HomeMy WebLinkAboutPermit Plumbing 1994-11-14RESID ENTIAL
PERMIT APPLICATION
lnspec
Off ice:
SPrrIhlGFIELD
tions: 726-3769
726-3759
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97 477
TAX LOT:e)/ar-
SUBDIVISION: _
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP;
LOT BLOCK:
STATE ZIP:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOL|SH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTBACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR ,
GENERAL:
PLUMBING
_ OFFICE USE _
# OF BDRMS
RANGE:WATER HEATER:
ZONING CODE:
SECONDARY HEAT:_
SQUARE FOOTAGE:
LAND USE:
# OF UNITS
OUAO AREA:
, OF BLDGS
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
, OF STORIES:
\.
FLOOD PLAIN:
To request an lnspectlon
made the sanre worklng
, you musl call 726'3769. Thls ls a 24 hour recordlng. All lnspections requested before 7;00 a.m. wlll beday, lnspections requested after 7:00 a.m. wlI be made the foilowing work day.
REQUIRED INSPECTIONS
n Temporary Electrlc Rough Mechanlcal - prior to
cover,Final Plumbing - When allplumblng work ls complete.
Slte lnspectlon - To be madeafter excavatlon, but prlor tos€ttlng forms.
Rough Electrical - prior to Final Electrical - When allelectrical work is complete.cover.
Underslab Plumblngt Electrical /Mechanlcal - Prlor to cover.Electrical Servlce - Must beapproved to obtain permanent
electrlcal power.
Flnal Mechanical - When allmechanical work ls complete.
Footlng - After trenches are
excavated.Final Building - When ailrequlred lnspections have beenapproved and building is
completed.Masonry - Steel locailon, bond
beams, groutlng,
Flreplace - Prlor to faclng
materlals and framing lnsp.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected bul prlor to concreteplacement.Wall/Celling lnsutatlon - prlor tocover.
t] ,'Jffii:;"ii:fl#.'-trns - Prior l-l Drywan - prior to taprns
Underlloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.
Post and Beam - prlor to floorlnsulallon or decklng.
Wood Slovo - After lnstallailon.
lnsert - Alter flreplace approvqland lnstallatlon of unlt.
Floor lnsulalion - prior todecklng.Curbcut & Approach - Afterforms are erected but prior toplacement of concrete.f'll Sanitary Sewer - prior ro fiilingltH lronch_
l--l Storm Sewer - prior to flillnglJ trench.
Sidewalk & Drlveway - Afterexcavation ls complete, formsand sub.base material in place.
Electrlcal Conneclion - Whenblocking, set-up, and plumbinginspections have been approvedand the home is connecled tothe service panel.Water Llne - Prlor to filling
trench.
Fence - When completed
Rough Plumbing - prlor to
cover.
Final - After all requiredinspeclions are approved andporches, sklrting, decks, and'ventlng have been lnstalled.
PHoNE: -.6*/4,<--O
,*-7>>4
tl
tl
[---l otner
MOBILE HOME INSPECTIONS
fa.
I-.l Alocking and Set.Up - When ail
-
blocklng ls complete. f .
I
n Plumbing Connectlons - When
-
home has been connecled towater and sewer.
tl
[-_l Slreot Trees - When ail requlred
-
trees are planted.
r.:- I r i_ti ;l
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
W
E
IS THE PROPOSED WORK TN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
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 Ordinance
adopted by the City of Springfleld, 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:-
Plans Reviewed By Date
Plan Gheck Fee:
Date Paid
Received By
VALUEX S/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
*ft2
(c)
OE
No
FT.
FT.
b.4FT. ^>
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the cornpleted 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 Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work described
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
project.
I {urther agree to ensure that all reguired inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
Date
on the slte at all times durln g constructlon.
Slgnature
MISCELLANEOUS PERMlTS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)eDATE PAID
AMOUNT BECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
(A)