HomeMy WebLinkAboutPermit Plumbing 1993-11-05SPTIINGFIELf,)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
JoB NUMBE R q. ed
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:./?6
LOT:
-
BLOCK:SUBDIVISION
NEW
--
REMODEL ADDITION DEMOLISH OTHER
PHONE
ZIP:STATE:
dr/
CITY:
DESCRIBE WORK:
OWNER:
-
ADDRESS:
ELECTRICAL:
-
EXPIRES PHONEADDRESSCONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR'4
GENERAL:
PLUMBING
RANGE
r OF BDRMS:
QUAD AREA
- OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
SECONDARY HEAT
SOUARE FOOTAGE:
OCCY GROUP:
g OF STORIES:
# OF UNITS:
-
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:0O a.m. wlll be
made the same working day, lnspections requested zrfter 7:00 a.m. will be made the following work day'
REOU IRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Eleclrical - When all
electrical work is complete.cover,
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Pcrmanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and f raming lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover
Other
Foundation - After forms are
erected but prior to concrete
placernent.Wall/Ceiling lnsulation - Prior to
COVET,
Underground Plumbing - Prior
to f illing trench.Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing / Mechanical
- Prior to insulation or decking.Wood Stove - After instarllation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forrns are erected bUt prior to
1;lacement of concrete.
Plumbing Connections - When
home has been connected to
waler and sewer.
Sanitary Sewer - Prior to filling
trencll.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prlor to filllng
trenctl.
Fence - When completed
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prlor to
cover-
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-_ lnterior
-
Corner
-- Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
cJ
Set ks
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantec.l on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Spri ngfield, including the
Development Code, regulating the construction and use of
builclings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances'
Receipt Number:-
Plans Flcvicwcd BY Date
Plan Check Fee
Date Paic.i
Receivcd By:
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
so. FT.. X $/SQ. Fr.ITEM
Main
Garage
Carport
Systems Development Charge is due'on all undeveloped
properties within the City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDlTtONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
2b>-
21,2€
No
FT.
F-r.
FT.
-<.\-E?-2.-:--/-2trPlumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERM!T
Fu rn ace
Exhaust Hood
By signatr,rre, I statc ar-rd agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Orclinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
sig
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk .-- ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
/a *,
AMOUNT RECEIVED
RECE,IVED BY -.
VALIDATION:
FIECEIPT NUMBER
TOTAL AMOUNT DUE (exclucJing elcctrical)
(A, B, C, D, and E Combined)
l5"rHr PRoPosED woRK rN THE
HISTORICAL DISTFIICT, OR ON
THE HISTORICAL REGISTER?
-_
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
PLUMBING PERMIT
DATE PAID /T;}93
1