HomeMy WebLinkAboutPermit Plumbing 1997-01-07(
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SPRI]tGFIELORESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBO D WOBK:
ASSESSORS MAP:
LOT:
?fi,
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
BLOCK:
,Em q rv Sr,4rr
TAX LOT:
SUBDIVISION
e+OWNE
ADDRESS:
CITY:
PHONE:
ZIP:
*LL {ilCil ftct- zt /J,tnz /F 77DESCRIBE WOBK:
OTHER Ne>l ri2etzeADDTION {DEMOLISH
/nAtzz
NEW- REMODEL
ADDRESS
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EXPIRES A PHONECONTRACTOR'S NAME
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOB '
- OFFICE U
r0R1\{\s
\SNO1OUAD AREA:
I OF BLDGS:
FLOOO PLAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE. FOOTAGE:WATER HEATER:
OCCY GROUP:
I OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7;00 a.m. will bemade the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTTONS
l--l remporary Electric Rough Mechanlcal - Prlor to
cover.
Final Plumblng - When allplumbing work is complete.
Slle lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrlcal - When all
electrical work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When ail
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover,
Foundatlon - After forms are
erected but prlor to concrete
placement.Wall/Celling lnsutation - prlor to
cover.
Underground Plumblng - prior
to fllling trench.[-l Drywalt - prior to taptng
Underlloor Plumblng / Mechanlcat
- Prior to Insulatlon or decking.
MOBILE HOME TNSPECTTONS
Wood Stovo - After lnstallation.
Posl and Beam - Prlor to floorlnsulatlon or decklng.Tl lnsert - After ftreptace approvql
-
and lnstallatlon of unlt.
[--.| Blocking and Ser.Up - When altu blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Alrproaclr - After
forms are erected but prior loplacement of concrete.
Plumbing Connections - Whenhome lras been connected towater and sewer.
l-l Sanitary Sewer - Prior to filling
-
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base material ln place.
Electrical Conneclion - Whenblocking, set-up, and plumbing
inspections have been approvedand the home is connected tothe service panel.
Water Llne - Prlor to fiiling
trench.
Fence - When coiilpleted
$treet Trees - When all required
trees are planted.
Final - After all requiredinspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
[--l Rough Plumbing - prior tot-! cover.E
|,, .i-'
0qr 5(
MECHANICAL:
# OF BDRMS:-
E E
I--l other
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Tyt _
-
lnterlor
-
Corner
-
Panhandle r
-
Cul-de-sac
Se IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRIST, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUTLDING PERMIT
ITEM SO. FT.
:, 1
X $/SQ. FT. = VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
. .l
BUILDING \MLUE, PIAru
AND BUILDTNG PERMIT
CH ECK
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, inctuding 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.
Plan Check Fee:
Date Paid
Receipt Number
Received By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
PLUMBING PERMIT
ITEM
Flxtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N.
FT.
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge (c)
AD NA COMMENTS
++5
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy 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 ol Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, 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 a ll ti)mes duri const ruction.
2"atu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Penni ts (E)
VALIDATION
RECEIPT NUMB
DATE PAID
AMOUNT REC
RECEIVED BY
7
TOTAL AMOUNT DUE (excluding electrical)
(A,B,qQandECombined)
P.L.HSE GAR ACC
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