HomeMy WebLinkAboutPermit Plumbing 1995-03-02RESIDENIIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
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JOB NUMBER
225 Fifth Street
Sprlng{leld, Oregon 97477
LOCATION OF PROPOSED WOFIK:AF 22z/D
ASSESSOHS MAP;
LOT:BLOCK:SUBDIVISION
TAX LOT;e
PHONE:
STATE:ZlPi
*
OWNEB;
ADDRESS:
CITY:
DESCFIIBE WORK:
ADDITION DEMOLISH OTHERNEW- REMODEL
ADDRESS EXPIRES PHON E
ELECTRICAL:
CONTFIACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTBACTOR #
RANGE
# OF BDRMS
- OFFICE USE -
WATER HEATER
FLOOD PLAINQUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
--
ZONING CODE:
To reques
made the
t an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m, will besame worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
Temporary Electrlc
REOUIRED INSPECTIONS
l-l Rough Mechanlcal - prior tot--J cover.
l--l Rough Electrlcal - prlor tot--J cover-
Flnal Plumbing - When ailplumblng worl( ls complete.
Site lnspection - To be made
after excavatlon, but prior to
setting forms.
Flnal Electrical - When ail
electrlcal work is complete.
l--l Underslab Ptumbing/ Electricat/
-
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover,
Flnal Building - When ail
requlred lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Celllng Insulatlon - prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.l-_l Drywalt - prtor to taptng
Underlloor Plumblng/Mechanical
- Prior to lnsulatlon or decl<lng.
MOBILE HOME INSPE TIONS
Wood Stovo - After lnstallatlon.
Post and Beam - Prior to floor
lnsulation or decking.[-l lnsert - After flreplace approval
-
and lnstallatlon of unlt.
[--l Blocking and Set.Up - When ail.J blocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior toplacoment of concrete.
Plumbing Connections - Whenhome has been connected to
water and sewer,
ffi Sanllary Sewer - Prior to Jitling*H trench.
[--l Storm Sewer - Prior to filting
-
trench.
Sidewalk & Driveway - After
excavation ls complete, torms
and sub-base materlal ln place.
Electrlcal Connection - When
blocking, set.up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
I--l Water Line - Prior to fiilingu trench.
Fence - When completed.
Rough Plumblng - Prior to
cover.
Slreet Treos - When all requlred
trees are planted.
Final - After all required
inspectlons are approved andporchos, sklrting, decks, and
ventlng have been lnstalled.
fl
E
n
fl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot TypL _
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
1 IS THE PROPOSED WORK IN THE .
HISTORICAL DISTRICT, OFI ON
THE HISTOBICAL REGISTER?
-
lf yes, thls applicatlon must be slgnedand approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
Thls peimit is granted on the express condiilon that the sardconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City of Springfield, including theDe.velopment Code, regulating the ctnstructlon and Lse ofbulldings, and may be suspended or revoked at any tlmeupon vlolation of any provisions of said ordlnances.
Recelpt Number:-._
DatePlans Reviewed By
Date Paid
Received By:
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undevelopedproperties within the City limits which are being improved.
ITEM
Fixtures
Hesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
Fr. zZ2
r9
c4)-e.---7-
FT.
FT.
(22_@
--2.--?ZTA
/,2a
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlnedthe completed application and do hereby cerilfy that alllnformatlon hereon ls true and correct, and I f urther certif y
that any and ail work performed shail be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCy will be made of anystructure wlthout perrnission of the Bullding Safety Divlslon.I further certify that only contractors and employees who
are ln compliance with ORS TOI.OSS wlll be used on thlsproject.
I further agree lo ensure that all requlred lnspections arerequested at the proper ilme, that each address ls readable
from the street, that the permlt card ls located at the frontof the property, and the approved set of
on the slte mes durin ctlon.
plans will remaln
Slgnatu
Date
MISCELLANEOUS PERMITS
Moblte Home
State lssuance
State Surcharge
Sldewalk --- ft
Curbcut _- ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
PL,HSE GAR ACC
N
S
W
E
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVEDTOTAL AMOUNT DUE (excluding electrlcat)
(A, B, C, D, and'E'Comblned)RECEIVED BY
2-
2
?