HomeMy WebLinkAboutPermit Plumbing 1996-06-10I
SPRI]tGFIELE'
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
LOT:
oo7
efr,
JOB NUMBER
225 Fif th Street
Springfleld, Oregon 97 477
TAX LOT:
SUBDIVISIONBLOCK:
PHONE:
ztPSTATE:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ELECTRICAL:
-
ADDRESS EXPIRES PHONE
/-
CONTRACTOR'S NAME
MECHANICALI
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
_ OFFICE USE _
r OF BDRMS:
RANGE:
ZONING CODE:
FLOOD PLAIN
WATEB HEATER:
# OFTJNITS:
LAND USE:
SECONDAFIY HEAT:
SOUARF. FOOTAGE:
QUAD AREA:
* OF BLDGS:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT.SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Eleclric Rough Mechanlcal - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Electrlcal Service - Must be
approved to obtain Permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framing lnsP.
Final Building - When all
required inspections 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.
WalllCelling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to filllng trench.l--l Drywall - Prlor to taning
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng'Wood Stovo - After lnstallatlon
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After flrePlace aPProval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocking ls complete.
Floor lnsulation - Prior to
decking.Curbcut & AJrProach - After
forms are erected but Prlor to
placemcnt of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-uP, and Plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls comPlete, forms
and sub-base material in Place.
Water Line - Prlor to lilling
trench.
Fence - When comPleted
Rough Plumbing - Prior to
cover.
[itreel Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been installed.
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SIte lnspectlon - To be made
after excavation, but prior to
setting forms.
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tl
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r
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot TyF-
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAB ACC
N
S
E
IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee;
Date Paid
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tl're City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumbing Permit
State Surcharge /,L, +.7f
Total Charge (C)
FEE
N0
27e
FT.
FT.
2 s'e
dO
ry-27/
PLUMBING PERMIT ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examinedthe completed application and do hereby cerilfy that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCy will be made of any
structure without permission of the Building Safety Division.I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thisproiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the frontof the property, and the approved set of plans will remainon the site at all times during struction)</ Signatu
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk .-- ft
Curbcut
--
ft
Oemolition
State Surchargg
Total Miscellaneous perrnits (E)
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, D, and E Combined)27s o eAMOUNT RECEIVED
FTECEIVED BY
DATE PAID
VALIDATION:
BECEIPT NUMBER