HomeMy WebLinkAboutPermit Plumbing 1997-04-15RESIDENTIAL
PEBMIT APPLICATION
lnspections: 726.3769
Office: t26.3759
SPFl LI)
JOB NUMBER
225 Fi(th Street
Springfield, Oregon 97 477
LOCATION OF PROPOSED WOBK:z
ASSESSORS MAP:2 ^o7 ^%^ r./
LOr BLOCK:
TAX LOl:
-
SUBDIVISION:
PHONE
STATE:ZIP:4>CITY:
ADDRESS:
OWNER:
DEMOLISH OTHER
DESCRIBE WORK:
NEW- REMODEL ADDITION
CONST.
CONTBACTOR #
ADDRESS
EXPIRES PHONE
CONTRACTOR'S NAME
PLUMBING:
GENEBAL:
MECHANICAL:
ELECTRICALI
r OF BDFIMS:
; OF UNITS:
_ OFFICE USE _
LAND USE:
OUAD AREA:
r OF BLDGS:
SECONDAFIY HEAT:
SOUARE FOOTAGE:
RANGE;WATER HEATER:-_-
OCCY GROUP:
* OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To req ues an n p ec il o n you m US cal 726-3madehe769.Th S IS a 24 h o UT rcc o rd n s A n specSAmeworkln0day,ns pect lon s req u ested at ter 7:00
o NS requ ES ed before 7:00 a.m. wlll be
day.a.m,il be m ad e h e fol ow n s wo rk
REQUIRED TNSPECTIONS
[-l femporary Etecrrtc Rough Mechanlcal - prlor tocover.fl rtnat ptumblng _ When ail
-
plumblng worl< is complete.
Slte lnspectlon - To be madeafter excavation, but prior tosettlng forms.
Rough Electrical - prlor tocover.Final Electrlcal - When ailelectrical worl< is complete.
[-l Unaerstab ptumbing/ Elecrricat/
-
Mechanlcal - prloi to cover.Electrical Servlce - Must beapproved to obtaln permanent
electrlcal power.
Flreplace - prlor to faclngmaterlals and framlng lnspl
Framlng - Prlor to cover.
Footlng - After trenches areexcavated.
Masonry - Steel locatlon, bonctbeams, grouting.
Foundatlon - After forms areerected but prlor to concreteplacement.Wall/Celling lnsulatlon _ prlor tocover.
[-l Unaerground p]umbtnq - priort-J to fllltig trench [-_l Drywatt - prtor to taping
Underlloor plumbing / Mechanlcal
- Prior to insulation or clecklng.
Post and Beam - prlor to floorlnsulation or decklng.
MOBILE HOME TNSPECTIONS
Wood Slovc - After lnstallation.
lnserl - After flreplace approvaland lnstallailon of unlt.
Curbcut & Alrproach - Afterforms are erected but prior toplacemcnt of concrete.
Sidewalk & Drlveway - Afterexcavation ls cornplete, formsand sub.base materlal ln place.
Fence - When completed.
Streel Troes - When all requlredtrees are planted.
[-_l atocktng and Set.Up _ When aI
-
blocking is cornplele.
Floor lnsulation - prlor todecklng.Plumbing Conneclions _ Whenhome l.ras been connected towater and sewer.ffi SanltarV Sewer - prior to fiiling.€ trench,
[-l Storm Sewer - prior to fiilingu trench.
l--l Water Ltne - prtor to fiiling'J trench.
Eleclrical Con-nection - Whenptockllg, set.dp, and ptumbtnjInspections have becn approvedand the home ls connected tothe service panel.
Rough Plumblng - prior to
cover.
Final - After all requiredrnspecuons are approved andporchcs, skirilng, decks, andventlng have been lnstalled.
o^ :7
T tl fl
I Final Mechanlcal - When all
-
mechanical work ls complete,
l-_l rlnat Buitding - When ail
-
required lnspecilons have beenapproved and bullding lscompleted.
l--l otho'
-
tl
Lot {aces
Lot sq. {tg.
Lot coverage
ToPograPhY
Total helght
Lot TYPe
-
lnterior
-_
Corner
-
Panhandle
__ Cul'de'sac
HSE GAR ACC
N
S
E
l{ yes, this application must be slgned
on'J-'uPPro'"0 bY the Historlcal
6oorOinator prior to permit issuancer
APPROVED:
lcT,
THEiNKRWOEDTOSPPROHEONRoSTRDIICALroFI
?STEREGIRLBICAISTOHETH
Date
Plans Rcviewed l3Y
. PLAN
Enulr
KcHEcEVLUAGDLNUB
PGNDLUBDNA saidethhationondcrESSheoncxpranedSsiSThanceperminrdohetoconformsallresPectnshaloctintruconSehudnncsefidnilsSpcivhedolsebyaduandoptcionruheconsnatsCodreg ue,o imepmenDevelanyatrevokcdoreddSUspentlemayandtdinbu9s,nances.orddsalofonslrovtpany
ReceiPt Numbcr:
Received BY:
upon violation of
Plan Check Fee:
Date Paid:
VALUE
(A)
x s/so' FT.
Total Value
Builcling Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT'
Maln
Garage
CarPort
Systems Development Charge is due on all
itor"t,,"" withln the City linrits which are bei
undeveloPed
ng imProved.SYSTEMS DEVELOPM ENT CHARGE (SDC)
(B)
ADDITIONAL COMMEN TS
ITEM
Fixtures
Besldential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT FEE
No
aP
FT.
FT.
?7^-(c)
Plumblng Permlt
State Surcharge
Tolal Charge
Wood Stove/ lnsert/ Flreplace Urril
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
ttre compteted application and do hereby certl[y that all
lnformation hereorr is true atrd correct' and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of thc City o{ Springfield' and the Laws
of the State of Orcgon perlaining to thc work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission o( the Bulldirrg Safety Divislon'
I further certi{y that only contractors and employees who
are in cotnpliance with ORS 70'l'055 wlll be used on thls
proiect.
e to ensure that all required lnspections are
time, that each address is readable
permit card ls located at the front
approved set ol Plans will remaln
Date
e4/
I further agre
requested at the ProPer
f rom tlro street, that the
of tho ProPerty' and tho
construction.on the site at all times
Signature
t{-ii.27
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut .-..- ft
Demolitlon
State Surcharge
(E)Total Mlscellaneous Pertni ts >aDATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBEB
TOTAL AMOUN
(A, B, c, D, and
T DUE (excluding electrical)
E Comblned)
P.L.
i
FT. ,.-
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