HomeMy WebLinkAboutPermit Plumbing 1999-07-29RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759 '
LOCATION OF PROPOSED WORK:
l Tro lyJOB NUMBER
225 Fifth Street
Springfleld, Oregon 97
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LOT;BLOCK:SUBDIVISION
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OWNER:C Llytttt
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ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER _-
L&DESCRIBE WORK:
ADDRESS
7LC - z/7/GaJ,r;^
EXPIRES ,t PHONE
Sbz? ba r* a/
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTBACTOR #
FLOOD PLAIN:
wArEhl(?t@
roF
. . SECONDARY HEAT
SHALLoccY
LAND USE: -_-
-1 I Il:l\ I ivr\''- ' L'QUAD AREA:
follow rules adoptecttoFy/ffiurutrs'ZONING CODE:ffierTh 2-0(952-001-0010rlAMrlmefrR. rYPE:
obtain coptes,{}90 You mavtoFpffiar SoURcE
RANGE:
-
'rner tcr tlte Qrego:SQUARE FOOTAGE:9..(
- OFFICE USE -
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:OO a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTTONS
[--l remporary Electric [-l Rough Mechanlcal - Prior tol--l cover.
Final Plumbing - When allplumbing wgrl< ls complete.
Site lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Eleclrical - Prior to Flnal Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechatrical - When all
mechanical work is complete.
Footlng - After trenches are
excavated.Flreplaco - Prlor to faclng
materlals and lramlng lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celllng Insulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng
Underlloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTTONS
Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvgl
and lnstallatlon of unlt.
Blocking and Set-Up - When alt
blocklng ls complete.
Floor lnsulallon - Prior to Plumbing Connections - When
home has been connected to
water and sewer.
ng Curbcut & Ag:proach - After
forms are erected but prior to
placement of concrete.tary Sewer - Prior to filling
Stonn Sewer - Prior to filling
trench.
Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Water Llne - Prlor to filling
trench.
Rough Plumbing - Prior to
cover.
Str€et Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
SFr- ts.?P r.?,q,
E
E
tl
E
E
l-_l Sidewalk & Drivewav - After
'J excavatlon ls complete, forms
and sub-base materlal ln place.
[_l Fence - When coiilpleted.ll
E
E
tl
tf
E
ri ,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot TypF-
-
lnterlor
-
Corner
-
Panhandle r
-
Cul-de-sac
IS THE PFIOPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applloatlon must be slgned
and approved by the Historlcal
Coordinator prlot to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
i;t
X $/SQ. FT,
BUILDTNG PERTtiIT J
ITEM
Main
Garage
Carport
SO. FT,
BUTLDING VhTUE, i5UNU CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, includlng the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Beviewed By Date
Recei pt Numbe
Date Paid
Fleceived By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
?-{
2rf
>7, fl)
k)fv
(c)
Nt
PLUMBING PERMIT
FT.
Plumblng Permlt
State Surcharg.e
Total Charge
. FT.
FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERM!T
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed applicatlon and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accortlance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalning to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Builcllrig Safety Divislon.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
firz
on the slte at all times durlng onstructlon.
Slgnatu
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewali<
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Perrrits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
0V5o { o
27.
VAI.IDATION:
RECEIPT NUMBER
DATE PAIi)
AMOUNT FIECEIVED
RECEIVED BY