HomeMy WebLinkAboutPermit Plumbing 1996-02-05SPFlINGFTELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Sprlng(leld, Oregon 97477
LOCATION OF PBOPOSED WORK:
ASSESSORS MAP;
SUBDIVISION
TAX LOT:
PHON E:
STATE ZIP:4,2CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCFIIBE WORK:
PLUMBING:
MECHANICAL:
-
ADDRESS EXPIRES PHONECONTRACTOB'S NAME
ELECTRICAL:
GENERAL:
CONST.
CONTRACTOR'T
RANGF-:
, OF BDRMS
- OFFICE USE -
WATER HEATEFI
ZONING CODE:
FLOOD PLAIN
SECONDARY HEAT:
SOUARE- FOOTAGE:
QUAD AREA:
, OF BLDGS
CONSTR. TYPE
HEAT SOURCE:
LAND USE:
/ OF UNITS
OCCY GROUPT
.{ OF STORIES
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspectlons requested before 7;00 a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prior to
cover.
{rnat Plumblns - when an
78ptumbing work is complete.
lX{rinut Electrical - when att
zQul""trical work is complete.
Site lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prlor to
cover,
Underslab Plumbing/ Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work is complete.
Footlng - After trenches are
excavated,Final Building - When all
Flreplace - Prlor to faclng
materlals and framing lnsp.
uired lnspectlons have been
Masonry - Steel locatlon, bond
beams, groutlng.
approved and building is
completed.
Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Ceiling lnsulation - Prlor to
cover,
Underground Plumbing - Prior
to filling trench.[-l orywall - Prior to taplng,
Underlloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallatlon
Post and Boam - Prlor to floor
lnsulatlon or decking.lnserl - After flreplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulation - Prior to
decki ng.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench. ^'
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Waler Line - Prior to filling
trerich,
Fence - When completed.
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, and
ventlng have been installed.
Rough Plumbing - Prior to
cover.
... i'
LOT
-
BLOCK:
ay',@ -
E
E
E
tl
tl
tl
E
E
tl
[--l Curbcut & Alrproach - AfterlJ forms are erected but prior toplacemcnt of concrete.
PL.HSE GAR ACC
N
S
E
Lot laces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set IS THE PROPOSED WORK TN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this appticailon mrit b" stgned
and approved by the Historical
Coordinator prlor. tolpermit issuance.
APPROVED:
VALUE
ToMsl
2-o,7{*r/f
,ryn#
/€@_
/GP(A)
X $/SO. FT,
Total Value
Building Permit Fee
State Surcharge
Total Feo
BUILDING PERMIT
ITEM SQ. 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, including the
Development Codc, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Beviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
FEE
/20,?f *,+-f
/6 20(c)
PLUMBING PERMIT
FT
/7 ".,
_1€?"Plumblng Permit
State Surcharge
Total Charge
Mobile Home fu_Ap/'-rtf a
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
Vent Fan N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERM!T
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereorr is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildilrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
prolect.
I f urther agree to ensure that all required inspections are
requested at the proper tlme, 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
Slgna
?CDate
main
on the site at all times durin con st ru c
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)3ze
Zazfz
y'oAMOUNT FIECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
FIECEIPT NUMBER
No
FT.
. FT.
/-
SPFII,vOFIE,LE,
Zorrrrrs, and does not r %approval.
Zoni [?-
225 IIIT'I'U STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST z 726-3
0FFICU: 726-3759
1. L,oCA',r ON OP INSTALLATION
)- .ay'-6
LEGAL
JOIJ DESCRIPTION
Perrni ts are t')on'transferable and exPirejf vork is not started vithin 180 days
of issuance or if vork is suspended for
1ttO days.
2, CONTITACTOR INSTALI,ATTON ONLY
iilec trjcal CorrIractor ABLE ELECTRIC
Address 551 i I'IAIN
Ci ty SPRINcFIELD Phone'726-6707
Su1>ervisor Licepse Number 3023S
L:lpirat.ion Date 1O-1-e6
Corrstr Contr. Nunrber 925O6
Ii>:pi ration Date 7 -16-s6
Signature of Supervising Electrician
BLECTRICAL PERHIT APPLICATION
Ci ty Job Number 6 d
COHPLETE TBE SCEEDULE BELOV
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:
Items Cos t
$ 85.001000 sq.ft. or less
Each additional 500
sq. ft or portion
Lhe reo f
Each Manuf'd Home or
l'lodular Dwelling
Service or Peeder
s ls.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20i amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
Reconnec t 0n1y
Temporary Services or Feeders
Installation, Alteration or Reloeation
Si
3
A
Sun
B
C
,$ s0. 00
s 60.00
s 100. 00
$i30.00
s300.00
s 40.00
200 arnps or less $ /.,0.
20L amps to 4OO amps
-
S 55.
over 4b1 to 600 amps -- $ Bo.
Over 600 amps or 1000 voTfs see rr aF-v-e
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
s s:.ss: 3/00
Serv i ce s 2.00
E. Iliscelfaneous (Service/feeder not includerl)
-Each ins tallation
Pump or irrigation
Sign/Out1ine Light ing-
Lj.mi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
J5"aa./ 7f
00
00
00
B"
Address
Ci ty
Uuners Natllc -m,c.*b ,V,ECL {luiJ
7oo dP-0r/
Phone ?"/ 3"rl
OUNDIT INSI'ALI,ATION
'Ihe instalLation 1s being made on
propei- ty I ovn whi ch is no t in tended
Ior saIe, lease or rent.
0vners Signature:
DATE:
RECEI
5
One Circui t
Each Addi tional
Ci rcui t or ui th
or Feeder Permi t
$ 40.
$ 40.
s 20.
S 36.
00
00
00
00
5
RECBIVED B
_ ./ a5
3'? Pd