HomeMy WebLinkAboutPermit Plumbing 1994-05-31RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PRO
ASSESSOFIS MAP:
LOT:BLOCK:
JOB NUMBER
225 Flfth Street
Springfleld, Oregon 97477
TAX LOT
SUBDIVISION:
-
STATE:
OWNER:
ADDB
CITY:
PHONE;
ZIP:
E OLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
EXPIRES PHONE
ELECTRICAL:
CONTBACTOR'S NAME
MECHANICAL:
GENERAL:
PLUMBI
CONST.
CONTRACTOR f
- OFFICE USE -
WATER HEATER:
FLOOD PLAIN:
BANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDRMS:
-
LAND USE:
OCCY GBOUP:
r OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemacle the same worklng day, lnspections requested after 7:OO a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.l-_l Flnal Ptumbtng - When alttJ plumblng work ls complet€.
Site lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrical - When all
electrical work is complete.cover.
Underslab Plumbing / Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated,Flreplace - Prlor to faclng
matorlals and framlng lnsp.
Flnal Bullding - When all
requlred lnspectlons have beenapproved and bullding is
completed.I-_l Masonry - Steet locatlon, bond.J beams, groutlng.
l-_l Framtng - Prtor to cover.
Foundallon - After forms are
erected but prior to concrete
placement.
Other
WalllColllng lnsulatlon - prlor to
cover.
Underground Plumbing - prior
to fllling trench.Drywall - Prlor to taplng.
Underlloor Plumbing/ Mechanlcat
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPE TTONS
Wood Stove - After lnstallailon
Post and Beam - Prlor to floorlnsulatlon or decklng,lnserl - After flreplace approval
and lnstallatlon of unlt.
[-_l elocking and Ser.Up - When ail
-
blocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcul & Approach - After
forms are erected but prlor toplacement of concrete.
Plumbing Connectlons - Whenhome has been connected towater and sewer.
Sanltary Sewer - Prior to fllling
trench.
l--l Storm Sewer - prior to fiiltng
-
trench.
l-_l Sidewatk & Drtveway - Afteru excavation ls complete, forms
and sub-base materlal ln place.
Electrical Connection - Whenblocklng, set-up, and plumblng
lnspectlons have been approvedand the home is connected tothe servlce panel,
l--l Water LIne - Prtor to fiiling
-
trench.
Fence - When completed
Final - After all requiredlnspectlons are approved andporchos, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.Tl Slroot Trees - When ail requlredu trees are planted.
ADDRESS
E
E E
E
'rE
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helOht
Lot Type .- -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
i - THE PROPOSED WORK lN THE -
-HTSTORICAL DISTRICT, OR ON
THE HISTORICAL FEGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Hlstorical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit 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
bulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Fleviewed By Date
Recei pt Numbe
Plan Check Fee:
Date Paid
Received By:
BUILDING PERMIT
ITEM SO. FT. X $/SQ. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limlts which are belng improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
\ZD
(c)
No
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done In accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, 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 ln compllance wlth ORS 701.055 will be used on this
prolect.
Vent Fan N0
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
Mechanlcal Permlt
lssuance
State Surcharge
Total Permit (D)I further agree to ensure that all requlred inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the frontMISCELLANEOUS PERMlTS
of property, and the approved set of plans will remainMobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
th site at all times durlng ruction
D^t" -t- J? ?y'
VALIDATION:
RECEIPT NUMBER I
Total Mlscellaneous Permlts (E)DATE PAID
AMOUNT
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)RECEIVED
8