HomeMy WebLinkAboutPermit Plumbing 1999-05-13RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:1o 2
LOI:
SPRINGFIELE)
BLOCK:
JOB NUMBER WO 6qF
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:
PHONE:
QtZIP:STATE:C
ADDRESSI
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
: lhe falanh^^^
u
ln
low rules adopted
rules are set forth
You may obtain
EXPIRES 5 PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
trErronnEDEFty€DtBr ir
TluII
- OFFICE U
OUAD AREA:
r OF BDRMS:
RANGE:
*,OF BLDGS:
LAND USE:
OCCY GROUP:------
WATER HEATER:
# OF STORIES
* OF UNITS:ZONING CODE: _.
SECONDARY HEAT:
SOUARF. FOOTAGE;
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlqn, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. will be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
f-l rlnat Plumbingu plumblng worl<- When all
ls complete.
Site lnspectlon - To lre made
after excavation, but prior to
setting lorms.
Final Electrlcal - When all
electrical work is complete.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechatrical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.ll Flreptace - Prlor to faclngu materlals and framlng lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
[-l Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsutatlon - Prlor to
cover.
Underground Plumblng - Prior
to filling trench.Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulalion - Prlor to
decking.Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
itary Sewer - Prior to {illing
ch.Electrical Connectlon - When
blocking, set.up, and plumbing
lnspectlons have been approved
and the homo ls connected to
the servlce panel.
Storrn Sewer - Prlor to fllllng
trench.
Sidewall< & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
[---l water Llne - Prlor to fillingU trench.
Fence - When co.upleted
Rough Plumbing - Prior to
cover.
Str€et Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
/1, fon
SUBDIVISION:
-
o€-
E
E
tl
[-l Rough Electrlcal - Prior tou cover. I I
E
E
E
tf
tl
tl
E
i . i'..,
Lot froal
Lot sq. ftg.
Lot coverage
Topogrrphy
Total helght
Lot IYp,_
-
lnterlor
-_ Corner
\"_ Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC'
N
S
E
IS THE PBOPOoEO WOBK TN THE, ,
HISTORICAL OISTRI T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
arrd approved by the Historlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
FT.
(A)
MIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
'' .1
X $/SQ. FT. - VALUE
BUILDING PER
ITEM SO.
Main
Garage
Carport
Thls permit is granted on the cxpress condition that the said
constructlon shall, ln all respects, conform to the Ordinance
adopted by the City of Sprlngfleld, lncluding the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
E, I
PE
c ECH KNLA
D N G MR IT
Date Paid:
Received By:
Plan Check Fee
BUILDING
AND BUIL
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
lo'
qA--
(c),{l. 1/)
l, 2 )
Nr
FT.
2.a,
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust lJood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon 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 described
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Buildlng 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 time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
Date -{t / ?r-
on the site at all times duri ng construction
Slgnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, 4 and E Comblned)
?
2n
FIECEIPT NUMBER
DATE PAII)
33
AMOUNT RECEIVED
RECEIVED BY
FT.
FT.
VAI-IDATION: