HomeMy WebLinkAboutPermit Plumbing 1992-10-26FIELO
POS D
JOB NUMBER
TAX LOT:
BESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3709
Office: 726-3759
225 Flfth Street
Sprl ng lleld, Oregon 97 477
LOT: -- BLOGK:SUBDIVISION:
-
LOCATION OF PRO
ASSESSORS MAP:
PHONE:
ZIP:STATE:
OWNEN:
ADDRESS
CITY: . -,-
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW
-_-
REMODEL
PHOEXPIRESADDRESS
=k
CONST.
CONTBACTOR #CONTRACTOR'S NAME
GENERAL: --.--
MECHANICAL
PLUMBI
Y OF BDRMS:
OUAD AREA
- OFFICE USE _
LAND USE:
ZONING CODE:
FLOOD PLAIN:
r OF UNITS:
RANGE:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF STORIES: _---
WATER HEATEB:
I OF BLDGS: -
OCCY GROUP:CONSTR, TYPE:
I-IEAT SOUFICE:
To request an inspection, you must cail 726.376g. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng clay, lnspections requested after 7:00 a.m. wlll be made the followlng work day'
REOUIRED TNSPECTIONS
Temporary Electric Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When all
plumblng work ls comPlete.
Rough Electrlcal - Prlor to
t_l
Site lnspectlon - To be made
after excavation, bul Prior to
settlng forms.
Underslab Ptumblng / Electrlcal /
Mechanical - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundallon - After forms are
erected but Prlor to concrete
placement.
Underground Plumblng - Prior
to lllllng trench.
Underlloor PlumblngT Mechanlcal
- Prlor to lnstrlatlon or decking'
Posl and Beam -- Prlor to floor
insulatlon or decklng.
Floor lnsulatlon - Prlor to
deckl ng.
anltary Sewer - Prior to f illing
trench
Storm Sewer - Prior to filling
trench,
Water Llne - Prlor to lilllng
trench.
cover.
Electrlcal Servlce - Must be
approved to obtaln Permanent
electrlcal Power.
Flreplace - Prlor to faclng
materlals and framlng lnsP.
Framing - Prior to cover,
Wall/Ceiling lnsulation - Prlor to
cover.
Flnal Electrlcal - When all
electrlcal work ls comPlete.
Flnal Mechanlcal - When all
mechanlcal work ls comPlete.
Flnal Bulldlng - When all
requlred lnsPeotlons have been
approved and bullding is
completed.
MOBILE HOME INSPECTIONS
Blocklng and Set'UP - When all
blocklng ls comPlete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
J-_l Drywall - Prlor to taplng.
[--l WooA Stove - After lnstallatlon'
lnsert - After llrePlace aPProval
and lnstallatlon of unlt,
Curbcul & APProach - After
foilns are erected but Prlor to
placement of concrete.
Sldewalk & DrlvewaY - After
excavation ls comPlete, forms
and sub-base materlal ln Place.
Fence - When comPleted.
Street Trees - When all requlfbd
trees are Planted.
Electrlcal Connectlon - When
blocklng, set.uP, and Plumblng
lnspectlons have been aPProved
and the home ls connected to
the servlce Panel.
Bough Plumblng - Prior to
cover.
Flnal - After all requlred
lnspectlons are'aPproved and
porches, sklrtlng, decks, and
ventlng have been lnstalled'
\
fl
r
Er
tl
[_l otner
E
tl
fl
tl
D
Lot faces
Lot sq. ttg,
Lot coverage
TopographY
Total height
ks THE PROPOSED WORK IN THE
trsrontcAL DlsrRlgr, oR oN
THE HISTORICAL FIEGISTER?
-
lf yes, this appllcation must be signed
and approved bY the Historlcal
Coordinator prior to permit issuance.
APPFIOVED:
-
Panhandle
-
Cul-de-sac
ACCP.L.HSE GAR
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls perrnlt is granted on the express condition that the sald
constructlon shall, ln all respects, conform to the Ordinance
adopted by the Oity of Sprlngfleld, including the
Developtnent Corle, rellulating the construction and use ol
bulldings, ancl nray be susperlded or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
)
(A)
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Maln
Garage
Carport
Systems Development Charge ls due on all undeveloped
propertles wlthln the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMTT
.''
No
FEE
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permit
lssuance
State Surcharge
Total Permlt
By slgnature, I state and agree, that I have caref ully examined
the completed appllcatlon and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the Clty of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure willrout pertnisslon of the Building Safety Divislon.
I further certify llrat orrly contractors and employees who
are ln compliance witl'r ORS 701.055 will be used on this
prolect.
I further agree to cnsure that all required inspections are
requested at tlre proper tlme, that each address is readable
from the street, that the permlt card ls located at lhe front
of the property, and the approved set of plans wlll remain
on the slte at all tirnes durlng constru
/
Sig natu re
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolltion
State Surcharge
(E)Total Miscellaneous Permlts
IV
VVALIDATION:
RECEIPT NUMB
DATE PAID
AMOUNT FI
BECEIVED
Lot Type
-
lnterlor
-
corner
X $/SQ. FT. - VALUE
(B)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)