HomeMy WebLinkAboutPermit Plumbing 1993-06-24SPR!NGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
LOCATION OF PROPOSED WORK:-
ASSESSORS MAP:=TAX LOT:a3
LOT:BLOCK:SUBDIVISION
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m' will be made the following work day'
REQUIRED INSPECTIONS
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Rough Electrical - Prior to
f_l Temporary Electric
ll
Site lnspection - To be made
af ter excarvation, but Prior to
setting fr:rms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
bearns, groutin0.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Posl and Beam - Prior to floor
insulation or decki ng.
Floor lnsulation - Prior to
decki ng.
cover.
Electrical Service - Must be
approved to obtain oermanent
electrical power.
Fireplace - Prior to facing
materials and f raming lnsP.
Framing - Prior to cover,
Wall/Ceiling lnsulation - Prior to
cover,
Final Electrical - When all
electrical work is comPlete.
Final Mechanical - When all
mechanical work is comPlete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set'UP - When all
blocking is comPlete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-uP, and Plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venring have been installed.
Sanitary Sewer - Prior to fillirtg
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
l--.l Drywall - Prior to taoing.
Wood Stove - After installation
lnsert - After firePlace aPProval
and installation of unit.
Curbcut & APProach - Aiter
fornrs are erected but Prior to
placernent of concrete.
Sidewalk & DrivewaY - After
excavatiot-t is comPlete, forms
and sub-base material in Pla.e.
Fence - When comPleted.
Stieet Trees - When all required
tr.lcs iit'e Pianted.
PHONE:
ZIP:STATE:
OWNER:
ADDRESS
CITY:
NEW- -,,- REMODEL ADDITION DEMOLISH OTHER
I
DESCRiBE WOFIK:
PHONEEXPI RESADDRESSCONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
G ENERAL:
PLUMBING
RANGE
" OF BDRMS:
OUAD AREA:
_ OFFICE USE -
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTFI. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS, OF BLDGS: -,-
OCCY GROUP:
r OF STORIES:
w
Rough Plumbing - Prior to
cover.
T
tl
r
r
n
E
E
t_l
t]
fl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-
Panhandle
-* Cul-de-sac
Setbacks
P.L.HSE ACC
N
S
E
GAR
BUILDING PERMIT
ITEM SQ. FT.
Main
X $/SQ. FT.VALUE
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the 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 of
buildings, and may bc suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
-Date Paid
Receipt Nutnber:- -
Received By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
I ly'/r- -DFT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge
%-
(c)-?-.:4.2-*
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certi{y
that any and all work pr..vfqrnJecj shall be cionc in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permissic,n of the Builcling Safety Division.
I f urther certi{y that only corltractors and em1;loyees who
are in compliance wilh ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the propcr time, that each address is readable
from the street, that tlre permit card is located at the front
of the property, and the approved set of plans will remain
on the si times during construction
Signa
Date
VALIDATION:
BECEIPT NUMBER -
DATE PAID =
AT,4OUNT RECEIVED
RECEIVEP BY
<e
er.E>
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OFI ON
THE HISTORICAL REGISTER?
-
lf ycs, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED: