HomeMy WebLinkAboutPermit Plumbing 1996-03-12FlInlGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Off ice: 726'3759
LOCATION OF PROPO
JOB NUMBER
225 Fif th Street
Springfleld, Oregon 97 477
TAX LOT:
SUBDIVISION
ASSESSORS MAP:
SE
\
LOT:BLOCK
PHONE:
ZIP:STATE:
OWNER:
CITY:
AD
NEW -- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES PHONE
ELECTBICAL
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- OFFICE USE -
BANGE:
SECONDARY HEAT:
SOUARE. FOOTAGE:
, OF BDRMS:
OUAD AREA:
r OF BLDGS:
ZONING CODE:
WATER HEATER:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
AI ct on S re qu ested befo re 7:00 a.m wi il be
St al 7 26-3 769.Thl S ls a 24 hou record lng n pe
To req ues an you mu c il be made he fol low ng work day.
day,pect io ns req u este d af ter 7:00 a.m wl
mad the arne workl ng n
REO U R ED N S P ECTI o N S
l-_l TemPorarY Electric Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumbing worl( ls comPlete'
Site lnspectlon - To be made
rii., u*iuration, but Prior to
setting forms'
Underslab Plumblng/ Electrical I
Mechanlcal - Prior to cover'
Rough Electrical - Prlor to l--l Flnal Electrlcal - When all
[ | electtical work is complete'cover,
Electrlcal Servlce - Must be
approveO to obtaln Permanent
electrlcal Power.
f----l Flnal Mechanical - When all
I I m""nunical work is comPlete'
Footlng - After trenches are
excavated,
Masonry - Steel location' bond
beams, groutlng'
l----l FlrePlace - Prlor to faclngI I -.tirtals and framlng lnsP'
Flnal Buildlng - When all
i"orirea lnspectlons have been
apbroved and building is
completed.
Framlng - Prlor to cover'Other
Foundatlon - After forms are
Liecieo but Prior to concrete
placement'
Underground Plumbing - Prior
to filllng trench'
Underltoor Plumblng I Mechanical
l'i-tiiit-io lnsulatloh or decki ns'
Post and Beam - Prlor to floor
insulation or decking'
WalllCelllng lhsulatlon - Prlor to
cover.
Drywall - Prlor to taplng'
MOBILE HOME INSPECTIONS
t-----l Wood Stovo - After lnstallationll Blocking and Set'UP - When all
blocklng ls comPlete'
Plumbing Connections - When
home na! been connected to
water and sewer.Floor lnsulation - Prior to
decki ng.
lnsert - After llrePlace aPProval
.nd tn"t"ttutlon of unlt'
Curbcut & AlrProach - After
ioi-" "te ereited but PIior to
placemont of concrete'
Sidewalk & Drlvewav - After
Jr-..rition ls comPleto, forms
Iio "uo'b."e
materlal ln Place'
SanitarY Sewer - Prior to f illing Electrical Connection - When
;i;;ki;q, set'uP, and Plumbins
i"lou.ii.l^" have been aPProved
"nJinu home is connected to
the servlce Panel'
trench.
Storm Sewer - Prlor to filling
trench. I
Prlor to lilling Fence - When comPleted
Water Line -trench.
Bough Plumbing - Prior to
cover.
Str€et Trees - When all requlred
trees are Planted'
Final - After all required
insolctrons are aPProved and
;;;h;", sklrtins, decks' and
i"niing have been installed'
lnspectlon,
E
tl
P.L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS TH E PROPOSED WOBK TN THE
HISTOFIICAL OISTRICI, OR ON
THE HISTORICAL REGISTER?
.lf yes, this appllcailon must be slgned'and approved by the Historlcal
Coordinator prlor tol permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ, FT.ITEM
Main
Garage
Carport
Total Value
Building permit Fee
State Surcharge
Total Fee
Py.t_LD_tNG VALUE, PLAN CHECKAND BUILDING PENMIi
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City
. of Spiingfi"iJ, inctuding theDe.velopment Code, regulating ine c-onstilciion and use ofbulldings, and may be suspended or revoked at any tlmeupon vioration of any provisions of sard orJin"n""".
Plan Check Fee:
Date Paid:
Date
Plans Revi ewed By
Recelpt Number
Received By;
SYSTEMS DEVELO PMENT CHARGE (SDC)
(B)
S temys S Devel o pm en Ch lsarge due on al UN d eve lopedroptepertSwithnrheCi17rlitytswhicharenbeimsproved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N0
FI
FT.
FT.
(c)Torai Ch arge
Plumblng permlt
State Surcharge
ADDITI ONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mechanical permit
lssuance
State Surcharge
Total Permit
tca
By slgnature, I state and agree, that I have caref ully examlned
,'ffiffL:;f"""Til:":l'"' and do ;;;;; cer.fv that a,r
iln ili n: :#"'r ::iiiii: :ifi: ::: J,T ::"r,::li
;: ff , :Tf ;i:^. - *,li,ii:' i:','#li;r i x*l;
s t ru c t u re w i r h o u t,
"
; :": #:LX"1 J: 1,, : ". "?ffi t,ilI further certily that only contractors
"nd""rp,or"es who
il],I.""oriance with oFS 7o1.os;;;;;; used on rhrs
of plans will remai n
f urther reeag to en SU re ha allesrequtedathetiproperme,
mlro the st threet,at he peofthepropeandrly,a
Slgna
s located at the front
on the site at all
red lnspections are
address ls readable
State lssuance
State Surcharge
Sidewalk ..-_tl
Curbcut t.
-tl
Demolition
State Surcharge
(E)
Total Miscellaneous Permits
MIS
Moblt
CELLANEOUS PERMITSle Home
-
--TOTAL AMOUNT DU(A, B, C, e and E Co
E (excluding electrical),mbined)
DATE PAID
AMOUNT RECE
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
1
-
-
-
--
-
-
-
-
-
--