HomeMy WebLinkAboutPermit Plumbing 1993-06-18ASSESSoRS vaet /?^22 'jl- 7/
LOCATION OF PROPoSED WORK: -
INGFIELE)
SUBDIVISION
TAX LOI
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Off ice: 726'3759
JoB NUMBE R ??'442=
225 Fifth Street
Springfietd, Oregon 97 477
PHONE:
47/22ZIP:STATE:CITY:
OWNER: -
ADDRESS:
DESCRiBE WORK:
ADDITION DEMOLISH OTHERNEW --.-
REMODEL ----'--
EXPIRES PHONEADDRESS
hF*4
CONTRACTOR'S NAME
MECHANICAI-: =-
ELECTRICAL
CONST.
CONTFIACTOR ''
GENERAL:
PLUMBING
OUAD AREA:
r OF BLDGS: -
OCCY GROUP:
* OF STORIES:
RANGE
# OF BDRMS
WATER HEATER:
_ OFFICE USE _
LAND USE:FLOOD PLAIN
* OF UNITS:
SECONDARY HEAT:
SQUAFIE FOOTAGE:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769 This is a 24 hour recording. All inspections requested before 7:00 a'm. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
p!umbing work is complete.
Site lnspeclion - To be made
after excavation, but Prior to
setling forms.
Rough Electrical - Prior ic Final Electrical - When all
electrical work is complete.cover
U nderslab Plumbing / Electrical /
Mechatrical - Prior to cover'
Electrical Service - Must be
approved to obtain Perinanent
electrical power.
Final Mechanical - When all
mechanicai work is complete.
Footing - After trenches are
excavated.Fireplace - Prlor to fscing
materiais and framlng insP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
bealns, grouting.
Other
Foundation - After forms are
erected but prior to concrcte
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.I-l DrVwatl - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Slove - After installalion
Post and Beam - Prior to floor
insulation or decking.L]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 -,n.fterlL:rrns are erected but orior to
placement of concrete.
Plumbing Connections - When
home has been'connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
rl Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is compie;e, forms
and sub-base material in ltlace.
Water !-ine - Ptior to filling
trench.[-l Fence - When co,nFlete, I
Street Trees - \y'Jhen arl required
lrees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
W
Rough Plumbing - Prior to
cov()r.
LOT: BLOCK:
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[--l Framing - Prior to cover.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-- Cul-de-sac
Setbacks
P.L.HSE GAB
N
S
E
ACC
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
ll yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
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, re(lulating the construction and use of
buildings, and may bo suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: ---
Plans Reviewed By Date
Date Paid
Receipt Number:-
Reccived By
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
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)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
/2
>-
*
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
state surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state antl agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certif y
in.t "ny
and all work performed shall be done in accorcjance
with the Ordinances o{ the City of Springf ield, and the Laws
of the State of Oregr:n pc':rtaining to the work described
herein, ancJ that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division'
I further certify that only corttractors and employees who
are in compliance with ORS 701.055 yvill be used on this
proiect.
I f urther agree to ensure that all required inspectio.ns are
requested at the proper time, that each adc'ress is readable
from the street, that ttre permit card is located at the front
of the property, and tlre approved set of p lan s
Signatu
Date
remaln
ruct ion the site at all times during
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk =-- ft
Curbcut .- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)DATE PAID
-
-6
AMOUNT RECEIVED
ae
/*
RECEIVED BY
VALIDATION:
FIECEIPT NUMBER -
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E.Combined)
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