HomeMy WebLinkAboutPermit Plumbing 1997-11-06GFIELE,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:BLOCK:
JOB NUMBER
225 Fifth Street
Springtleld, Oregon 97 477
TAX LOT
SUBDIVISION: -
OWNER:
ADDR
-ctTY:STATE:
PHONE:
ZIP:
ADDITION DEMOLISH OTHERNEW- REMODEL
DESCRIBE WO
ADDRESS EXPIRES ,.1 PHONECONTBACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
\
lq No1
_ OFFICE USE -
r OF BDFIMS:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER
E OF UNITS:.*rORK
SECONDARY HEAT
SQUARE. FOOTAGE:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
* OF STORIES:
To request an lnspectlon, you m 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same working day, lns ter 7:00 a.m. wlll be made the following work day.
N{REQUIRED INSPECTIONS
Temporary Etectrlc Rough Mechanlcal - Prior to
cover.
Flnal Plumbing - When all
plumbing worl( is complete.
Site lnspectlon - To be madc
after excavation, but prior to
setting forms.
[--l Rough Electrical - Prior tot--l cover.
Final Electrical - When all
electrical work is complete.
Underslab Plumblng/ Electrlcal /
Mechanlcat - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
oxcavated.Flreplace - Prlor to facing
materlals and framing lnsp.
Flnal Bullding - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Other
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to {illlng trench.Drywall - Prlor to taping.
MOBILE HOME INSPE TIONS
Underltoor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallation.
Posl and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace aPProval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulalion - Prior to
decking.Curbcut & Alrproaclr - After
forms are erected b(tt Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
Sidewalk & Drivewav - After
excavation is complete, forms
and sub-base material in Place.ch.
Water Llne - Prlor to lilling
trench.
Fence - When ccillPleted.
Str€et Treos - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.Rough Plumblng - Prlor to
cover.
ql A
CONSTR.
LAND USE:
E
tl
E
E
E
E
E
D
tl
E
fl
E E
tl
E
fl
tl
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type-
-
lnterior
-
Corner
-
Panhandle !'
-
Cul-de-sac
i- IS THE PROPOSED WORK iN THE .
HISTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPFIOVED:
P.L,HSE GAR ACC
N
S
E
VALUE
(A)
t
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
i
BUILDING PERII'IIT
ITEM
Main
Garage
Carport
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordlnanceadopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
lUe, i5taN cHEcK
Plans Reviewed By Date
Date Paid
Receipt Number
Received By:
Plan Check Fee:
BUILDING
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Slorm Sewer
Moblle Home
FEE
3b
(c)
N.
FT.
Plumblng Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true ancl correct, and I f urther cerufy
that any and arl work performed shail be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed
herein. and that NO OCCUPANCy will be made of any
structure wlthout permission of the Building Safety Divislon.I further certify that only contractors and employees who
are in compliance with ORS 70.1.05S will be used on thlsproiect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
and the approved set of plans wlll remaln
Date
S
on the si at all times during construction
of the
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -._- ft
Curbcut
--
ft
Oemolitlon
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, Q and E Combtned)
AMOUNT RECEI ED
VALIDATION:
RECEIPT NUMBER
DATE PAIi')
RECEIVED BY
FT.