HomeMy WebLinkAboutPermit Plumbing 1998-04-13SPFIINGFI LE)RESIDENTIAL
PERMIT APPLICATION
lnspect
Office:
48o +>L/
:ions: 726-3769
726-3759
JOB NUMBER
225 Filth Street
Springfleld, Oregon 97477
LOCATION OF PROPOSED WORK:/4zt Tnnx en- S r,
ASSESSORS MAP:B q o--d TAX LOT:
LOr BLOCK z SUBDIVISION
ilLSTATE:
PHONE:7q-ZftD or 7?U-58(7NreK
ZlPl 1z'tzlleLh,
Z
l,lour e {deuaas< lnJ r
Spn,n*CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER (2--2
DESCRIBE WORK:
7lt-3;6 1
).o
z
$a.u*-n
CONST.
MECHANICAL:
ELECTRICAL:
3 t-7
CONTRACTOR'S NAME
PLUMBING;
GENERAL:
EXPIRES ,5 PHONE
- OFFICE USE -
LAND USE:
WATER HEATEFI:
ZONING CODE:
FLOOD I]LAIN
RANGE:
HEAT
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
* OF UNITS:
CONSTR. TY
To request an lnspection, you must call 726-3769. Thls ls a 2 spectlons requested before 7:00 a.m. wlll bemade the same working day, lnspections requested after 7:00 fo il owl n s work day.
REQUIRED INS
l-_l remporary Electric Rough Mechanlcal - Prior
cover.When al
s co mplete.
Site lnspection - To be made
afler excavatlon, but prior to
setting forms.
Final Electrlcal When al
e lectri cal work IS complete.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Eleclrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Foollng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Walt/Celllng lnsulatlon - prlor to
cover,
Underground Plumbl ng - Prior Drywall - Prlor to taping.to fllllng trench.
Underlloor Plumblng/ Mechanlcat
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallation.
Post and Beam - Prlor to floorlnsulation or decking.n tnserl - After flreplace approvql
and installatlon ol unlt.
[-l glocking and Ser.Up - When ail
-
blocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcul & AJrproaclr - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - When
home has been connected towater and sewer.
[, ,[,6anitary Sewer - Prior to fiiling
-
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approvedand the home is connected tothe servlce panel.
Water Llne - Prior to filling
trench.l-l Fence - When coi-npteted.
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Flnal - After all requiredlnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
lb
PtBrpR
ADDRESS
*,ut-z-<-Ptto'
, OF BDRMS:
-
E l-l Rough Elecrrical - prior tot----J cover.
E
E
tl
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty pe
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls application must be slgned
and approved by the Historical
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
t
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMTT
ITEM
Main
Garage
Carport
SQ. FT. X $/SQ. FT,
BUILDING \ALUE, FMU 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 ol Springfield, 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.
Plans Reviewed 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
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
State Surcha rsef O .6g,tt/r^'/-
Total Charge (C)
FEE
.@-
q 25, -
FT.
FT.
PLUMBING PERMIT ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
th€ completed 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
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further 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 remain
c
,
ngon the site at all times duri const ructlon
(onature
$,,.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Oemolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
AMOUNT RECEIVED A-
3q3q 7
I
RECEIVED BY
DATE PAII)
VALIDATION:
RECEIPT NUMBER
4t- t3- 1