HomeMy WebLinkAboutPermit Plumbing 1995-11-21SPFlThrGFIELE)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBO
ASSESSOBS MAP:
D WOR
LOT
-
BLOCK:
JOB NUMBER
225 Fifth Street
Sprlng f leld, Oregon 97 477
TAX LOT
SUBDIVISION
OWNER:
CITY:
A
STATE:
PHONE
ZIP:
ADDITION LISH
--
OTHER
DESCRIBE WOR
NEW- REMODEL
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTBACTOR'S NAME
MECHANICAL:
CONST,
CONTRACTOR #
GENERAL:
PLUMBING
)
RANGE:
, OF BDRMS
_ OFFICE USE _
WATER HEATER:
A OF UNITS:
FLOOO PLAIN:
ZONING CODE
SECONDABY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
, OF BLDGS
OCCY GBOUP:
E OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m, wlll be
made the same worklng day, lnspections requested after 7:OO a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
Temporary Eleclrlc l--l Rough Mechanlcal - Prior tot-l cover.
Final Plumbing - When all
plumblng worl( is complete.
Site lnspectlon - To be made
af ter excavatlon, but prior to
setting forms.
Rough Eleclrical - Prior to Final Electrlcal - When all
electrical work is complete.cover
Underslab Plumblng/ Electrical i
Mechanical - Prlor to cover.
Electrlcal Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical worl( is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and f ramlng lnsp.
FInal Building - When all
requlred lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Othor
Foundatlon - After forms are
erected but prlor to concrete
placemont.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to filllng trench.l--l Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanical
- Prior to insulatlon or decklng.Wood Stovo - Af ter lnstallatlon
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After flreplace aPProval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
Curbcut & Approach - Af ter
forms are erected brlt Prior to
placomcnt of concrete.
Plumbing Conneclions - When
home lras been connected to
water and sewer.d ng
Sanitary Sewer - Prior to f llllng
trench.Electrical Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to fllling
trench.
Sldewalk & Driveway - Af ter
excavation ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filling
trench.
Fence - When comPleted
Bough Plumblng - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porchcs, sklrtlng, decks, and
ventlng have been lnstalled.
LAND USE:
E
E
E
n
E
tl
tl
E
E
E
E
E
tl
tl
tl
E
E
E
E
r
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de.sac
Se i-,S THE PROPOSED WORK tN THE .
HtsroRtcAL OTSTRTCL OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcailon must be slgnedand approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAB ACC
N
S
E
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This permit is granted on the express condiilon that the saidconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City of Springfield, including theDevelopment Code, regulating the constructlon and Lse ofbulldings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.
Plan Check Fee: ---
Date Pald:
Plans ReviewecJ t3y Date
Receipt Numbe
Flecelved By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all undevelopedproperties wlthin ilra City linrits which are belng improved.
PLUMBING PERMIT
ITEM
Fixtures
Resldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
Plumbing Permit
State Surcharge
Total Charge (c)
MECHANICAL PERMTT
Furnacc
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I hdve carefully examlnedthe completed appllcation and do hereby cerilfy that alllnformatlon hereon is true anct correct, and I f urther cerilfy
that any and all work performed shall be done in accordancewlth the Ordinances of the City of Sprlngf ield, and the Lawsof the State of Oregon pertalnlng to thc work describedhereln, and that NO OCCUPANCy will be made o{ anystructure wlthout perrnission of the Building Safety Divislon.I further certify that only contractors and employees whoare ln compllance with OFIS 7O.I.OSS wlll be usect on thlsproiect.
I further agree to ensure that all required inspections arerequested at the proper time, that each address ls re
from the street, that the permit card ls locatect at ththe property, and the approved set of plans will remalnthe slte at all ti es du rin ctlon.
SI atu re
Date
FEE
N0
FT.
FT.
FT.
Mechanical Permit
lssuance
State Surcharge
Total Permit
r!
(D)
MISCELLANEOUS PERMITS
Mobile Home
I
State lssuance t
State Surcharge
Sldewalk ._._- ft
Curbcut __- ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
adable
e front
TOTAL AMOUNT DUE (exctuding dtect^rieat)
(4, B, C, D, and E Comblned)
vhuroerroru:
RECEIPT NUMBER
ECEI
BY
DATE PAID
AMOUNT R
RECEIVED