HomeMy WebLinkAboutPermit Plumbing 1997-09-30RESTDENTTAL NOTlcE:
PERMTT APPLtCATtq{)ls,J*,,
SHALL
SP'lt
lnspec
Of f ice:
tions: 726-3769
726-3759 AUTHOBIZED UNDEH
COMMENCED OR IS
JOB NUMBER q
225 Fifth Street
Sprlng f leld, Oregon 97 477
LOCATION OF PROPOSEilOT}6HO nrt4s6--O llaleDl q:
rlo1A5?a.t t) to o
ASSESSOBS MAP:TAX LOT:
LOt BLOCK:SUBDIVISION
To roquest an Inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested belore 7:oo a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n
f] remRorarY Electrlc
[--l Stte lnsPectlon - To be madoL-J after excavatlon, but prlor to
settlng {orms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
oxcavated.
Masonry - Steel locatlon, bond
beams, groutlng,
Foundallon - After forms are
erected but Prlor to concrete
placement.
Rough Mechanlcal - Prlor to
cover.
Rough Electrlcal - Prlor to
cover.
Eleclrlcal Servlce - Must be
approved to obtaln Permanent
olectrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsP.
Framlng - Prlor to cover.
WalllCelling lnsulatlon - Prlor to
cover.
Drywall - Prlor to taPlng
Wood Stovo - After lnstallatlon.
lnserl - After flreplace aPProval
and lnstallatlon of unlt.
Curbcut & ApProaclr - After
forms are erected but Prlor to
placemont of concrete.
Sidewalk & Drlvewav - After
excavation ls comPlete, forms
and sub-base materlal ln Place.!
Fence - lvhen coiilPleted.
Stroot Trees - When all roqulred
trees aro Planted.
l----] Flnal Plumbing - When allu plumblng worl< ls complete.
Flnal Electrlcal - When all
electrlcal work ls complete.
Final Mechanical - When all
mechanical work ls comPlete'
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bullding is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set'UP - When all
blocklng ls comPlete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Underground Plumblng - Prior
to fllllng trench.
Underltoor Plumblng I Mechanlcal
- Prlor to lnsulatlon or clecklng.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.
Ftoor tnsulation - Prlor to
decking.
Sanllary Sewer - Prior to filllng
trench.
Storm Sewer - Prior to filllng
trench.
Waler Llne - Prlor to filling
trench.
Bough Plumbing - Pllor to
cover.
Electrlcal Connectlon - When
blocking, set-uP, and Plumblng
lnspections have been aPProved
and the home is connected to
the servlce Panel.
Flnal - After all required
lnspectlons are aPProved and
porchos, sklrtlng, decks, and
ventlng have been lnstalled.
t Otz.ZIP:
I
r ctt4t tSTATE:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
i /1-c-DESCRIBE WORK:lutt- UJ
ELECTRICALi
ADDRESS EXPIRES .l PHONECONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR .'
, OF BDRMS
- OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD I)LAIN:
'g OF UNITS:
RANGE:
SECONDARY HEAT:
SOUARF. FOOTAGE:
OUAD AREA:
I OF BLDGS:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
IS
E
E
E
tl
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tl
E
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E
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V;c-tL; < Lrn a PHONE:
E
{l
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty._
-
lnterlor
-
Corner
-
Panhandle l'
-
Cul.de.sac
IS THE PROPOSED WORK TN THE .
HtsToRtcAL DlSTRtCf,, OR ON
THE H]STORICAL REGISTEF?
-
ll yes, this appilcailon must be slgnedand approved by the Hlstorlcal
Coordlnator prlor to permit issuance.
.\
APPFIOVED:
P,L.HSE GAR ACC
N
S
W
E
BUILDING PERMIT
VALUE
I
(A)
SQ. FT. X $/SQ, FT.ITEM
Main
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUTLDING VALUE, PLAN CHECKAND BUILDTNG PERMIT
Thls permit is granled on the express condition that the saidconstruction shall, ln all respects, conform to the Orcllnanceadopted by the City of Sprlngfleld, inctuding theDeve.lopment Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordlnances.
Plan Check Fee: -_-
Beceipt Number:__-_t
DatePlans Reviewed By
Date Pald:
Receive<J By:
EMS DEVELOPMENT CHARGE (SDC)
(B)
SYST Systems Development Charge ls due on all undevelopedproperties withln tlre City limlts which are belng lmproved.
ITEM
Flxtures
Besldentlat Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
state surcharge 4 O,O3 llrrr,tn ft€
PLUMBING PERMIT
FEE
N'
FT.
FT.
"27
FT,1o
7
Total Charge (c)
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanlcal permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhausl Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe completed appllcation and do hereby cerilfy that alllnformailon hereon ls true anct correct, ani Lurther cerilfythat any and all work performed shall be done ln accorrJancewlth the Ordinances of the Clly of Sprlngfleld, and the Lawsof the state of oregon perrarnrng to tho work descrrbedhereln, and that NO OCCUPANCy wlll be made of anystructure wlthout permlssion of the Bulldlng Safety Dlvlslon.I further certify that only contractors anO-employees whoare ln compliance with ORS 7O1.O5S wlll be used on thlsprolect.
I further agree lo ensure that all requlred lnsrequested at the proper tlme, that each
from the street, that the permlt card lsof the property, and the approvec, seton the slte at all times durlng const
L
pectlons are
address ls readable
located at the front
of plans wlll remaln
ructlon
7-o-- 71
Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk tt
Curbcut _ ft
Demolltlon
State Surcharge
Total Mlscellaneous perrnlts (E)
TOTAL AMOUNT DUE (exctuding electricat)(4, B, C, Q and E Comblned)
.?
)
-1 s
3o-qaa>
DATE PAID q-
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
RECEIPT NUMBER
cP< k-)
.-r
&.a. -
Date