HomeMy WebLinkAboutPermit Plumbing 1994-02-03t1 03 3G 3r Yoo
SPRINGFIELr,
tD5RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LO CATION OF PROPOSED
ASSESSORS MAP:
()
LOT:
h,
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
TAX LOT:
SUBDIVISION:
)*11
BLOCK:
PHONE:
ZIP:
)
STATE:
OWNER:
ADDR
CITY:
OTHERDEMOLISH
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
Et E^TOt^At .
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
GENERAL:
PLUMBI
CONST.
CONTRACTOR #
RANGE:
# OF BDRMS
_ OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER
* OF UNITS:
SECONDARY HEAT
SOUAFIE FOOTAGE:
QUAD AREA:
* OF BLDGST
OCCY GROUP:
+ OF STOFIIES:
CONSTR. TYPE:
HEAT SOURCE:
-To request an lnsnection. you must c"1!726-.1769. This ls a?4haur reco:'Cing. All !nepect!cns:'equosted befo;'e 7:C0 a.;^n. iilii be
made the same working day, inspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
l-l Temporary Electric
L___l
Rough Mechanlcal - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Eleclrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prlor to faclng
materlals and framlng lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
OtherFoundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping.
MOBILE HOME INSPE TIONS
Underf loor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After lnstallation.
Post and Beam - Prior to floor
insulation or decking.lnserl - After fireplace approval
and lnstallation of unlt.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Conneclions - 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.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.l-_l Fence - When completed.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
x
Rough Plumbing - Prior to
cover.
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Sanitary Sewer - Prior to filllng
trench.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de-sac
rsTHE PBOPOSED WOBK IN THE. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
ACCP.L,HSE GAR
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, includlng 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 Beviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
#)(c)
FT.
FT.
N0
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther 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 ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
t
,L
DATE PAID
AMOUNT RECE
RECEIVED
VALIDATION:
RECEIPT NUMB
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