HomeMy WebLinkAboutPermit Plumbing 1997-06-27PRIr\rGFIELDRESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 efr,
JOB NUMBER
225 Fif th Street
Sprlngf leld, Oregon 9747
TAX LOT:
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:7az .?o 2-/
LOT:- BLOCK:SUBDIVISION:
--
PHONE:
STATE:
rHan
ZIP:
LAt n-p t-{ i I
L/" ?
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-
tDESCRIBE WORK:
MECHANICAL:
ELECTRICAL:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
FIANGE:
- OFF]CE USE -
WATER HEATER:
ZONING CODE:
FLOOD }]LAIN
* OF UNITS:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour 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 femporary Electric
Slte lnspection - To be made
after excavatlon, but prior to
setting forms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decking.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulallon - Prior to
decl<lng.
Sanltary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to filllng
trench.
Water Llne - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Mechanlcal - Prior to
cover.
Rough Electrlcal - Prior to
cover.
Electrica! Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Framlng - Prlor to cover.
WalllCelling lnsulatlon - Prlor to
cover.
l\.t'lz+'inal Plumbing - When all
!2(Tlumbtng worl( is complete.
l-l Drywall - Prlor to taolng
[--l Wood Stovo - After lnstallatlon.
tnsert - After flrePlace apProval
and lnstallatlon of unlt'
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in Place.
[-_l Fence - When comoleted
Str€ot Trees - When all required
trees are planted.
Flnal Electrical - When all
electrical work is complete.
Flnal Mechanical - When all
mechanical work ls complete.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.
Other
MOBILE HOME INSPE TIONS
Blocking and Set-UP - When all
blocklng ls complete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-uP, and Plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have bcen lnstalled.
t\()3 Ov'r yra F.etA
, OF BDRMS:
-
LAND USE:
E E
tl
tl
E
E
E
E
tl
E
Curbcut & AlrProach - After
forms are erected btlt Prior to
placement of concrete.
r
tl
tl
n
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type v
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
i -, THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the H istorlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
x $/so. FT.
Total Value
Buildlng Permit Fee
State Surcharge
Total Fee
BUILDING PERMTT
ITEM SO. FT.
Main
Garage
Carport
AND BUILDING PERMIT
This permit is granted on the cxpress 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
-3
BUILDING VALUE,LAN CHECK
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fix tu res
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
UEt
(c)
N0
FT.
PLUMBING PERMIT
Perm
State Surcharge
Total Charge
. FT.
IN
Plumblng
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
rssuance t7 {-+ ,,4f
State Surcharge
Total Permit (D)
Lo
ocal
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 anct correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertainlng to the work described
herein. and that NO OCCUPANCy will be made of any
structure wlthout permission of the Building Safety Divislon.I further certify that only contractors and employees who
are in compliance with ORS 7O1.O5S will be used on thlsproiect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the frontof the property, and tho approved set of plane will remaln
on the site at all times duri ng construction.
Slgnature
Date
MISCELLANEOUS PERMITS
Mobllo Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Pennits (E)
TOTAL AMoUNT DUE (exctudins etectricat', /{-I9(4, B, C, Q and E Combined)
2.a
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT FIECEIVED
RECEIVED BY
Plan Check Fee:
FT.