HomeMy WebLinkAboutPermit Plumbing 1993-02-09SPRINGFIELE)
RESIDENTIAL
PERMIT APPLICATION
lnspection:;: 726-3769
Of tice: 720-3759
LOCATION OF PROPOSED WONK 33r
)1o
QzotqL.JOB NUMBEB -
225 Fifth Street
Spring f ield, Oregon 97 477
U{GP.
TAX LOT:O) 9o c,
LOT: ----BLOCK:
-
SUBDIVISION
OWNF,R:
ADDIIESS:
CITY:
PHONE:
ZIP:
(-.
OQSTATE:Q-l.t 7?_
OTHERDEMOLISH
DESCFIIBE WORK
NEW -- - FIEMODEL
-
ADDI
EXPIRES P}iON EADDFIESS
L _22L.ei2.
ELECTRICAL
CONTRACTOIi'S NAME
MECHANICAL.: --
CONST.
CONTRACTOR #
GENERAL: -
PLUMBING: -
- OFFICE USE _
LAND USE:FLOOD PLAIN
RANGE:
-.
ZONING CODE:
I-IEAT SOURCE
SOUARE FOOIAGE:
E OF UNITS:
, OF STONIES:
WATER HEATER:
OUAD AREA:
=# OF BLDCS: .-.--.
OCCY GR()Ulr: ." OF BDRMS:
SECONDARY [JEAT: -
CONSTR. TYPE:
To request an inspection, you must call 726-3769. This ls a 24 hour recording. All inspections requested before 7:00 a.m. will be
rnade the sanre working day, inspectlons requesled after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Afl Temporary Eleclricll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plunrbing worl( is cornplete.
Site lnspection - To be made
af ter ext:avatiorr, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - Wlren all
electrical work is cornplete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to,cover.
Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical worl( is complete.
Footing - After lrenches are
excavat()cl.Fireplace - Prior to facing
materlals and framing lnsp.
Final Building - When all
required inspections have becn
approved and building is
completed.Masonry - Steel location, bond
beanrs, grouting.Framing - Prior to cover
OtherFoundation - Afler forms are
erected t)ut prior to conclete
placem(J nt.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trenclr.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - Af ter installation.
Posl ancl Beam - Prior lo floor
insulation or decl(ing.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - Wherr all
blocking is complete.
Floor lnsulation - Prior to
<1ec king Curbcul & Approach - After
lorrns are erected but prior to
placement ol concrete.
Plumbing Connections - Wlren
home has been connected to
water and sewer.
Sanilary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approvecl
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trenc h.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base rnaterial in place.
Water Line - Prior to filling
trench.
Fence - When completed
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
,L
ASSESSORS MAP:
tl
[]E
E E
t:]
t_l
E
tl l--l Drywall - Prior to taping.
rr
fl
flr
E
tf
r
r E
E fl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
v-Lot Type
-
lnterior
--
Corner
-- Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE ACC
N
S
E
GAR
S THE PROPOSED WORK IN THE
}-IISTORICAL DISTRICT, OR ON
TI-IE HISTORICAL REGISTER?
--.-lf yes, this application must [)e signed
and approved bY the Historical
Coor<jinalor prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This perrnit is granted on the express conditiorr th;rt the said
construction shall, in all respects, conform to tlle Oldinance
adopterj by the City of Springfield, including the
Developrnent Cocle, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordirlances'
DatePlans Rcviewed By
Plan Check Fee:
Date Paid
Fleceipt Number:-
Receivecl BY:
BUILDING PERMIT
VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surclrarge
Total Fee
Systems Development Charge is due on all uncleveloped
properties within the City limits whiclr are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fix t u res
Residential Bath(s)
Sarritary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
FT.
FT.
FT.
Wtannz
(c)
'l<
Plumbing Permit
Statc Strtcltargc
fotal Charge
_15
t5 15
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mcchanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state anc, agree, that I have caref ully examined
the completed application and do hereby ccrtify that all
information hereon is true and correct, and I f urther certily
that any ancl all work performed shall be done in accordance
with the OrcJinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the worl< described
herein, and that NO OCCUPANCY will be nrade of any
structure without permission of the Building Safely Division'
I further certify that orlly contractors and ernployees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to errsure that all required inspections are
per time, that each address is readable
Date
a pproved
tl
)
et of plans will remaindr
st ruct i ontimunn
Signature
requesled
mit card is locatcr.i at the frontat tlrf rom the st
of the pro
on th/si
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --- ft
Curbcut _=-- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
4+1q<O
sl<-7<,
)
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
15f s
SO. FT. X $/SQ. FT.
OA
C'TV OFSPB OREGO'U
225 FIFTE STREEI
SPRTNGFTELD, oREGON 97477
INSPECTION REQUESTT 726-3769
OFFTCE: 726-3759
05!
EI,BCTRICAL PERHIT APPLICATION
LO.L City Job Number q3 )\4t,
2-16"
1
3, CO}{?IJT-E PEE SCEEDULE BBLOV
A. Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
-
Sum
Permits are non-transferabLe and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION OM,Y
Electrical Contrac
Address
Ci ty Phone
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Pane}
'.&'*ffi'urrrn:
B
13
$ s0.00
$ 60.00
$100.00
s130.00
$300.00
$ 40.00
Supervisor License Ntimber
Expiration Date \ D
3+nls
L,qS
c
Constr Contr. Number
Exp iration Date
Si ture ising Electrician
ers Name
Address
Ci ty one
ALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
RECEIPT *:
200 amps or less $ 40.00
201 amps to 400 amps _ S 55.00
Over 401 to 600 amps _ S 80.00
Over 600 amps or 1000 volts see "8" above
oneCircuit \ $35.00
Each Additional t
Circuit or vith Service
or Feeder Permit I S 2.00
J5
/\d,
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/Out1ine Lighting_ S
Limited Energy/Res _ S
Limited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
DDP 32
not included)
40.00
40. oo
20. oo
6)
RECEIVED B
5
B 5 tr