HomeMy WebLinkAboutPermit Plumbing 1994-07-20RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Offlce: 726-3759
sP'l INGFIELE,
JOB NUMBER CI
225 Fi{th Street
Sprlngfleld, Oregon gl 4??
LOCATION OF PRO
ASSESSORS MAP:TAX LOT
SUBDIVISION:
OWNER:
CITY:
ADD
PHONE:
ztP 1
ADDITION EMOLISH OTHERNEW- BEMODEL
DESCRIBE WOR
ADDRESS EXPIRES PHONE
coco
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
NST,
NTRACTOR #
- OFFICE USE _
RANGE:
ZONING CODE:
LAND USE:QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BDRMS: _OCCY GROUP:
* OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
# OF UNITS: _
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 requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When altplumblng work is complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng lorms.
Rough Electrlcal - Prlor to Flnal Eleclrlcal - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical/
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When all
mechanlcal work ls complete,
Footlng - After trenches are
excavated.l-l Flreplace - Prtor to factng
-
materlals and lramlng lnsp.
Flnal Buildlng - When alt
regulred lnspections have been
approved and building ls
completed,Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundallon - After forms are
erected but prlor to concrete
placement.
Other
WaltlC'elllng lnsulatlon - Prlor to
cover.
tl Underground Plumblng - Prlor
to fllllng trench.l-l Drywall - Prlor to taptng.
E Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallatlon
Post and Boam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrlcal Connection - When
blocking, set-up, and plumblng
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls completo, forms
and sub-base materlal ln place.
Llne - Prlor to fllllng Fence - When completed.
trench.
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted.
Flnal - After atl required
inspectlons are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
tl
STATE:
FLOOD PLAIN:
E
tl
tl
tl
E
E
E
E
tl
E
't t.. I ti.i :,.4, ,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
backs ( IS.THE PROPOSED WORK tN THE -. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC'
N
S
E
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shali, in all respects, conform to the Ordinance
adopted by the City of Springfield, including 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 Revlewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Beceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
40q\lD
No
FT.
FT,
PLUMBING PERMIT
Plumblng Permit
Stat6 Surcharge
Total Charge
- FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Buildlng Safety Division.
I further certlfy that only contractors and employees who
are ln compliance with ORS 70j.05S will be used on this
project.
I further agree to ensure that all requlred inspections 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 wlll remaln
).-@a
all times duri constructlon.
Slgnat
Date
on the
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, Q and E Combined)
VALIDATION:
RECEIPT NU
DATE PAID
AMOUNT R
RECEIVED