HomeMy WebLinkAboutPermit Plumbing 1994-04-21SP]lINGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections; 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
r,s{
LOT:
-
BLOCK:
JOB NUMBER
225 Fifth Street
Spri ngf ield, Oregon 97 477
TAX LOT fl€tuo
PHONE:
STATE:CITY:
ADDHESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOFIK
MECHANICALi
ELECTRICAL:
-
ADDRESS EXPIRES PHONECONTBACTOR'S NAME
CONST.
CONTRACTOB #
f4G EN ERAL:
PLUMBING
RANGE:
* OF BDRMS:
- OFFICE USE -
LAND USE:
WATEFI HEATER:
ZONING CODE:
QUAD AREA:
S OF BLDGS:
SECONDARY HEAI
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
[--l temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanicat - When all
mechanical work is complete.
Footing - After trenches are
excavated.Final Building - When ailrequired inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
Fireplace - Prior to faclng
materlals and framing lnsp.
Framing - Prior to cover,
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
t] ,'.''ffiffiili,lfl"ln'.'-oins - Prior l--l Drywan - prior to tapins.
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
MOBILE HOME INSPECTIONS
Wood Stove - After installation
Post and Beam - prior to floorinsulation or decking.lnsert - After fireplace approval
and lnstallation of unit.
[-l Blocking and Set.Up - When ail
-
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut & Approach - Afterforms are erected but prior toplacement of concrete.
Plumbing Connections - Whenhome has been connected towater and sewer.
X.mXrY sewer - Prior to rillins
[-l Storm Sewer - prior to fitting
-
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Fence - When completed.
Electrical Connection - Whenblocking, set-up, and ptumbing
lnspections have been approvedand the home is connected tothe service panel.Water Line - Prior to filling
trench.
Rough Plumbing - prior to
cover.Street Trees - When ail requiredtrees are planted.
Final - After all requiredinspections are approved andporches, skirting, decks, andventlng have been installed.
*o,5 N, 2<T,
SUBDIVISION:
.\,2 ztP, 7? y'77
Rru*t*
FLOOD PLAIN:
# OF UNITS:
-
[--l othertt
I
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
.- THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P,L.HSE GAR ACC
N
S
W
E
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
Plan Check Fee
Date Paid:
Receipt Num
Received By:
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
dc
N0
FT.
FT.
PLUMBING PERMIT
fr
Plumblng Permit
State Surcharge
Total Charge
za
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood
By slgnature, t state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division'
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction
re
Date 2/
MI$CELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut --- ft
Demolition
State Surcharge
(E)Total Mlscellaneous Permits
)
A MOUNT REC
RECEIVED BY
DATE PAID
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excludlng electrical)
B, C, D, and E Combined)
to
(A,
/-,
FT.