HomeMy WebLinkAboutPermit Plumbing 1997-09-26RESID ENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED
ASSESSOBS MAP:
LOT:
SPRIl\.GF
BLOCK:
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 4ll
TAX LOT:a)
SUBDIVISION: ---
STATE: FrZ- ztp: ?-7<(2
OWNER:PHONE:
CITY:
I
t
I
tr{3 Vc
ADDRESS EXPIRES .1 PHONE
ELECTRICAL:
CONTRACTOR'S NAME
DESCRIBE WORK:
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTFIACTOR #
NEW "/ REMODEL ADDITION
Nd
TY
WATER HEATER
ZONING CODE:
FLOOD PLAIN
- OFFICE USE -
coN
* OF UNITS:
LAND USE:QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDRMS:--OCCY GROUP:
I OF STORIES:
To request an lnspectlon, you must call
made the same worklng day, lnspectlons requei
R
l-l femporary Etectrlc
Slte lnspectlon - To lre mado
after excavatlon, but prlor to
setting forms.
Underslab Plumblng/ Eloctrlcal/
Mechanlcat - Prlor to cover.
E Footlng - After trenches are
excavated.tl
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor tg concrete
placemont.
Underground Plumblng - Prlor
to fllllng trench.
recordlng. All lnspections requested before 7:00 a.m. wlll be
a.m. wlll be made the followlng work day.
IRED INSPECTIONS
l-l Rough Mechanlcat - prlor to l-_l Flnal plumbinq _ When alt.J cover. u pir-ur;s';;;[is comprere.
[-l Rough Etecrrical - Prior tot--I cover.Flnal Electrlcal - When ail
electrlcal work is complete.
l-l Underlloor Plumblng/ Mechanlcat
Prlor to lnsulatlon or decklnO.
Electrlqal Servlce - Must be
approvod to obtaln permanent
olectrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Wall/Celtlng lnsulatlon - Prlor to
cover.
Drywall - Prlor to taping
Wood Stovo - After lnstallatlon.
lnsert - After flreplace approvql
and lnstallatlon ot unlt.
Final Mechanicat - When all
mechanical work ls complete.
Flnal Buildlng - When all
requlred lnspectlons have beenapproved and bulldlng ls
completed.
Other
MOBILE HOME INSPECTIONS
Blocklng and Set.Up - When allblocklng ls complete.
Plumblng Connectlons - When
home lras been connected to
water and sewer.
Electrical Connectlon - Whenblocklng, set-up, and plumblng
lnspections have been approved
and the home is connected tothe servlce panel.
Final - After all required
inspectlons are approved andporches, sklrtlng, decks, andventlng havo been lnstalled.
Post and Beam - Prlor to ,loor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.Curbcut & AJrproaclr - After
forms are erected blrt prior toplacemont of concrete.Sanitary Sewer - Prior to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench.. -i
Water Llne - Prlor to filtlng
trench.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Fence - When coi-'tpleted.
Slrecl Treee - When all roqulred
trees are planted.
[-l Rough Plumblng - Pribr ro|J cover,
fl
s
ADDRESS:
E
E
E
I
PL.HSE GAR ACC
N
s
W
E
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK TN THE.
HISTOFIICAL OISTRIGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit lssuance.
APPFIOVED:
BUILDING PERMIT
i -!t
x $/sQ. FT.ITEM
Main
Garage
Carport
SO. FT.VALUE
Total Value
Bullding Permit Fee
State Surcharge
Tptal Fee" .l (A)I
BUILDING VALUE, pUI.I CHECK
AND BUILDING PERMIT
Thls permit is granted on the express conditlon that,the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springf leld, includlng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances.
Date Paid:
Receipt Numbe e
Received By:
Plans Fleviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tlre City limits which are being improved.
PLUMBING PERMIT
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
. FT.
FT, qA
Plumblng Permlt
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
t,
,
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt (D)
By slgnature, I state and agree, lhat I have carefully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon ls true and correct, and I further cerilfy
that any and all work performed shall be done in accorrlance
wlth the Ordinances of the Cily of Sprlngfleld, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from tho street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
on the site at all times duri
Slgnatu
Date
ng constructlon,
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcul
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Pennlts (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, Q and E Comblned)
VALIDATION:
RECEIPT NU
DATE PAII)
AMOUNT REC
RECEIVED BY
R
Plan Check Fee:
FT.