HomeMy WebLinkAboutPermit Plumbing 1993-10-21SPRI]{GFIEL()
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of lice: 726'3759
LOCATION OF PRO
ASSESSORS MAP:
POSED WORK:
?fr,
JOB NUMBER
225 Fifth Street
Springf ield, Oregon 97477
TAX LOT:
SUBDIVISION
If,
r e'r. BLOCK:LVl.
-
q-
PHONE
ZIP:STATE
OWN
ADDR
CITY:
ADDITION DEMOLISH OTHERREMODEL
DESCRIBE WO
NEW -.-.
PHONEEXPIRESADDRESSCONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR ,'
GENERAL:
PLUMBING
RANGE
# OF tsDRMS
- OFFICE USE _
FLOOD PLAIN
WATER HEATER:
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
r OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
/ OF UNITS ZONING CODE:
OCCY GROUP:
r OF STORIES:
To request an ins pection, you must call 726-376g. This is a 24 hOUr recording. All inspections requested before 7:0o a'm' wlll be
made the same working day, lnspections 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 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 Perrnanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Fireplace - Prlor to facing
materials and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.I Drywall - Prior to taplng
MOB!LE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulartion or decking.lnsert - After fireplace aPProval
and installation of unit.
Blocking and Set-UP - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcul & ApProach - Af ter
forrns are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been aPProved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - Af ter
excavation is complete, forms
and sub-base material in Place,
Water Line - Prior to fllling
trench.
I-_l fence - When comPleted
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
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P.L.HSE GAR ACC
N
S
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-- Panhandle
-
Cul-de-sac
Set
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
acloptccJ try the City of Springfield, incltrding the
Developmcnt Coclc, rcgulating the construction and use of
builclings, ancj may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Plans Reviewed By Date
Date Paid
Receipt Nunrber:
Received By
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Developnrent 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
FE,E
C(c)
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
NU
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
Vent Fan N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
By signature, I state and 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 certify
that any and all work perlormed shall be done in accordance
with the Orcjinances 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 withoul permission of the Building Safety Division.
I further certify tlrat only contractors and employees who
are in compliance with ORS 701.055 will be used on this
pro jec t.
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 is located at the front
of the property, and the approved set of plans vrill remain
Signatu
Date
ton the es duringat al
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
state surcharge
Sidewalk -- ft
Curbcut f t
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
1Db3t
ED
DATE PAID
VALIDATION:
RECEIPT NUMB
AMOUNT REC
RECEIVED AY
-Ts THE PROPOSED WORK IN THE
}IISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
APPROVED t
FT.