HomeMy WebLinkAboutPermit Plumbing 1999-09-15GFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Office:726-3759
LOCATION OF PROPOSED WORK:
LOT:
ru
JoB NUMBER33JZ57-
225 Filth Street
Sprlngfleld, Oregon 97477
SUBDIVISIONTBLOCK:
STATE:ZIP:?"^1 a
CITY:
ADDRESS:
OWNER:
DEL
-
ADDITION DEMOLISH OTHER
ADDRESS EXPIRES
7101
Z
,, PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
r OF BDRMS:
- OFFICE USE _
WATER HEATER:
FLOOD PLAIN
RANGE:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
ZONING CODE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons request€d after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED TNSPECTIONS
n Temporary Electrlc Rough Mechanlcal - prlor to l--l Flnat plumblng _ When altcover. 'J plumblng worl< ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor tosettlng forms.
Rough Electrical - Prlor to Flnal Electrlcal - When allelectrlcal work ls complete.cover.
Underslab Plumblng/ Electrical /Mechanlcal - Prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated.[l Flreplaco - prtor to factng
-
materlals and framlng lnsp.
Flnal Bulldlng - When ailrequlred lnspectlons have beenapproved and bulldlng is
completed.l--l Masonry - Steel locatlon, bondlJ beams, grouilng.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concreteplacemont.Wall/Celllng lnsulatlon - prlor to
cover.
Underground Plumblng - prior
to fllllng trench.Drywall - prlor to taplng
l--l Undertloor plumblng/ Mechanlcal
Prlor to lnsulailon or decklng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Beam - prlor to lloorlnsulatlon or decklng.lnsert - After flreplace approvaland lnstallatlon of unlt.
l-l Alocklng and Set.Up - When ail
-
blocklnO ls complete.
tl
w
Floor lnsulatlon - prlor todecklng.Curbcut & Agrproach - Afterforms are erected bUt prior toplacomont of concrete.
n Ptumblng Connecttons - When
-
home has been connected lowater and sewer.Sanltary Sewer - Prlor to fllllngtrench.
l--l Storm Sewsr - prtor to fliltngtJ trench.
Sidewalk & Drlveway - Afterexcavatlon ls complete, formsand sub-base materlal ln place.
Electrlcal Connectlon - Whenblocklng, set-up, and plumblng
lnspectlons have been approvedand the home ls connected tothe servlce panel.
E ly#:flne - Prlor to fillins l-l Fence - lvhen coinpteted
Rough Plumblng - prlor to
cover.I-_l Street Trees - When all requtred
-
trees are planted.
l-_| flnat - After alt requtredu lnspectlons are approved andporchos, sklrtlng, decks, anctventlng have been lnstalled.
ASSESSoBS uae: / ? ? '2a -2/ rAx Lor d;/R ^
47*
PHONE:-W
tl
l--lother-
E
P.L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot'r. -
-
tnterlor
-
Corner
-
Panhandle t
-
Cul-de-sac
l, t .,
\ IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applioatlon must be slgned
arrd approved by the Hlstorlcal
Coordlnator prior to permit issuance.
APPROVED:
BU I LDI NG LIJ LAN CHECK
AND BUILDING RMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, includlng the
Development Code, regulating the construction and use of
ouildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Fleceipt Numbe
Fleceived By:
Plans Reviewed By Date
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalning to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldirrg Safety Divislon'
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
proiect.
I lurther agree to ensure that all required lnspections are
requested at the proper tlme, 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
on the site at all ti ng constructlon
Signature
tr
PEVALUE
(A)
SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
'.. +
X S/SQ. FT.
BUILDING PERMIT i
ITEM
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
Nc
?7r
,*fry,
ar.4l $2-t€
FT.
(c)q,?
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
AMOUNT RECEIVED
RECEIVED BY
DATE PAID
VAI-IDATION:
BECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
Date
?2_