HomeMy WebLinkAboutPermit Plumbing 1993-05-13SPFrINGF!ELO
RESIDENTIAL
PERMIT qPPLICATION
lnspectiorts 726-3709
Office: 726-:\759
JOB NUMBER q 3Ou1t
225 Fifth Street
Springfield, Oregon 97477
/Ll't
LOC/JION OF PROPOSED WORK:Z
1 -l r)43 L- tV TAX LOT:tf,ASSESSOR:i MAP:
LOT:
-
BLOCK:
-
SUBDIVISION
NEW REMODEL N DDITION DEMOLISH
/,//ZIP:STATE:
OTHEFI
7
I
PHONE:
27/7 7
'r77 @ rar-/6f
OWNER
ADDNES]S
CITY:
DESCBIBE WORK: --
ELECTRICAL: _----
PHONEEXPIRESADDRESS
7*/6'/(ri
c-7e
2 /
?24-2zZ
MECHANICAL: -. -- --
CONST.
CONTRACTOR #CONTRACT()R.S NAME
C EN = RAL:
PuMBING,&-'-&
RANGE
# OF BDRMS
- OFFICE USE _
LAND USE
WAT{:R HEi\TER:
,I OF UNITS:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD ARE,\:
, OF BLDGS
OCC'/ GROUP.
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To requcst ;rn inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be
madt.. the same working c1ay, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
fl Tenrporary Electric
ll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Site lnspection - To be made
af ter ,-'xcavation, but Prior to
setling lorms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
fi Underslab Plumbing/Eleclrical/Lr Mechanical - Priot to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical worl( is complete.
Fooling - Af ter trenches are
exc av ated.Fireplace - Prior to facing
materials and f raming lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover,
OtherEFoundalion - Af ter forms are
erect{ld l)ut prior to concrete
placernent.Wall/Ceiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to fill,ng trench.Drywall - Prior to taping.
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Pr or to insulation or decking.Wood Stove - Afte!'installation
fl
[]
E
tl
Post and Beam - Prior to floor
insul;rlir-)n or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is cornplete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
fornrs are erected but prior to
placr-'nrent of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trcncf t. llO'
Slornr Sewer - prior to filling
t renc n.
Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
Fence - When completed,
Eleclrical Conneclion - Whenblocking, set-up, and plumbing
inspections have been approvedand the home is connected tothe service panel.[] .Y1,", Line - prior to fiiling
-
trenctt.
Rough ptumbing _ prior to
COVCT [-l Street Trees - Wherr all required
-
trees are ptaried.
Final - After all required
{"il[:: :ff ,i ffi ,:,fJ;;::;].vcntrng havc been installed.1
t
2
tl
tlr
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IS THE PROPOSED WORK IN THE
HISTORICAL DISTFIICT, OR ON
THE HISIORICAL REGISTER? ---
lf yes, this application must be signed
and approved by the lJistorical
Coordinator prior to permit issuance.
APPROVED:
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
Setbacks
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
adopted by the City of Springfield, incltrding the
Development Code, regrrlatir-rg the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinartces.
Plan Check Fee:
--
-
Recei pt Number:-
DatePlans Reviewed By
Date Paid
Received By
VALUE
(A)
X $/SQ. FT,
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT,
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
4O oo
FEE
q).o0(c)
40 OO
No
FT.
FT.
?oo
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
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 applicalion and <jo hereby certrfy that all
information hereon is true and correct, and I f urthcr certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work descri bed
herein, and that NO OCCUPANCY will be marde of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspectiong are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the f ront
of the property, and the approved set of plans rvill remain
Signatu.
3l- lqzDate
on the sit at all tim during construction
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk ----- ft
Curbcut -- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
d
slrt lq )
Ll
os
-* n5o
a.ooDATE PAID
AMOUNT RECEIVED -
RECEIVED BY -_-'--
VALIDATION:
RECEIPT NUMBER
-
TOTAL AMOUN
(A, B, c, D, and
T DUE (excluding electrical)
E Combined)
ul).
L_LaO-