HomeMy WebLinkAboutPermit Plumbing 1994-12-19R
P
ESIDENTIAL
ERMIT APPLICATTON
lnspectlons: 726-3769
Offlce: 726-9159
JOB NUMBER
225 Flfth Street
Sprl ng f leld, Oregon 9Z 4tl
LOCATION
Yr"...o"S MAP:oOF PROPOSED WORK:
TAX LOT;/3
SUBDIVISION:
7
OWNER:
ADDRESS:
CITY:
PHONE:
ZIP:STATE:4z/
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMOD
ADDRESS EXPIRES PHONE
ELECTRlCAL:
CONTRACTOB'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CoNTRACTOR #
- oFFtcE USE _
WATER HEATER:
r OF UNITS:
r OF BDRMS:
LAND USE:QUAD AREAI
I OF BLDGS:
RANGE:
OCCY GBOUP:
r OF STORIES:
SECONDAHY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
FLOOD PLAIN:
To request an lnspectlon, you must call 726-3769. Thlsmade the same worklng day, lnspecflons requested af
ls a2.4 hour recordlng. All lnspectlons requested before 7:00 a.mter 7:00 a.m. wlll be made.the followlng work day.
REQUIRED TNSPECTIONS
wlll be
Slte lnspectlon - To be madeafter excavatlon, but prlor tosettlng forms.
l-l Understab ptumblng/ Etecrrlcat/
-
Mechanlcal - prloi to cover.
fl Footlng - After trenches are
-
oxcavated.
[-l Masonry - Steet locailon, bond
-
Deams, groutlng.
tf Foundallon - After forms areerected but prlor to concreteplacement.
Temporary Eleclrlc
Rough Plumblng - prlor to
cover.
l-l glectrlcal Servlce - Must be
-
approved to obtaln permanent
olectrlcal power.
[l Ftreptace - prtor to factng.J materlals and framlng lnspf
Rough Mechanlcat - prlor tocover.
Rough Eleclrlcal - prlor tocover.
Framlng - prlor to cover.
Walt/Celllng tnsdlatlon - prlor: tocover.
l--l Flnat ptumblng - When ail
-
plumblng work ls complete.
Flnal Eleclrlcal - \Ahen altelectrlcal work ls complete.t
Flnal Mechanlcal - When allmechanlcal work ls complete.
Flnal Buildlng - When ailrequlred lnspecilons have beenapproved and bulldlng lscompleted,
Plumblng Connectlons _ Whenhome has been connected towater and sewgr.
Eleclrical Conneiction - When
P-l99ktlg, set.up, ano prurpornjrnspecilons have been approvedand the home ls connected tothe servlce panel.
l-l Flnal - After ail requtred
-
tnspecilons are aBproved andporc.hes, sklrilng,'ciecXs, anOventlng have been lnstailed.
E
ll Underground ptumblno - prtort-I to fllllng trench l--l Drywatl - prlor to taplng.
Underltoor plumblngl Mechanlcat
- Prlor to lnsulatlon or clecklng.
Posl and Beam - prlor to floorlnsulatlon or decklng.
Floor lnsulatlon - prlor todecklng.
Sanltary Sewer - prlor to fllllngtrench.
n Storm Sewer - prtor to fllltng
-
trench.
-Klil:r
Llne - Prlor to rllrlns
MOBILE HOME INSPE TIONS
[-_l Btocklng and Set.Up _ Whel ail.J blocktng ls compleie.
tl
E
tl
Street Trees - When all requlre.dtrees are planted.
Q4t 737
/7/,/
E tl
tl fl
[-l Wood Stove - Afr6r lnstaltailon.
l-l tnsert - After ftreplace apDrovat '
l-l Curbcut & Approach - After
-
forms are erected but prlor toplacemont of concrete,
fl Staewatk &.Drtveway - Afrer
-
excavailon ls completo, formsand sub-base materlal in place.
I-l fence - When compteted.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total tleight
Lot Type -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
PL,HSE GAR ACC
N
S
E
1- rS THE PFIOPOSED WOBK fN THE -
HISTOBICAL DISTBICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permlt lsSuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit ls granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Springf leld, includlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violatlon of any provisions of said ordinances.
Recei pt Number:-
Plans Reviewed By Dato
Date Paid:
Becelved By:
BUILDING PE'RMIT
ITEM SO. FT, X $/SQ. FT.VALUE
(A)
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
N.4ain
Gaqage
Carport
Systems Development Charge ls duo on all undeveloped
propertles wlthln the City limits which are being lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxturest.
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sevrer
Moblle Home
Plumblng Permit
State. Surcharge /.2 f *,7 f
Total Charge (C)
FEE
No
266e34/
FT.
FT.T
FT.
PLUMBING PERMIT
2 e,ao?.
276--0
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
Vent Fan
Mechanical Permit
lssuahce
State:surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordlnances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 70'1.055 will 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 looated at the front
of the property, and the approved set of
Slgnatu.<d S
s wlll remaln
on the slte
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
Sldewalk
-
ft
Curbcut
-
ft
Domolitlon
Stato Surcharge
Total Mlscellaneous Permlts (E)
1{ 7ae
aa
L
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALTDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
71 ,
.11; ;
Plan Check Fee:
N0
SPFlINGFIELED
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726-3759
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOSED WORK:/3/j ?*A(e 7
ASSESSORS MAPI
LOT:
TAX LOT:
I
7A).ilf PHONE:
C /<
STATE:ZIP:727z7
14
D
ef7/ADDRESS;
OWNER;
CITY:
((^oDEMOLISH OTHER
OESCRIBE WORK:
NEW- REMODEL ADDITION
5zs1
A ORESS
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTBICAL:
EXPIRES PHONE
- OFFTCE USE -
LAND USE:
FLOOO PLAIN* OF UNITS:
ZONING CODE:
I OF BDRMST
RANGE:
CONSTR. TYPE:
HEAT SOURCEI
OCCY GROUP:
* OF STORIES:
S.ECONDARY HEAT:
SQUARE FOOTAGE:To request an lnspectlon, you mustmade the same worklng day, lnspe,ls-ls a 24 hour recordlng. Allafter 7:00 a.m. wlll be mad.e
s reEuested before 7:00 a.m. wlll belng work day.
call 726-3769. Th
ctlons requested
R
lnspectlon
the followl
Temporary Eteclrlc
iifi ij*I;,t*,;,,,.,?en:."
il:*:",Ir,,' IT; :l i 5, :c
r r, c a, /
I-l Footlng - After trenches are
- excavated^
tl l!Xill,%;il"r:, rocaron, bond
t] 5,::13;'11'l ;, #lT J8l?;,T"pracement.
[--l yng:tnround ptumbrns _ prtor
- to fllllng trench.
3 B?i'l',.'li,?,:f,:,,,:'", f,T::[,,ff :
f_ost aTd Beam - prtor to floorlnsulatlon or decklng.
Floor lnsulailon - prlor tooecKtng,
,Xft:*ry sewer - Prror to ,rns
Storm Sewer - prlor to fllllngtrench.
Y:t:.-Ltne - prtor to filtnsrrench.
Rough Plumblng - prlor tocover.
EQUIRED INSPECTIONS
l-9uSr, Mechantcat _ prlor tocover.
!-1!St Electrlcal - prtor tocover.
Ele_c-trlca.l .servtce _ Must be
3iJ#ti, f'"fl:l:' " Permane n t
,
l3t],1q" - prtor to factnsmatertals and framlng tnsf
Ln"ptt - After ftrepta""
"pproro,and lnstallailon of 'unlt. -" -'
.'
Curbcut & Approach _ Afreirorms are erected but prlor to . .placemont of concrete.
Sldewalk & Drlveway - Afterexcavailon ls compieto, formsand sub.base matirlal in ptace.
Fence - When completed.
.
Slreel Trees - When all requlredtrees are planted.
Flnal-plumblng _ When ailprumblng work ls complete.
5,':;1,,:'i,"$:?i,,
" "Hil" il].
l1gl nagclantcal _ When ailmechanlcal work ls complete.
Flnal Buildlng _ When ail
l11t11reO.tnspecilons have beenapproved and bulldlng lscompleted.Framlng - prlor, to cover.
W-all/Celllng lnsulatlon - prlor tocover.
Drywall - prlor to taplng.
Wood Stove - nft6r lnstallatlon.
Olher
MOBILE HOME INSPECTIONS
E 8,'ff['x8,Ti""#y[ - whep a,,
Plumblng Connections _ Whenhome has been connected towater and sewgr.
Eleclrical Conniclion _ When
P]?9Illg' set'up, ano pturporn-jrnspecilons have been approvedanct the .home ls connected tothe'servlce panel.
Final - After all requiredrnspecilons are appioved and
.p.^o]g,hu": skl riln g,'dec Xs, anO-venilng have been lnstalled.
QUAD AREA:
r OF BLDGS:
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total tlelght
Lot Type -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de'sac
1 - lS THE PROPOSED WORK tN THE -. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and aPProved bY the Hlstorlcal
Coordinator prlor to permit lssuance'
APPROVED:
ACCHSEGARP.L.
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit ls granted on the express condition that the said
consiruction shall, ln all respects, contorm to the Ordlnance
;;;;l;; ty tne' citv of Sprinsfleld' includlns the
Ouuif op."nt Code, regulatlng the constructlon and use of
o"riii"'g", ""d may uJsuspenoed or revoked at any tlme
,pon ,iol.tlon of any provisions of sald ordlnances'
Plan Check Fee:
DatoPlansReviewed BY
Receipt Numbe
Date Paid
Recelved BY:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SO. FT.ITEM
!v!ain
Gaqage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge ts due on all undeveloped
prop"rtt"s wlthln the City limits which are being lmproved'SYSTEMS DEVELOPMENT CHA
(B)
BGE (sDc)
ADDITIONAL COMMENTS
lTEM
Flxturest
Residentlai Bath(s)
SanltarY Sewer
Water
Storm Sev.rer
Moblle Home
PLUMBING PERMIT
-t {to
'r') ' I
1,2fs'7 f
-) a 60
Total Charge
FEE
Nq
FT.
FT.
(c)
2aoPlumblrrg Permlt
State Surcharge
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuahce
State Surcharge
Total Permit
Furnaco
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and l lurther certlfy
that any and all work performed shall be done in accordance
wlththeOrdlnancesoftheCityofsprlngfield,andtheLaws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon'
lfurthercertifythatonlycontractorsandemployeesWho
are ln compllance 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 the street, that the permlt card ls looated at the lront
of the property, and the approved set of plans wlll remaln
gnature
7-1 7-Date
on the site at all times durlng constructlo
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--_
ft
Curbcut ---_ ft
Demolition
State Surcharge
Total Mlscellaneous Permits
/ 577 L
&DATE PAID
AMOUNT RECEIVED
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Comblned)
.\:; ;
n. 4?
7 ?
(E)
-t1fu