HomeMy WebLinkAboutPermit Plumbing 1997-06-25SPrlII\lGFIELI)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
LOT
?ru275
efr,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
ASSESSORS MAP: TAX LoT:
BLOCK:SUBDIVISION
PHONE:
STATE:ZlPi
\
fir
OWNER:
ADDRESS:
CITY:
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
CONST,
CONTRACTOR ,'ADDRESS EXPIRES ,1. PHONE
ELECTHICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
# OF BDRMS:
- OFFICE USE -
FLOOD PLAIN:
# OF UNITS:
RANGE:
OUAD AREA:
E OF BLDGS:
SECONDARY HEAI
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
r OF STOBIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you
made the same worklng day,
must call 726'3769. Thls ls a24hour recorctlng, All lnspections requested before 7:00 a.m. wlll belnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTTONS
n Temporary Electrlc
J-l Slte lnspectlon - To be made|J after excavatlon, but prlor tosettlng forms.
Rough Mechanlcal - prlor to
cover.Flnal Plumblng - When allplumblng worl< ls complete.
Rough Electrlcal - Prlor to Flnal Electrlcal - When ailelectrical work is complete.cover.
Underslab Plumblng/ Electrlcal/
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Foollng - After trenches are
excavated.f-l rlreplace - prlor to faclng
-
materlals and framlng lnsp.
Flnal Bulldlng - When allrequlred lnspectlons have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l-_l Framlng - prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Cblllng lnsulatlon - prlor to
cover.
Underground Plumblng - prlor
to fllllng trench.[-l Drywall - prtor ro taptng,
Underltoor Plumblng/Mechanlcal
- Prlor to lnsulatlon or decking.
MOBILE HOME INSPESTIONS
Wood Stovo - After lnstallatlon.
tl Post and Beam - Prlor to floor
lnsulatlon or decklng,lnsert - After flreplace approval
and lnstallatlon of unlt.
[*_l elocking and Ser.Up - When alt.J blockln0 ls cornplete.
Floor lnsulalion - Prior to Plumblng Connectlons - When
home has been connected towater and sewer.
ng.Curbcul & Agrproach - After
forms are erected but prior toplacement of concrete.Sanlt:ary Sewer - Prior to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlvewav - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Electrlcal Connsotlon - Whenblocklng, set.up, and ptumblng
lnspoctlons have been approved
and the home ls connected tothe servlce panel.
Water Llne - Prlor to filling
trench.n Fence - When coiilpleted.
Streel Trees - When all requlred
trees are planted.
Flnal - After all requlred
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
WATER HEATER:
tl
n
fl
Flnal Mechanlcal - When allmechanlcal work ls complete,
[--l otner
tl
E
E
PL.HSE GAR ACC
N
S
E
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Typ, _
-
tnterior
-
Corner
-
Panhandle
-
Cul-de-sac
backs IS THE PROPOSED WORK TN THE.
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
It yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPBOVED:
VALUE
(A)
t
Tolal Value
Building Permit Fee
State Surcharge
Total Fec
x $/so. FT.
BUILDING PERMIT
ITEM SQ, FT.
Main
Garage
Carport
BUTLDI NG VALU E, iSTArrI
AND BUILDING PERMTT
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfleld, inctudlng 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 said ordinances.
Receipt Number:_
Plans Revlewed By Date
Date Paid
Received By:
Plan Check Fee:
CH ECK
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanltary Sgwer
Water
Storm Sewer
Moblle Home
srare surcha rsa +37o [t\ hrlr"f^,
PLUMBING PERMIT
FEE
Plumblng Permit
Total Charge
N!
(c)
15 00
/rr--l'E -2)"m)
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Oryer Vent
(o)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done ln accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlrrg Safety Dlvislon.
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 required lnspections are
requested at the proper time, that each address ls readable
approved set of plans will remaln
Date
the
e site at all ti es during constructlon.
card ls located at the frontfrom the street, that
of the property, and
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pertnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
2b3zoVALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
.' .. ., ;'.. lia
i
Fr.g
FT.
FT,
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