserl - After flreplace apProval
and lnstallatlon of unlt.
Blocking and Set.UP - When all
blocklng ls comPlete'
Floor lnsulation - Prior to
decking.Curbcut & AJrProach - After
forms are erected but Prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-uP, and Plumbing
lnspections have been approved
and the home is connected to
the service Panel.
[--l Sidewalk & Drlveway I AfterU
"*car.tion ls complete,'forms
and sub'base materlal in Place'Storm Sewer - Prlor to fllllng
trench.
Water Llne - Prlor to filllng
trench.
l-l Fence - When comoleted
Final - After all required
lnspectlons are aPProved and
porchcs, skirtlng, decks, and
venting have been lnstalled.Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are Planted.E
W
t
E
tl
tl
l--.-l othertt
tl
tl
tl
E
n
F,,**ry
sewer - Prlor to rlrrrns
tl
tl
E
l-_l Drywall - Prlor to taplng.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total hetght
Lot Ty _
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ks IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicailon must be signedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
HSE ACC
N
S
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Thls permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use otbulldings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
DatePlans Reviewect Ely
Receipt Numbe
BUI LDI NG
AND BUIL
E, I
PE
p NLA Hc cE K
D GN R M T
Date Paid
FleceivecJ By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within ilre City linrits which are being improved.
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
No
FEE
2".<6tt--. /-FI
FT.
FT.
.'2z?o2*,7f
(c)
Plumbing Permit
State SurcharOe f, Zf
Total Charge
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I slate and agree, that I have carefully examlnedthe completed applicailon and do hereby cerilfy that alllnformatlon hereon is true anc, correct, ancl I f urther cerilfythat any and ail work performed shail be done in accordancewlth the Ordinances of the Clty of Sprlngfield, and the Lawsof the State of Oregon pertalnlng to the work describedhereln, and that NO OCCUPANCy wilt be made of anystructure wlthout permission of the Buildlng Safety Divislon.I further certlfy that only contractors and employees whoare ln compllance with ORS 701.055 will be used on thisproiect.
I further agree to ensure that all required insrequested at the proper ilme, that each add
from the street, that the permlt card lsof the property, and the approved set
pections are
ress is readable
located at the front
of plans will remainon the slte at all ti ring c ruction.
ignature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk -=--- ft
Curbcut ._.-- ft
Demolition
State Surcharge
Total Miscellaneous pennits (E)
TOTAL AMOUNT DUE (exctudinq etectricat)(A, B, C, D, and E Combined) '-ZZ&2 a?
VALIDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
27.*
-