HomeMy WebLinkAboutPermit Plumbing 1997-07-01ELD
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BLOCK:
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LOT:
TAX LOT
SUBDIVISION
JOB NUMBER
LOCATION OF PROPOSED WOHK:
ASSESSORS MAP:
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225 Fifrh Srreer
Sprlngfteld, Oregon gl4Z7
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#[::'i:?:j 726'376s
PHONE:
ZIP:STATE:
OWNER:
ADDRESS:
CITY:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW.-_- REMODEL
ADDRESS
qBb5 5
loLt '7Ll,
EXPIHES i PHONE
CONTRACTOR'S NAME
ELECTRICAL:
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
RANGE:
- OFFICE USE -
WATER HEATER:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS: _-
To request an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng worl< ls complete.
Slte lnspection - To be made
after excavation, but prior to
settlng forms.
Rough Electrlcal - Prlor to Final Electrlcal - When all
electrical work is complete.cover
Underslab Plumblng / Electrlcal /
Mechanlcal - Prlor to cover,Eleclrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechan'lcal - When all
mechanlcal work is complete.
Footlng - After trenches are
excavated,l-l Flreplace - Prlor to faclnglJ materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bullding ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l-l Framlng - Prlor to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placemont.
tl Other
-
Wall/Celtlng lnsulatlon - Prlor to
cover.
w Underground Plumblng - Prlor
to fllllng trench.[--.l Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - Aftor lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng,lnsert - Alter flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prlor to
decking.Curbcut & Approach - After
forms are erected bttt Prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the home is connected to
the servlce panel.
S rm Sewer - Prior to fllling
Sidewalk & DrlvewaY - After
excavation ls complete, forms
and sub-base materlal ln Place.'trench.
Water Llne - Prlor to filling
trench.
Fence - When coiilPleted.
$treet Trees - When all requlred
trees are Planted.
Final - After all required
lnspectlons are apProved and
porches, sklrting, decks, and
ventlng have been lnstalled.Rough Plumblng - Prlor to
cover.
FLOOD PLAIN:
ZONING CODE: _.
,f OF BDRMS: _
E
n
E
E
fl
E
tl
n
tl il
- .,, 7 i l.ti ' ,\'ii '
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typt.
-
lnterior
-
Corner
-
Panhandle i
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon mgst be slgned
and approved bY the H istorical
Coordinator prlor to permit issuance.
APPROVED:
ks
BU!LDING PERMIT
ITEM SO, FT.
Main
Garage
VALUE
,]
(A)
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
"
.i!
x $/so. FT.AND BUILDING PERMIT
This permit 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 tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Recei pt Numbe
BUILDING E,LAN CHECK
Plan Check Fee
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
-Slornsenverfir'lr
Mobile Home
Plumblng Permit
State Surcha tgu -l l rl 1,(i 4r,{vr^;v..
Total Charge
FEE
V'1
+Y
(c)
N!
PLUMBING PERMIT
ITEM
Fix tu res
Residential Bath(s)
Sanitary Sewer
Water ''
- FT.
ADDITIONAL COMMENTS
ANY
'
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby cerilfy that alllnformation hereon is true ancl correct, and I f urther cerUfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCy will be made of anystructure wlthout permission of the Building Safety Divislon.I further certi{y that only contractors and employees whoare ln compliance with ORS 701.055 will be usecl on thisproject.
I further agree to ensure that all required lnspections arerequested at the proper time, that each address ls
from the street, that the permlt card ls located atof the property, and the approved set of plans
7
readable
the front
ill remainon the constru
Slgnatu
Date
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
MECHANICAL PERMIT
(D)
Total Mlscellaneous perrnits (E)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Moblle Home
State lssuance
State Surcharge
Sidewalk --- ft
Curbcut -..- ft
Demolitlon
State Surcharge
Furnace
Exhaust Hoocl
Vent Fan
TOTAL AMOUNT DUE (exctuding etectricat)(A,B,qQandECombined)
q5L
f.
R
7
VALIDATION:
RECEIPT NU MBE'7-
/ -61DATE PAID
AMOUNT BECEIVED
RECEIVED BY
-Fnc