HomeMy WebLinkAboutPermit Plumbing 1999-09-15RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Offlce: 726-3759
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LOCAT'ON OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT
LOT
-
BLOCK:SUBDIVISION:
I
PHONE:
STATE:ztP, 7?y'2/CITY:
ADDRESS:
ODEL
-
ADDITION DEMOLISH OTHER
ELECTRICALI
RtADDRESS EXPIHES
7
71r1
'p PHONECONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
BANGE:
r OF BDBMS:
- oFFtcE usE -
LAND USE:
WATER HEATER:
ZONING CODE:
OUAD AREA:
E OF BLDGS:
SECONDARY HEAT
SQUARE FOOTAGE:
OCCY GROUP:
* OF STOBIES:
FLOOD PLAIN:
CONSTR. TYPE:
HEAT SOURCE:
/ OF UNITS:
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To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:OO a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
n femporary Electrlc l-l Rough Mechanlcat - Prlor to [-1 Flnal Plumblns|J cover. |J plumblng worl<- When all
ls complete.
Slte lnspectlon - To lre mado
after excavatlon, but prlor to
settlng forms,
Rough Electrlcat - Prlor to Flnal Eloctrlcat - When all
olectrlcal work ls complete.cover.
E Underslab Plumblngl Electrlcal/
Mechanlcal - Prlor to cover.Eleotrlcal Servlce - Must be
approved to obtaln permanent
slectrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavat€d.fl
tl
tl
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnepectlons have been
approved and bulldlng ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
E
E
tl
E
E
E
OtherFoundatlon - After forms are
erected but prlor to concrete
placement.WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPECNONS
Undertloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.tl lnserl - After flreplace approval
and lnstallatlon of unlt.
E Blocklng and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.l-l Curbctrt & Approach - AfterIJ forms are erected but prior to
placomont of concrete.
Plumblng Connectlons -home has been connected
water and sewen
When
lP
Sanltary Sewer - Prlor to fllllng
trench,Electrlcal Connectlon - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Slorm Sewer - Prlor to fllllng
trench.
l_l Sldewalk & Drlveway - AfterlJ excavatlon ls comploto, forms
and sub-baso materlal ln place.
w Water Llne - Prlor to lllllng
trench.
Fence - When coiilpleted.
Rough Plumblng - Prlor to
cover.
Stroel Trees - When all roqulred
trges are planted.
Flnal - After all requlred '
lnspectlons are approved and
porohos, sklrtlng, decks, ancl
ventlng. have been lnstalled.E
E E
JOB NUMBE R 32/26/-
225 Flfth Street
Sprlngfleld, Oregon 97 477
427'-- ^
OWNER:f,*/- /23
28,
E
tl
E
tl
E
ltr :.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot -. I
-
lnterlor
-
Corner
-
Panhandlo !:
-
Cul-de.sac
PL.HSE GAR ACC
N
s
W
E
THE PROPOSED WORK TN THE.
" HrsToBlcAL olsTRlgr, oR oN, THE HISTORICAL REGISTER?
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
BU TLDING
AND BUIL
lue LAN CHECK
DING P
t
E RMIT
Plan Check Fee:
Date Paid:
Receipt Nu
Received By:
Plans Reviewed Date
Systems Development Charge ls due on all undeveloped
properties wlthln the City limits which are being lmproved.
ADDITIONAL CO ENTS
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that alt
lnformatlon hereon ls true and correct, and I further cerflfy
that any and all work performed shall be done In accordance
wlth the Ordlnanccs of the Clty of Sprlngfleld, and the Laws
of the State of Oregon perlalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are In compllance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspectlons are
requested at the proper tl,me, that each address ls readable
from the Street, that the permlt card ls located at the front
of the property, and approved set of plans wlll remaln
on the slte at all tl
Slgnature
BUILDING prRnultt 'i ;i tt
ITEM SQ. FT. X $/SQ. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
N?
FEE
FT.-z;re97Lr-122_
FT.
*7't7
(c)
/D2,*
PLUMBING PERMIT
d?
.t,a2
Plumblng Permlt
State Surcharge
Total Charge //a'*
Wood Stove/ lnsert/ Fl replace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Total Mlscellaneous Permlts (E)
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-'
tt
Demolltlon
State Surcharge
MECHANICAL PERMIT
Furnace
Exhaust Hood
TOTAL AMOUNT DUE (excludlng electrtcat) __
(A, B, C, Q and E Qomblned)
AoDATE PAID
AMOUNT BECEIVED
BECEIVED BY
VALIDATION:
BECEIPT NUMBER
Date
durln g constructlon.
Thls permit is granted on the express conditlon that the said
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the Clty ol Springf leld, includlng the
Dovelopment Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlm6
upon vlolatlon of any provlslons of sald ordinances.