HomeMy WebLinkAboutPermit Plumbing 1996-02-27R ESID ENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 728.3759
LOCATION OF PROPOSED WOFIK:
q
JOB NUMBER
225 Flfth Street
'Sprlngfleld, OreOon g747z
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ASSESSORS MAP:TAX LOI
BLOCKT SUBDIVISION: _
OWNER:
ADDR
CITY:STIffE:ZlPi
ON OTHERDEMOLISH
DESCRIBE WORK:
NEW- REMODEL
ADDRESS CONST.
CONTRACTOR #EXPIFES PHONE
CONTRACTOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTRICAL:
- OFFICE USE -
LAND USE:
, OF UNITS:
-
FLOOD PLAIN:
ZONING CODE:
/ OF BDRMS;
WATER HEATER
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE;RANGE:
OCCY GROUP:
E OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To.request an lnspecilon, you must call 726.3769. Thrs ls a 24 hourmade the same worklng day, lnspecilons requested after 7:00 a.m.
REQUIRED INSPECTIONS
[-l Rough Mechantcal - prtor to
-
cover.
Rough Electrlcal - prlor to
cover,
recordlng. Ail rnspecilons requested before 7:00 a.m. wilr bewlll be made the followlng work day.
[--l Hnat plumbtng - When ail
-
plumblng worl< ls complete.
Flnal Electrlcal - When allelectrlcal work ls complete.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Flnal Bulldlng - When allrequlred lnspectlons have beenapproved and bulldlng ls
completed.
[---l other
Plumbln6 Connectlons - Whenhome has been connected towaler and sewer,
n Slte tnspectlon - To be made'J after excavatlon, but prlor tosettlng forms.
. Underslab PlumblnE/ Electrlcal /Mechanlcal - prlor to cover.tl
Temporary Eleclrlc
Footlng - After trenches are
excavated.
Masonry - steel locatlon, bond
beams, groutlng,
Foundallon - After forms are
erected but prlor to concreteplacement.
Post and Beam - prlor to floorlnsulatlon or decklng,
Floor lnsulatlon - prlor to
decklng.
Sanltary Sewer - prlor to fllllng
trench.
l-l Storm Sewer - prtor to fliltng
-
trench.
[--l Waler Llne - Prtor to fililng
-
trench.
[l Rough Plumblng - prtor totJ cover.
Eleclrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
J-l Flreplace - prlor to faclng
-
materlals and framlng lnsp.
l-l Framlng - prlor to cover.
l--l Wa[/C'elllng lnsutatlon - prtor tou cover.
E ,'Jffii:;"t[:j.'.'-trns - Prror n Drywan - prror to taprns
UnderlloorPlumblng/Mechanlcat _:
- Prlor to lnsulatloh or decklng. I I Wood Stovo - After lnstaltatlon.
MOBILE HOME INSPE TTONS
l-l tnsert - After flreplace approvat
-
and lnstallailon of unlt.
[-_l Blocktng and Set.Up - When ail
-
btocklng ls compleie.
tl
Curbcut & Approach - After
forms are erected but prlor toplacomont of concrete.
I
Sldewalk & Drlveway - Afterexcavatlon ls completo, forms
and sub-bas'e materlal ln place.
[--l Electrlcal Connectlon - Whens blocking, set.up, and plumblng
tnspecilons have been approv6dand the home ls connectdd tothe servlce panel,tf Fence - When completed
1-l Street Treee - When ail requtred
-
trees are planted.
Flnal - After all requlredlnspecllons are approved andporches, sklrilng, decks, andventlng have been lnstalled.
I
PHONE:
E
ACCHSEGARP.L.
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lot Tfpe -
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de'sac
i-^S THE PROPOSED WOBK IN THE
"HISTORICAL DISTBICT, OB ON
THE HISTORICAL REGISTER?
--lf yes, thls appllcatlon must be slgned
and aPProved bY the Historlcal
Coordlnator prlgr to petmlt lssuance'
APPBOVED:
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of tho Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work described
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of tho Bullding Safety Divislon.
I further certlfy that only contractors and employees who
aro In compllance with OBS 701'055 wlll bo used on thls
prolect.
I further agree to ensuro that all requlred lnspections are
requesled at the proper tlme, that each address ls readable
from the streot, that the pormlt card ls located at the lront
of the property, and the approved set of plans will remaln
on the slte at all tlmes durlng construction
lg
L
VALIDATION:
RECEIPT NUMBE
DATE PAID
AMOUNT BECEIVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express condition that the sald
consiructlon shall, ln all respects, conform to the Ordinance
adopted Oy ino Clty of Springfleld, lncluding the
Development Code, regulating the constructlon and use of
bulldlngs, and may be suspended or revoked at any time
upon vlolatlon of any provlslons of sald ordlnances'
Plan Check Fee:
-
Plans Revlewed BY Date
Becelpt Numbe
Date Pald:
Becelved BY:
BUILDING PERMIT
VALUE
(A)
SO. FT,- X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT,
FT,
N0
PLUMBING PERMIT
Plumblng Permlt
Stato Surcharge
Total Charge
Wood Stove/ lnsert/Flreplace Unit
Oryer Vent
(D)
NoVent Fan
Mechanlcal Pormlt
lssuance
State Surcharge
Total Permlt
MECHANTCAL PERMIT
Furnace
Exhaust Hood
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surchargo
Sldewalk
-
ft
; Curpcut
--
ft
! Demolltlon
State Surcfrdr!o
Total Mlscellaneous Pormits (E)
TOTAL AMOUNT DUE (excludlrlg electrical)
(A, B, C, Q and E Comblned)RECEIVED BY
Systems Development Charge ls due on all undeveloped
properties wlthln tho City llmits which are being improved'