HomeMy WebLinkAboutPermit Plumbing 1992-06-08SPRINGFIELfl
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of{ice: 726-3759
LOCATION OF PROPOSED WORK:)
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
TAX LOT:
ASS
LOT:
ESSO P:
BLOCK:SUBDIVISION
I*-
,C PHONE:
zlP
r2
STATE:CITY:
OWNER: -
ADDRESS:
REMODEL H
--
OTHERTION DE
DESCRIBE WO
NEW - -_-
MECHANICAL: - __--
PHONEEXPIRESADDRESSS NAME
GENEBA
PLUMBING
CONT
CONST.
CONTRACTOR '
ELECTRICALI
# OF BDBMS
WATER HEATER
# OF STOFIIES
_ OFFICE USE _
OCCY GROUP:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
QUAD AREA:
To request an inspection, you must call 726'3769. This iS a 24 hour recording' All inspections reques'
made the same working day, inspections reqUeSted after 7:00 a'm. will be made the following work
REOUIRED INSPECTIONS
ted before 7:00 a.m. wlll be
day.
f--] TemPorarY Electrictl
Site lnsPection - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but Prior to concrete
placement.
Underground Plumbing - Prior
to filling trench.
Underlloor Plumbing/ Mechanical
- Prior lo insulation or decking'
Post and Beam - Prior to floor
insulation or decking.
f --l Floor lnsulation - Prior toI ldecking.
SanitarY Sewer - Prior !o f illittg
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to fillirtg
trench.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
COVET
Final Plumbing - When all
plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is comPlete.
com
Othe
Electrical Service - Must be
approved to obtain Permanent
electrical Power.
[I FirePlace - Prior to facingU materials and framing lns,.
Framing - Prior to cover'
Wall/Ceiling lnsulation - Prior to
COVET
[-l DrVwall - Prior to tapi ng
Wood Slove - After installation'
lnsert - After firePlace aPProval
and inst;rllation of unit.
Curbcul & APProach -' After
fo;ms ai'e erected buI Pl'ior tc
placeitterrt ot conclett:.
Sirlewalk & DrivewaY -- After
ex()alvation is cornPlete, Io'ms
and sub-base lllaterial in Place'
Final Building - When all
required lnspections have been
approved and building is
MOBILE HOME INSPECTIONS
Blocking and Set'UP - When all
blocking is comPlete.
Plumbing Connections - When
home has been connected to
water and sewer.
f/.""e - When completed
Slreet Trees - VJhen all required
tr()es i)r{) Planted.
I-_.l Electrical Connection - WhenL_.l 6gq6k;6g, set-up, and plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Final - After all required
insoections are aPProved and
porches, skirting, decks, and
venting have been installed.
tl
Rough Plumbing - Prior to
cover.
r
E
tf
tl
fl
tf
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)
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ-
-
lnterior
--
Corner
-
Panh.andle
-
Cul-de-sac
Setbacks
P,L.HSE GAR ACC
N
S
E
ISrHE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform 1o the Ordinance
adopted by the City of Springfield, including the
Development Code, requlating 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
Plan Check Fee: --
Date Paid:
Receipt Number:--
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopecJ
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that,l have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work <Jescribed
herein, and 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 will be usecl on this
proiect.
I f urther agree to ensure that all requirecJ inspections are
requested at the propcr tinte, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
e C
u
D
on the site at all times duri ng construction
S
E
VALIDATION:
RECEIPT NUMBEFI
DATE PAID
AMOUNT R
RECEIVED
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
TOTAL AMOUNT DUE (excluding clectric
(A, B, C, D, and E Combined)
(-(
I
)mte Surcharge
scellaneous Permits (E)
I
FT.
)