HomeMy WebLinkAboutPermit Plumbing 1996-04-05RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
spRtr.rGFtEao
JOB NUMBER
225 Fifth Street
Sprlngfleld, Otegon gZ 4Zz
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BLOCK:SUBDIVISION
PHONE:
STATE ztP:
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/LOWNER;
ADDRESS:
CITY:
NEW
-
BEMoDEL ADDITION DEMOL|SH orHER
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ME ADDRESS EXPIBES
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DESCRIBE WORK:
ELECTRICAL:
CONTRACTOR
MECHANICAL:
PHONE
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
- OFFICE USE -
LAND USE
WATER HEATER
ZONING CODE:
FLOOD PLAIN
r OF UNITS:
RANGE:
OUAD AREA:
r OF BLDGS:
SECONDABY HEAT:
SQUARF. FOOTAGE:
# OF BDRMS: _OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:oo a.m. will bemade the same worklng day, lnspecllons requested after 7:oo a.m. wlll be made the followtng work day.
REOUIRED INSPECTIONS
[-l femporary Etectric Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When ailplumbing worl< is complete.
Site lnspection - To be made
after excavation, but prior to
settlng forms.
Rough Electrlcal - Prior to Flnal 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.
Flnal Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When 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,Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.n Drywall - Prtor to taptng.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stove - After lnstallation.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When ail
blocklng ls complete.
Floor lnsulallon - Prior to
decking.Curbcut & Agrproach - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fence - When completed
Street Trees - When all requlred
trees are planted.
Flnal - After all required
inspections are approved andporches, skirting, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
-6o/:^
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Other
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fltl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
-
lnterior
-
Corner
-
Panhandle
-
Gul-de-sac
P.L.HSE GAR ACC
N
S
E
.-'S THE PFIOPOSED WORK iN THE
HISTORICAL OISTRICT, OB ON,
THE H ISTORICAL REGISTER?
ll yes, this applicatlon must be signed
and approved bY the H istorical
Coordinator prior to permit issuance.
APPFIOVED:
KS
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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.
Receipt Number:-
Plans Beviewed By Date
Plan Check Fee:
Date Paid:
Received By:
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
/o\
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
FT,,/@
3*//Lo
N
FT.
FT.
(c)
4,*
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
7.%
432:
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances 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 Buildirrg Safety Division.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, 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 ptans will remain
n
A
ti n9 co
Slgnature
Date
t ruction.on the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--=
ft
Demolition
State SurchaQe
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluditlg clectrical)
(A, B, C, D, and E Cornbincd)4)z:
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
: