HomeMy WebLinkAboutPermit Plumbing 1999-01-27SPR INGFIELE,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPO
JOB NUMBER
225 Fifth Street
Sprirrgfleld, Oregon 97 477
TAX LOI
SUBDIVISION:
--
ASSESSORS MAP:
:T
LOT:BLOCK:
\OWNE
A
C
PHONE:
ZIP:
J
ADD 'toN ---OLISH OTHERNEW
-
FIEMODEL
DESCRIBE WOR
ADDRESS EXPIRES a PHONE
ELECTRICAL:
CONTBACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
P:
RAN
rHts
S:
4
CONSTR. TYPE:
C OF STORIES:SOURCE
WATER HEATER:
- OFFICE USE
CODE:
D I)LAINQUAD AREA:
* OF BLDGST
OCCY GROU
LAND USE:
# OF UNITS
To re qu est an n spec ti n,you mu t c al ls 24 hour recordlng. All ln :00 a.m. wlll be
made the same worki n9 day,I n s pect io ter 7:00 a.m. wlll be made the fol
REQUIRED INSPECTIONS
6!
Temporary Electric Rough Mechanlcal - Prior to
cover.
Final trlumbing - When all
plumblng worl( is complete.
Slte lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Eleclrical - Prior to Flnal Electrlcal - When all
electrlcal work.ls complete.cover,
Underslab Plumblngl Electrical /
Mechanlcal - Prior lo cover,Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllling trench.
MOBILE HOME INSPE TTONS
Underlloor Plumbing/ Mechanlcal
- Prior to lnsulatlon or decking.
Post and Boam - Prlor to floor
lnsulatlon or decking.tnsert - After flreplace approval
and installatlon of unlt.
Blocking and Set.Up - When all
lrlocklng ls complete.
Floor lnsulation - Prlor to
decking.Curbcut & Approaclr - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
itary Sewer - Prior to filling
trench Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home ls connected to
the servlce panel.
Stonn Sewer - Prior to filling
trench.
Sidewall< & Driveway - After
excavation ls complete, forms
and sub-base materlal ln place.
Water Line - Prlor to filling
trench.
Fence - When coiilpleted.
Streel Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.E Rough Plumblng - Prlor to
cover.
n>
E
tl
E
E
tl
E
E
E
E
E
[l Flreptace - Prlor to faclng
-
materlals and framlng lnsp.
l-_-l Framlng - Prlor to cover.
n WallrCelllng lnsulatlon - Prlor tol--J cover.
l-l Drywall - Prlor to taplng.
l--l Wood Stovo - After lnstallatlon.
tl
Other
-
fl
E
il
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type _
-
lnterior
-
Corner
.- Panhandle
-
Cul-de-sac
i -lS THE PRoPoSED WoRK TN THE .
HISTORICAL DISTRICT, OR ON
T}1E HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
(A)
t
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
X $/SQ, FT,
BUILDING PERMIT
ITEM SO. FT.
Main
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the cxpress 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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Rcviewed By Date
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobite Home
PLUMBTNG PERMIT
FEE
N.
FT.
(c)
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERM!T
Fu rnace
Exhaust lloorl By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OOCUPANCy will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.O55 wiil be used on this
proiect.
I further agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Date -_-=-_--
on the site at a mes during construction.
Signa
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combined)
3AVAI-IDATION:
RECEIPT NUMB
DATE PAII)
AMOUNT R EIV
RECEIVED BY
Receipt Number:_
FT.
. FT.
a