HomeMy WebLinkAboutPermit Plumbing 1996-04-05RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION. OF PROPOSED WOFIK:
SPFlIn.GFIELI)
?fr,
225 Fifth Street
Springf leld, Oregon 97477
i
D
SUBDIVISION:--
ASSESSORS MAP: TAX LoT:
LOT
-
BLOCK:
/E
ZIP:STATE:
0 7v NE/1OWNER:
ADDRESS:
CITY:
PHONEU
NEW
-
REMODEL ADDITION DEMOLISH OTHER -----
LI eDESCRIBE WORK
ADDRESS
aarusf6 ,/<-Tt O
t /r*7Za)Z 4-
-9?Ec.i4 t
/-hDCD RrD /o*3 -W EXLrt
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
EXPIRES . PHONE
RANGE:
E OF BDRMS:
- OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN:
E OF UNITS:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SQUARE. FOOTAGE:
OCCY GROUP:
C OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an Inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
[--l remporary Electric Rough Mechanlcal - Prior to
cover.
Final Plumbing - When alt
plumbing worl< is complete.
Site lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrlcal - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framing lnsp.
Flnal Building - Whep alt
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taping
MOBILE HOME INSPECTIONS
Underlloor Plumblng / Mechanical
- Prlor to lnsulatlon or decking.Wood Stove - After lnstaliatlon
Post and Beam - Prlor to floor
insulation or decking.lnsert - After flreplace approvql
and lnstallatlon of unit.
Floor lnsulation - Prior to
decking.Curbcul & Agrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer-
Sanltary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Water Line - Prlor to filling
trench.
Fence - When completed
Streel Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved and
porches, skirting, decks, and
ventlng have been lnstallecl.
Rough Plumbing - Prior to
cover.
JoB NUMBE ^
o( /7.r<
WATER HEATER:
tl
tl
E
E
E
tl
E
tl
D
[-_l glocking and Set.Up - When all
-
blocklng ls complete.
fl
fl
tl
E
tl
tl
[--l Sidewalk & Driveway - After
'J excavation is complete, forms
and sub-base materlal in place.
HSE GAR ACCP.L.
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot TYPg v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ks .-;S THE PROPOSED WORK iN THE
HISIOBICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this application must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPBOVED
VALUE
(A)
X $/SO. FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING VALUE, PLAN 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 of 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 Rcviewed By Date
Receipt Numbe
Plan Check Fee;
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Eevelopment Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Fixlu res
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
z*t/,b *b
FEE
/A)@
z
(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby cerilfy that all
lnformation hereon is true ancl correct, and I lurther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, 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 perrnission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 70l.OS5 will be used on this
proiect.
I f urther agree to ensurc that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card is located at the front
e approved set of plans will remain
Date
U
of the property, and
Slgnd\ure
on the site st ruction
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, D, and E Combined)
Z_z zo
BECEIPT N
DATE PAID
AMOUNT R
RECEIVED
2-O
7
3
VALIDATION:
UMBER
ECEIVED
BY