HomeMy WebLinkAboutPermit Plumbing 1999-10-27SPRINGFIELE,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759 afi,
JoB NUMBE ^ 3lttt z
225 Fifth Street
Sprlng(leld, Oregon 97477
LOCATION OF PROPOSED LLfT
ASSESSOBS MAP:t70 Lul
TAX LOT:D{7cto
LOT:
-
BLOCK:SUBDIVISION
PHONE:?r\
D(z ZIP:STATE:
[c?wrel 7{1-?47\
11Yr -7
Cl flha,.<-sc.JOWNER:
ADDRESS:
CITY:
NEW- REMODEL ADDITION DEMOLISH OTHER-
a_DESCRIBE WORK:4
ADDRESS
llLz-o(
WATER HEATER:
12
NOI
,SABRNtsOfiEE
LAND USE:---fiIOTI,C-E:
TS:
EXPIRES .1 PHONE
tL.
- OFFICE USE _
0090. \
OCCY GBOUP:
* or sr0Ht'd*j
RANGE: __ ANYl80nAY PERI@.UARE FoorAGE:
ELECTRICAL:
G CODE:
FLOOD I)LAIN:
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
QUAD AREA:
* OF BLDGS:
ATTEN]I(
CONSTR.rYPE:
--_1Atffi+OftEED,:';,i4,\" HEAT SoURcT: COMMENGEDOR
GENERAL:
PLUMBING
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<le the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Final Plunrbing - When altplumbing worl< is complete.
Site lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulation - prlor to
cover.
Underground Plumbln g - Prior Drywall - Prior to taplng.to fllling trench.
Underlloor Plumblng / Mechanlcat
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon
Post and Beam - prior to floor
lnsulation or decking.[--l lnsert - After ftreplace approval.- and lnstallation of unlt.
[-l elocking and Ser.Up - When ail.J blocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & Alrproach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - When
home has been connected towater and sewer.
Sanitary Sewer - Prior to filling
trench.
[-_l Storrn Sewer - Prior to flllingu trench-
Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approved
and the home is connected tothe servlce panel.
f-_l Water Llne - Prlor to fiilingu trench.
Rough Plumbing - Prior to
cover.
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspections are approved andporches, sklrting, decks, andventlng have been lnstalled.
t
[_l Underslab Plumblng/ Electricat/u Mechanlcal - Prlor to cover. I I
[-l Footlng - After trenches are|J excavated.tl
tl
[-_l Sidewatk & Driveway - Atteru excavation is complete, forms
and sub-base material ln place.
n Fence - When ccinpleted.
tl
fl
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
,- Panhandle
-
Cul-de-sac
Setbacks
P.L.}{SE GAR ACC
N
S
E
( lS THE PROPOSED WOBK tN THE .' HrsToRrcAL otsTRtcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPFIOVED:
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SO, FT. = VALUE
BUILDING PERMIT
ITEM
Main
Garage
Carport
SQ. FT.
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
ouildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Heceipt Nu
Plan Check Fee:
Date Paid
Received By:
RMIT
LAN CHECKBUTLDING \ALUE,
AND BUILDING PE
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 Sgwer
Water
Storm Sewer
Moblle Home
FEE
z{'
L("
Z.s!
s777(c)
N'
Ft.
FT.
FT. 4o
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprtngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Bullcllrrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from tlre street, that the permit card ls located at the front
and the approved set of plans will remaln
Slg natu re
Date
I ti s during construction.site
ot the
on the
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMlTS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
NoVent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combined)
/o
Z
VAI-IDATION:
RECEIPT NUMBER OTCcl 7
DATE PAID
AMOUNT RECE
RECEIVED BY
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