HomeMy WebLinkAboutPermit Plumbing 1998-08-28SPR LE,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
4t io
n)
.JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97 477
TAX LOT do*ASSESSOBS MAP;/7O7 Zetz
LOT BLOCK:
STq /aPHONE:
STATE:ztP
/U
6lL 7
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:A
NEW- REMODEL ADDITION DEMOLISH OTHER
ADDRESS
a-&
EXPIRES n PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
EAr souRce: ooeo. You may obtain cqei€SntjAW+leqpy---
_ OFFICE USE _
Note: the telePhone
rorffiilflflFdSCIEtGF:
OUAD
ityw6ffi{
--TI-OAR9'52:0OF001
fiN1ttr"*FfiAtrffto*--_-
LAND USE: regon t5{F}98rnb$
UNrrs: followlules adoPted bYZbP
Center. Those rules are setNotilication
19 ftSltsrn. rvee o thfoffhqffH$2€e+--
' o' 86?fiiEticEDontsARANDeN ED Fotrl
calling the center. (
RANGE:WATE -----rrunrffitte Oreg
To request an inspectlon, you must call 726-3769. Thls ls a24 hour recording. All Inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumbing worl< ls complete.
Slte lnspectlon - To lre made
after excavation, but prior to
settlng forms.
Rough Eleclrical - Prior to Final Electrical - When all
electrical work is complete.cover
Underslab Ptumblng/ Electrical /
Mechanlcal - Prior to cover.
Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Final Buildlng - When all
required lnspectlons have been
approved and building is
completed.
[_l Framlng - Prlor to cover.
Other
Foundallon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.l--l Drywall - Prior to taplng
MOBILE HOME INSPE TIONS
Underlloor Plumbing / Mechanical
- Prior to lnsulatlon or decking.Wood Stovo - After Installation
Post and Beam - Prior to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocking ls complete.
Floor lnsulatlon - Prlor to Plumbing Connections - When
home has been connected to
water and sewer.lng Curbcut & Approaclr - After
forms are erected but prior to
placement of concrete.Sewer - Prior to filling
Storm Sewer - Prior to filling
trench.
Sidewall< & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Water Llne - Prlor to filling
trench.
Fence - lvhen cciilpleted.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porchos, sklrting, decks, and
ventlng have been lnstalled.Rough Plumblng - Prior to
cover.
r
SUBDIVISION: '
THE
E
E
E
E
E
E
tl
tl
E
E
E
E
E il
E
E
Masonry - Steel locatlon, bond
beams, groutlng.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
-
lnterior
-
Corner
"- Panhandle
-
Cul-de-sac
k IS THE PROPOSED WORK iN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPFIOVED:
P.L.HSE GAR ACC
N
S
E
BUILDING PERMIT
VALUE
Total Value
(A)
ITEM
Main
Garage
Carport
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
ouildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By
,
E
Date
Receipt Numbe
Date Paid
Receive<l By:
Plan Check Fee:
BUtLDtNG VALUE
AND BUILDTNG P
PLAN CH ECK
,RMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
L/0,b
3. za
4l-2,
N'
rulZp--
FT.
FT.
(c)
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mechanical Permit'
lssuance
State Surcharge
Total Permit
By slgnature, I state and agreq that I have caref ully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I further cerilfy
that any and all work performed shall be done in accorriance
wlth the Ordinanccs of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertainlng to tho work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure without perrnission of the Bulldlng Safety Divislon,
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
Proiect.
I furthei agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readabte
from the street, that the permlt card
c
ap
27-
Signatu
Date
of the property,plans
on the site ctlon.
at the fro;t
will remaln
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A,.B, Q Q and E Comblned)
C)
I I ?-40
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VALIDATION:
BECEIPT NUMBER
I
-a!c-t-