HomeMy WebLinkAboutPermit Plumbing 1994-09-19IESIDENTIAL,ERMIT APPLICATION
nspectlons: 726.3769
)ffice: 726-3759
TOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT
-
BLOCK:
CONTBACTOR'S NAME
ELO
Z
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97
TAX LO'':
SUBDIVISION:
OWNER:
ADDRESS:
CITY:STATE O/"
DESCRIBE WORK:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
PHON E:
ZIP:"7(77
ADDRESS
CONST,
CONTBACTOR #EXPIRES PHO
GENERAL:
PLUMBING
6tocy6
MECHANICAL:
ELECTRICAL:
- OFFICE USE -
FLOOD PLAIN
RANGE:WATER HEATER:
# OF BDRMS: -
LAND USE:QUAD AREA:
r OF BLDGS:
OCCY GROUP:
E OF STORIES:SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS:
--
ZONING CODE: _.
To requ
made tl
rest an lnspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspecilons requested before 7:00 a.m. wlll behe same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
n femporary Etectrlc Rough Mechanlcal - prlor to
cover.Final Plumbing - When allplumblng work ls complete.
Slte lnspectlon - To be madeafter excavatlon, but prlor tosettlng forms.
Rough Electrlcal - Prlor to Flnal Eleclrlcal - \A,hen allelectrlcal work is complete.scover.
Underslab Plumblng/ Electrical /Mechanlcal - Prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Final Mechanical - When allmechanlcal work ls complete.tl Footlng - After trenches are
excavated.Flnal Buildlng - When ailrequlred lnspections have beenapproved and building iscompleted.Masonry - Steel locatlon, bond
beams, groutlng.
l-l Flreptace - prlor to factngIJ materlals and framlng lnsfr
Framlng - Prlor to cover.
Foundallon - After forms areerected but prlor to concreteplacement.
Other ..-.-----
Wall/Celtlng lnsutatlon - prlor tocover.
[l UnOerground plumbtng - prioru to fllllng trench.Drywall - prlor to taping.
Underlloor plumblng/ Mechanlcat
- Prlor to lnsulailon or decklng.
Post and Beam - prlor to floorlnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallailon
I-l lnsert - After flreplace approval
-
anc, lnstallailon of unlt.
[-l g1oc.t1ns and Ser.Up - Whep ail
-
btocklng ls compleie.
Floor lnsulallon - prlor todecklng.Curbcut & Approach - Afterforms are erected bUt prior toplacement of concrete.
Sidewalk & Drlveway - Afterexcavation is complete, formsand sub-base material in place.
Fence - When completed.
Plumbing Connectlons _ Whenhome has been connected towater and sewer.Sanltary Sewer - prlor to fllllngtrench.
I--l Storm Sewer - prtor to fiilingu trench.
Electrical Conneclion _ Whenblocking, set-up, and plurpbln jrnspections have been approvedand the home is connected tothe servlce panel.[l Warel Llne - prtor to flning|J trench.
Rough Plumbing - prlor to
cover.[--l Street Trees - When ail required.- trees are planted.
Final - After all requiredinspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
/ 7n7
A/rrn'a )AF
.1:i;
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total tleight
Lot Type.
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Se ks 1- lS THE PROPOSED WORK lN THE -
HlsToRtcAL DlsTRlcL oR oN
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
P,L.HSE GAR ACC
N
S
E
I
(A)
x $/SO. FT. = VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT,
Ivlain
Garlage
Carport
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, 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 Reviewed By Date
Receipt Numbe
Date Paid:
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures,
Residentiai Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
No
60'FT.
FT.
FT.
(c)
PLUMBING PERMIT
Plumbing Permit
State. Surcharge
Total Charge
------7;25, ,?{
?_7.@
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuahce
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Building Safety Divislon'
I further certify that only contractors and employees who
are in compliance with ORS 701'055 will be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper time, that each address ls readable
lrom the street, that the permlt card ls located at the front
\
Date
proved set plans will remaln
ring
Y-' Slgnatu
of the propertY, and
ction.on the site at all
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk .- ft
Curbcut ---- ft
Demolition
State Surcharge
Total Miscetlaneous Permits (E)D
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
27.4I
-ria_
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