HomeMy WebLinkAboutPermit Plumbing 1997-12-12h.GFIEL])RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOT
?lta/*JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97 477
LOCATION OF PROPOSED WOFIK:7<A N z/rf
ASSESSORS MAP: TAX LoT:
BLOCK:SUBDIVISION
6t'PHONE:
Rooan
Orz-ZIP:
o
o L-
qSTATE:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-
DESCRIBE WORK:
ELECTRICAL:
ee_
ADDRESS
7-/ -?8 //53/t*
oo Lo e_
EXPIBES ,3 PHONECONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
H
gd
r5
c}.1os
CONSTR. TYPE:
-.\?-
^*e('l*t
- OFFICE USE -
r OF BDRMS:
WATER HEATER:
ZONING CODE:
FLOOD I)LAIN:
r OF UNITS:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
I OF STORIES:
To request an lnspection, you must call ing. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requ wlll be made the following work day.
RE NSPECTIONS
Temporary Electrlc Ro ugh Mec hanlcal - Prior to Final Plumbing - When all
plumblng work ls complete.cover.
Slte lnspectlon - To lre 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 Service - Must be
approved to obtain permanent
electrlcal power.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Other
Foundatlon - After forms are
erected but prlor to concrete
placement.WalllCelling lnsulallon - Prlor to
cover.
Underground Plumbing - Priot
to lllllng trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stovo - After installation
Post and Beam - Prlor to floor
lnsulation or decking.lnserl - After flreplace aPProvql
and lnstallation of unit.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
Curbcul & AJrproaclr - After
forms are erected bttt Prior to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.ecking.
Sanitary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sjdewalk & Drlveway - After
excavation is complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filling
trench.
Fence - When ccilrPleted.
Bough Plumbing - Prlor to
cover.
Streel Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porchos, skirting, decks, and
ventlng have been lnstalled.
O
1r**
ft-ot"-"-"- Sr*.e^ /.:-<-u
SECONDABY HEAT:
SQUARF. FOOTAGE:
LAND USE:
E
tl
E
E
E
E
E
E
E
E
E
E
tl
tl
E
E
tl
tl
fl
Final Mechanlcal - When all
mechanical work is complete.
tl
tl
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type . _
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
i -rS THE PBOPOSED WOBK tN THE .
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgnedand approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordinances.
Beceipt Number:-.
Plans Reviewed By Date
Date Paid
Received By
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumbing Permit
State Surcharge .* O- o)Z A"U*>
PLUMBING PERMIT
FEE
N'
4o.
#40,
J.n r#la,
FT.
FT.
;Le441
+
FT. 75
Total Charge (c)
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby cerilfy that alllnformation hereon is true ancl correct, and I f urther cerflfy
that any and arr work performed shail be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Divislon.I further certify that only contractors and employees who
are in compliance with ORS 7Ol.OS5 wlll be used on thlsproiect.
I further agree to ensure that all reguired inspections arerequested at the proper time, that each address is readable
from the street, that the permlt card ls locatec, at the frontof the property, and the approved set of plans will remaln
$n^
Date
ature
on the site at times during construct
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Total Miscellaneous pennits (E)
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
Mobile Home
State lssuance
State Surcharge
Sidewalk .- ft
Curbcut _ ft
Demolition
State Surcharge
MECHANICAL PERMTT
Furnace
Exhaust Hood
Vent Fan No
TOTAL AMOUNT DUE (exctuding etectricat)(A, B, C, Q and E Combined)
r]LgL Ll g
?1)-a-
AMOUNT RECEIVED {4a."
RECEIVED BY
DATE PAI[)
VALIDATION:
RECEIPT NUMBER