HomeMy WebLinkAboutPermit Plumbing 1999-06-02RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
TNGFIELD
fiof q7
a
.,OB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:12@
SUBOIVISION: -BLOCK
PHONE:
ZIP:
a46r
MSTATE:
DEMOLISH OTHEB
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
NEW- REMODEL ADDITION
ADDRESS
CONST.
CONTRACTOR # EXPIRES .t PHONE
ELECfFIICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
RANGE:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
g OF UNITS:
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARF. FOOTAGE:
, OF BDRMS:
-
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7;00 a.m. wlil bemade the same worklng day, lnspections requested after 7:OO a.m. wlll be ma<Je the followlng work day.
REQUIRED INSPECTTONS
n femporary Etectrlc Rough Mechanlcal - Prlor to
cover.
Final Plumblng - When allplumblng worl( ls complete.
Slte lnspectlon - To lre made
after excavatlon, but prior to
settlng 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 Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to lacing
materlals and framing lnsp.
Final Buildlng - When all
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celting lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior Drywall - Prlor to taplngto fllllng trench.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklno.
MOBILE HOME INSPECTTONS
Wood Slove - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvgl
and lnstallatlon ol unlt.
Blocklng and Set.Up - When ail
blocklng ls complete.
Floor lnsulation - Prlor to
decl<lng.Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filllng
trench.
Fence - When ccillpleted
$lreel Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
Rough Plumblng - Prlor to
cover.
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_
Corner
-
Panhandle i
-
Cul-de-sac
THE PROPOSED VVORK i]{ THE .
HrsToRlcAL DtsTRtcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
(A)
'l
MIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. X $/SQ, FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
This pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfleld, 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.
Receipt Number:-
Plans Rcviewed By Date
Plan Check Fee;
Date Paid
ReceivecJ By
BUTLDING YNI.TJE
AND BUILDING P
Lr,
, PLAN CHECK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
2+
?2.?2
FEE
N
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
AL COMMENTSADtTt
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust l{ood 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
with the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on lhls
prolect.
I further agree to ensure that all required lnspections are
requesteo 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 will remaln
on the site times durlng constructlon.
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
lt
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
4
Z^2%DATE PAID
AMOUNT RECEIVED
RECEIVEO BY
VAI-IDATION:
RECEIPT NUMBER
AUTHORIZED
DISTRIBUTORS FOR
1TAil
EE
D o
ryfaPPff0,
troubled water.
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I Nrwut'u
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Fautz
934 SE Sixth Avenue - Portlurtd, Oregon 97211
(503) 235-2167 or (800) 929-5039
Jitx: (503) 239-3771