HomeMy WebLinkAboutPermit Plumbing 1995-08-23RESIDENTIAL
PERMIT APPLICATION
lnspections:726.3769
Qflice: 726.3759
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SPRINGFIELD
?5/ 3 /e
efr,
JOB NUMBEB
225 Fitth street
Springllelcl, Oregon 91 4Zl
_frr t) *1",r S+,
ASSESSOBS MAP:
LOT:
-
BLocK
TAX LOT:
SUBDIVISION:
PHONE:
trr_STATE:ZIP:Y
ADDRESS:
CITY:
+\(I(rr/?DESCRIBE WORK
ADDITION DEMOLISH OTHER
NEW- REMODEL
ADDRESS EXPIRES PHONE
d6d-7eLu
CONTRACTOR'S NAME
PLUMBING:
GENEBAL:
MECHANICAL:
ELECTRICAL
CONSI.
CONTRACTOR ,
- OFFICE USE -
LAND USE:QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
# OF BDRMS; _
OCCY GROUP:
I OF STORIES:
ZONING CoDE: ._-
FLOOD PLAIN:
CONSTR. TypEr
HEAT SOURCE:
# OF UNITS:
WATER HEATER: _-RANGE:
To request an inspection, you musl call 726.3769. Thls lsmade the sanre worklng <jay, lnspections rcquested af to
a 24 hour recordlng, All lnspections requested belore 7:00 a.m. wlll bcr 7:00 a.m. wlll bo macJe the followlng work day.
REQUIRED TNSPECTIONS
Ternporary Electric Rough Mechanlcal - prlor tocover.I-_l Hnal ptumbing - When ail
-
plumblng work ls comptete.
Slto lnspcction - To be mado
af ter excavation, but prior tosetting forrns.
Rough Electrical - prlor to [-_l final Electricat - When ail.J electrlcal work ls complele.
cover.
[-l UnOerslab plunrlrtng/ Eloctrical/
-
Mechanlcal - prlor to cover,Eloctrlcal Servlco - Must beapproved to obtaln permanent
electrlcal power.
[-l ftnal Mocharrlcal - When ail
-
mechanlcal work ls comple.te.
Foollng - After trenches are
excavated.Flnal Buildlng - Whon allrequlred lnspectlons have beenapproved and bulldlng lscompleted.Masonry - Steel locatlon, bonclbeams, grouling.
Flreplaco - prlor to faclng
materlals and framlng lnsp,
Framlng - prlor to cover.
Foundallon - After forms areerecled but prior to concretoplacoment.Wall/Celling lnsulatlon - prlor tocover.
Undorground plumblng - prior
to fllllng trench.
Underlloor plumblng/ Mochanlcal
- Prlor to lnsulation or clecklng.
Post and Boarry.- prlor to lloorlnsulatlon or docklng.
[-_] Drywail - prtor ro raptng
l-l Wood Stovo - Afror lnstailarlon,
MOBILE HOME INSPE TIONS
lnsglt - After flreptace approvaland lnstallaUon of unlt.
[--l atocktng and Set.Up _ When ail
-
btocklng ls complete.
Floor lnsulation - prior todecklng.Curbcut & Approach - Attertorms are erected bUt prlor toplacomonl ol concrete.
Plumblng Connectlons _ Whenhome has been connecled towater and sewer.J
lpl;3lHrY sewer - Prior to litrins
[._| :,:rq Sewer - prior ro fliltng
-
trench.
Sidewalk & Drlveway - Afterexcavatlon ls completo, tormsand sub.base materlal in place.
Electrlcal Connection - When
P]gckllg, ser.up, ano prumOrnglnspoctlons have beon approvedand the home ls connected tothe servlce panel,Wator Llne - prlor to filtingtrench.
Rough Plurnbing - prlor to
cover.
Fence - When completed.
Stroot Troes - When all roqulredtroes aro planted.
Flnal - After all requiredtnspectlons are approved andporc.hes, sklrtlng, decks, andventlng havo been lnstallod.
LOCATION OF PROPOSED WOFIK:
OWNER:
[-_l orhor
tl
tl
il
Lot faces
Lot sq. ftg.
Lot cov€rage
Topography
Total helght
Lot Type ,. .
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
S ks .-S THE PROPOSED WOBK IN THE
HISTORICAL OISTRICT, OR ON
THE HISTOBICAL REGISTER?
-
lf yes, thls application must be slgned
and approved by the Historical
Coordinalor prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALU E
(A)
X $/SO. FT.
Total Value
Building Permlt Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Ilain
Garagc
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on the cxpress corrdition that the said
construction shall,ln all respects, conforrr to the Ofdinance
adopted by thc City of Springfielcl , including the
Development Code, regulating the cogstruction and use of
bulldlngs, and may be suspended or revol(cd at any time
upon violation of any provisions of said ordinanbes.
Plans RcviewecJ By Date
Plan Check Fee:
Date Pald
Recelpt Numbcr:---...
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln tho City linrits which are being improved,
Plumblng Permlt
State Surcharge Ze f / D
Total Charge (C)
FEE
y'{ooRo/
FT.
FT.
N0
FT.
hr
3.2o
.4..2 zo
PLUMBING PERMIT
Sanltary
Resl d e Bath(s)
Storm Sewer
Moblle Home
ITEM
Flxt u res
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flroplace Unlt
Dryer Vent
(D)
NoVent Fan
Mechanlcal Permlt
I ssu an ce
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnaco
Exhaust Hood By slgnature, I state and agree, that I have carcf ully examlned
the completed application and do hereby certlly that all
lnformation hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City ol Sprlngfield, and the Laws
of the Stato of Oregon pertalnlng to the work described
hereln, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldirrg Safety Dlvislon.
I lurther certlfy that only contractors and employees who
are ln compllance wlth ORS 701.055 wlll be used on thls
prolect.
I f urther agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls loc
constr
ted at e front
remaln
o the slte at
Slgnatu re
Date
of the property, and t
on
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut ' l,
Demolltlon
State Surcharge
Total Mlscellaneous Permils (E)
e723VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
BECEIVED BY
TOTAL AMOUNT OUE (excluding clectrical)
(A, B, C, D, and E Comblned)-/e,z