HomeMy WebLinkAboutPermit Plumbing 1995-01-23SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:
LOT:
2fr,
74
JOB NUMBER
225 Fifth Street
Spring(leld, Oregon 97 477
TAX tOT:8lrao
BLOCK:SUBDIVISION
PHON E:
STATE ZIP:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHEFI
DESCRIBE WORK:
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTRACTOFI'S NAME
MECHANICAL:
CONST.
CONTRACTOR 'f
GENERAL:
PLUMBING
RANGE:
I OF BDBMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
--
To request an inspectlon, you must call 726'3769. Thls ls a24nour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
l--l temporary Electric Rough Mechanical - Prlor to
cover.
Final Plumbing - When allplumbing work is complete.
Slte Inspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover
Underslab Plumbing/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framing lnsp.
Flnal Building - When ail
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framing - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulation - prlor to
cover.
Underground Plumbi ng - Prior Drywall - Prlor to taplngto lllllng trench.
tl Underlloor Plumbing/ Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME TNSPECTIONS
Wood Stovo - After lnstallatlon.
Post and Beam - prior to floorlnsulatlon or decking.I--l lnsert - After flreptace approval.- and lnstallatlon of unlt.
[--l Blocking and Set.Up - When ail
-
blocking is complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor toplacemcnt of concrete.
Plumbing Connectlons - Whenhome has been connected towater and sewer.Sanltary Sewer - Prior to filling
trench,
Storm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Electrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approvedand the home is connected tothe service panel.
Water LIne - Prlor to filling
trench.
Fence - When completed
Final - After all required
inspections are approved andporches, skirtlng, decks, andventing have been instailed.
w
Rough Plumbing - Prior to
cover.Tl Street Trees - When ail requtred.- trees are planted.
-4
FLOOD PLAIN:
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Ty[_
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se IS THE PROPOSED WOBK IN THE .
HISTORICAL DISTRIST, OR ON
THE HISTORICAL REGISTER? ---
lf yes, this application must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
(A)
X $/SO. FI.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, includlng theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.
Plan Check Fee: ----
Recei pt Number:--_,_
Plans Fleviewed By Date
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Flx tu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Fr. 4a
FEE
N0
FT.
FT.
(c)
.t z.t^ Z>?zu.f 2 ____r__T_-_c,
7 7 /,2o
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon is true and correct, and I further cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfleld, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.O55 wlll be used on lhis
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
:z:;,/*13'
on the site at all ti es during construction
Signatu
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, D, and'E Combined)
VALIDATION:
RECEIPT NUMBER /Za
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
^?>-
-? z-
PLUMBING PERMIT