HomeMy WebLinkAboutPermit Plumbing 1992-03-18RES'DENTIAL
PER[I4IT APPLICAT'ON
lnspections: 126-3769
Ollice: 726-3tSg
s 7
LOCATION OF PROPOSED WOBK:
JOB NUMBEF
225 Fifth Streer
SprinOfie,cJ, Oregan 97 477
TAX LOI ooASSESSOBS MAP:17c 3 IA
LOT:
SUBDIVISION q7405
PHONE
BLOCK:
OWNER:
ADDRESS:egnl l?L
CITY:(JCb,
STATE:
DESCRIBE WORK:
NEW -.'-'- REMODEL ADDITION DEMOLISH OTHER
ZIP
CONTFIACTOR'S NAME
CENERAL: L.
ADDRESS CONST.
CONTRACTOR ,/PHONEEXPIRES
4
PLUMBING v {/
MECHANICAL
ELECTRICAL
_ OFFICE USE _
OUAD AREA:
# OF BLDGS: , ____
OCCY GROUP
# OF STORIES
Site lnspection - To be made
alter excavation, but prior to
settlng forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Sleel location, bond
bearns,0routin0.
Foundation - After forms are
erected but prior to concrete
placernent.
Underground Plumbing - Prior
to Iilling trench.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post anct Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
deckit.tg.
Sanitary Sewer - Prior to f illing
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Electrical * Prior to
cover,
Electrical Service - Must be
approved to obtain Pernlanent
electrical power.
Fireplace - Prior to facing
materials and framing lnsP.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover.
Wood Stove - After installation
lnsert - Af ter f irePlace approval
and installation of unit.
Curbcul & APProach - After
forrns are erected but Prlor to
placement of concrete.
Sidewalk & DrivewaY - After
excavation is comPlete, fortns
and sutr-base material in Place.
Street Trees - When all required
trees are Planted.
FLOOD PLAIN
ZONING CODE:
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical worl< is complete.
Final Building - When all
required inspections have been
approved and builcling is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-UP - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and Plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.
LAND USE:
* OF UNITS:
* OF BDRMS:
WATER HEATER RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. wlll be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl< is complete.
CONSTR. TYPE
HEAT SOURCE:
tr
Rough Plumbing - Prior to
cover.
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l--l Drywall - Prior to taoing.
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l-l Fence - When cornoleted.
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Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot TYPe _
._- lnterior
--
Corner
--- Panhanclle
_-- Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
J
E
lf yes, this application must be signed
.nJ 'uPPro'nO bY the H istorical
CoorcJinator prior to perlnit issuance'
APPROVE.D:
lcT'
EHTNt(RWOEDPOSPROHTES NoBoRSTDILRCAISTO-l{?EBSTEGRCARILJTOHEHT
Plan Check Fee: -.---'-
Date
ReceiPt Nurn[:e
Plarrs Review ed BY
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Date Paid
Fleceived BY:
BUILDING PERMIT VALUESO. FT,
(A)
X $/SO. FT.
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Dcveloprnent Charge is cJue on all undeveloped
properties witlrin thc City lirnits which are beir.rg itrrprovctl'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDTTTONAL COMMENTS
ITEM
Fixt u res
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
FT.
Nl"
FT.
_as@Fi
2--1,aL|-"(c)
/,S
Plumbing Permit
state surcharge
Total Charge
Wood Stove/ lnscrt/Fireplace Unit
Dryor Vont
(D)
NoVent Fan
Mcclri:nical Pcrtnit
lssu ance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
By signature, I state ancj agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certif y
that any and all worl< performecl shall be donc in acoordance
with the Ordinances of the City of Springfield' and tlrc Laws
of thc Stalc of Orel;otr pcrlairring to thr: worl< closcrib<:rl
Irt.rcin, ;rrr<j tltat NO OCCUPANCY will l.rt: ttt;ttlo of :rtry
structure witlrout pertttis;siot-t of the Building Safcty Divisiotr.
I f urther ccrlify that only conlractors and etrrllloyees who
are in compliance witlr ORS 7O1.055 will be uscd on this
pro.ject.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all t es during construction
Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
1DATE PAID
VALIDATION:
RECEIPT NUMB
AMOUNT REC
RECEIVED BY
TOTAL AMOUNT DUE (excluding clectrical)
(A, B, C, D, and E Combined)
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