HomeMy WebLinkAboutPermit Plumbing 1999-12-22>Ai
IlYGFIELEDRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 efi,
.roB NUrvrBEa 33,12a -
225 Fifth Street
Sprirrgfleld, Oregon 97477
LOCATION OF PROPOSED WOBK:/l ts z 52-
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LOT:BLOCK:SUBDIVISION
ZIP: r-u77STATE:
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CITY:lPFz-a
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISI-I OTHER
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DESCRIBE WOFIK:
MECHANICAL:
-
ELECTRICAL:
-
ADDRESS L-XPIRES a PHONECONTRACTOR'S NAME
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE
# OF BDRMS
_ OFFICE USE _
WATER HEATER:
ZONING CODE:* OF UNITS:
QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARF. FOOTAGE:
LAND USE:
OCCY GROUP:
E OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
To request an inspection, you must call 726-3769. Thls ls a24nour recording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested af ter 7:00 a.m. will be macle the following work day.
REOUIRED TNSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumbing worl< is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Electrical Service - Must be
approved to obtairr permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
Fireplace - Prlor to facing
materlals and framing lrrsp.
Flnal Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l--j Framlng - Prior to cover.
Foundallon - After forms are
erected but prior to concrete
placernent.
Other
Wall/Cetllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to {llling trench.Drywall - Prior to taping.
MOBILE HOME INSPE TIONS
Underlloor Plumbing / Mechanical
- Prior to insulation or decking.Wood Stove - Afler lnstallation
Post and Beam - Prior to floor
lnsulation or decking.lnserl - After fire;rlace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbctrt & AJrprroach - After
forms are erocted but prior to
placemcnt of concrete.
Plumbing Connections - When
lrome lras been connected to
water ancl sevJer;E
E
E
Sanitary Sewer - Prior to filling
trench.Electrlcal Connectlon - When
blocking, set-up, and plumbing
inspections l'lave been approved
and the homo l! connoctqd to
the service panel.
Storrn Sewer - Prior to filling
trench,
Sidewall< & Driveway - After
excavation is complete, forms
and sub-base material ln place.
Water Line - Prlor to filling
trcnch.
Fence - When coilpleted.
Rough Plumbing - Prior to [itreet Trees - When all required
trees are planted.
Flnal - Alter all requlred
inspections are approved and
porches, skirting, decks, and
ventlng have been lnstalled.cover.
.4,t?
FLOOD })LAIN:
E
E
E
fl
l-| Footlng - After trenches arelJ excavated.
tl
E r
fln
tl
E
tl r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
--
lnterior
--
Corner
-- Panhandle
-
Cul-de-sac
PL.}"ISE GAR ACC
N
S
E
Setbacks IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this application must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
VALUE
(A)
X $/SQ. FI.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUTLDING VALUE, PLAN CHECK
AND BUILDING PER|IJ|IT
This pernrit is granted on the express concJition 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 time
upon violation of any provisions of said ordinances.
Receipt Number:__._
DatePlans Rcviewed By
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
/2.:o
N.
FT
Lr--aa
FT.
e?
AO(c)
72IPlumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert / Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnacc
Exhaust llood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I lurther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Sprlngfir:ld, 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 perrnission of the Builcling Safety Divislon.
I further certify tllat only contractors and enrployees who
are in cornpliance with ORS 701.O55 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tl're street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --- ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
/''/Zr*?bTOIAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined)
VAI-IDATION:
FIECEIPT NUMBER
DATE PAID
-J3:22,?2AMOUNT RECEIVED
FIECEIVED BY
1* i2
Plan Check Fee: _
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