HomeMy WebLinkAboutPermit Plumbing 1993-07-20SP}TINGFIELE'
RESID ENTIAL
PERMIT APPLICATION
lnspections:726'3769
O{fice: 726'3759
LOCATION OF PROPO D
ASSESSORS MAP:
LOT:
h,
JOB NUMBER
225 Fitlh Street
Springfield, Oregon 97 477
TAX LCT:
SUBDIVISION
qr^
BLOCK
*\\
PHONE:
ZIP:STATE:CITY:\
OWNER:
ADDRES
ADDITION M LISH
-
OTHER
DESCRIBE WORK:
NEW-=-- REMODEL
MECHANICAL:
---
PHONEEXPIRESADDRESS
ELECTRICAL
GENERAL
PLUMBIN
CONTRACTOR'S NAME
CONST.
CONTFIACTOR #
RANGE
# CF BDRMS:
OUAD AREA:
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
OCCY GROUP:
SECONDARY HEAT
SOUARE FOOTAGE:
CONSTB. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
* OF STORIES: -
WATER HEATER:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a'm' will be
made the same vJorking day, inspections requested after 7:00 a.m. will be made the lollowing work day'
REOUIRED INSPECTIONS
[_l TemporarY Electric
tl
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspeclion - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Eleclrical - When all
electrical work is comPlete.cover.
Underslab Plumbing/ Eleclrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Fireplace - Prlor to facing
materials and {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.
Other
Foundation - After forms are
erected fiut Prior to concrete
placenlent.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.
Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking'Wood Stove - After installation
tnsert - After firePlace aPProval
and installation of unit.
Blocking and Set-UP - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.C(trbcul & ApProach - After
forms are erected but Prior to
piacement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
SanitarY Sewer - Prior to f illirtg
trench.Eleclrical 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 -- A{ter
excavation is comPlete, forms
and sub-base material in Place.
er Line - Prior to {illing [--l fence - When comnleteC
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.
trench
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
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E
E
E
Post and Beam - Prior to floor
insulation or decking.
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Lot faces
Lot sq. Itg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.TJCE
N I
J
ACC
E
IS'I'HE PFIOPOSED WORK IN THE
HISTORICAL DISTRICT, OFI ON
THt: HISIoRICAL REGISTER?
-
lf ye's, this application must be signed
an(i approved by the Historical
Coordinator prior to perrnil issuance.
APi]ROVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This prermit is grantcd on lhc cxpress conditton that the said
construction shall, in ail respccts, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, rellulating the constructron and use of
buildings, and may be suspended or revoked at any time
upon violation of any ltrovtsions of said ordinances.
Plans Reviewed By D;rte
Plan Check Fee:
-Date Paid
Receipt Number:-
Received By
VALUE
(A)
X $iSQ. FT.
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
I ,{-\-
-)
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(
(c)
No
FT.
FT.
;t-Y
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
M ECHANICAL PERMIT
Furnace
Exhaust Hood By signature, I state anci agree, that I have caref ully examined
the completed applic:rtion and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work pcrformed shall be done in accordance
with the Ordinances of the Ci ty of Springfield, and the Laws
of the Statc of Oregon pcrtai ning to the work dcscribed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I f urther certify that orrly conlractors and employees who
are in compliance with ORS 701.055 will be used on this
pro jcc t.
I f urther agree to ensure that all required inspections are
requested at the proper tinre, that each address is readable
frorn the street, that the permit card is localed at the front
of the property, and the approved set of pl
sig
Date
will remain
on the site at all times durin st ru ct
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
rorAL AMouNr DUE (excludins eleclrica rt2fu43
(A, B, C, D, and E Combined)
.:t)
D
DATE PAID --
AMOUNT R
BECEIVED
VALIDATION:
RECEIPT NUMBE
GAB
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