HomeMy WebLinkAboutPermit Plumbing 1997-06-06RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
SPRTNGFIELO L 7
JOB NUMBER
225 Fifth Street
Springfleld, Oregon gl 417
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:TAX LOT:
LOT BLOCK: _SUBDIVISION:
--
b
STATE:
PHONE:7J6- 6 1c-(()
ZIP:Q)qzl
h
q C-LcrlsoOWNER:
ADDRESS:
CITY:
NEW- REMODEL ADDITION DEMOL|SH OTHER-
DESCRIBE WORK:
ADDRESS
o 803o
EXPIRES ,$ PHONE
ELECTBICAL:
CONTRACTOB'S NAME
GENERAL:
MECHANICAL:
PLUMBING
CONST.
CONTRACTOR #
- OFFICE USE -
WATER HEATER:
Y OF UNITS:
RANGE:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT
SQUARE. FOOTAGE:
, OF BDRMS:
-
OCCY GROUP:
r OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:FLOOD PLAIN:
To request an lnspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:Oo a.m. wlll bemade the same worklng day, lnspecilons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTTONS
J-.l temporary Etectrtc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng work ls complete.
Slte lnspection - To tre mado
after excavatlon, but prior tosettlng forms.
Rough Electrlcal - Prior to Flnal Electrlcal - When allelectrlcal work ls complete.cover.
l--| Understab Ptumbing/ Elecrrical/.J Mechanlcal - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover,
Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bullding ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to filllng trench.Drywall - Prlor to taplng.
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - Aftor flreplace approval
and lnsta,latlon oI unlt.
Blocking and Set-Up - When allblocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete,
Plumbing Connections - When
home has been connected to
water an<J sewer,
Sanltary Sewer - Prior to filllng
trench.Electrical Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the hgme ls connected to
the servlce panel.
Stqrm Sewer - Prior to fllllng
trench.
Sidewalk & Drlvewav - After
excavation ls complete, forms
and sub-base material ln place.
fllm:lLrne - Prror to rirrins n Fence - When coinpleted.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.fl
E
fl
E
Other
-
E
tl
tlr tl
E
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
PL.HSE GAR ACC
N
S
E
-
Panhandle i
-
Cul-de-sac
Lot Type
-
lnterlor
-
Corner
BUILDING PERITiIT
VALUE
(A)
t
ITEM
Main
Garage
Carport
Total Value
Bullding permit Fee
State Surcharge
Iotal Fee
SQ. FT. X $/SQ. FI
SYSTEMS DEVELOPM ENT CHARGE (SDC)
(B)
Systems Devel enopm C isharge due on dun evelopedespropertiwithinthecitmtstywhichbareeimngroved.p
ITEM
Flxtures
Resldenilat Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBTNG PERMIT
290
No
pr. 1a
aoo
5-oo
FEE
-_
Plumblng permlt
State Surcharge
Total Charge
/, Lt- f ,7f
(c)
ADDI TIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
No
-
-
-
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I stato and agres, that I have cerof ully exarnlnedths compt6ted appllcatlon end ao nrr"LV
"erilfy that alllnformauon hereon tB true and coriect, iii f-rrrtn", oerilfythat eny and all work porlorm€d lhall be done ln acoordenoowlth the Ordlnanccs of the Clty of Sprlngflell, anO the Lawsof the state of oregon pertalnrng to the work descrrbedhere'ln, and that NO OCCUPANCy wlll be made of anystructure wlthout permleelon of the Bulldlng gafsty Dlvlrlon,I further cerilfy that only contractors and employees whoare ln compllance wtth ORS 7O1.OSS wlll be used on thlsprolect.
I lurther agree to onsuro that all requlred lnBp€cilon! sr€requesled at ths propor ilme, thet Each addr€rs lg readablelrom the ltro€t, thst the pormll oard lt looltod tt lhc lrontof the property, and the approved set of plans wlll remaln
on the Blte at all ilmes durlng construcilon.
tSlgnature
Date
MISCELLANEOUS PERMTTS
Moblle Home
Slate lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng elecrrlcat)
(A, B, C, Q'and E Comblned)
24OO
-??L-
'i ; ,,
- i,,. . ..i lin i,1
. IS THE PROPOSED
HISTORICAL DISTBI
WORK TN THE
cr, oR ONTHE HISTORICAL REGISTEFI?
lf yes, thls appllcailon must be slgnedand.approved by the Histo;tc;lCoordinalor prlor to permit lssuance.
APPFIOVED:
BUILDING
AND BUIL
Plan Check Fee:
Date Paid:
Beceipt Numbe
Received By:
!ALUE
DING P
LAN CHECK
MIT
t
E R
Thls permrt is granted on the express condition that the sardconstruction shail, in .rr ,"upe.is,-Jo'niJ,i'i" ,n" Ordtnanceadopted bv the c,,_r,9f spir^sii"ii, incrudins theDevetopment code. regurating in" "ri-"'tiu"tion "no ,"" o,bulldlngs, and may be suspendeO o, ,"rot uO at any timeupon violation of any provisions
"r ""lJ'IrJinances.
Plans By --Date
VALIDATION:
BECEIPT NUMBEFI
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
00
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all
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