HomeMy WebLinkAboutPermit Plumbing 1995-08-31RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office:726.3759
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SPFt INGFIELD
TAX LOI:
JOB NUMBER
LOCATION OF PROPOSED WORK
ASSESSOBS MAP:
LOI:
-_
BLoCK SUBDIVIStON:
--
-
225 Fif th Street
Springflelct, Oregon 97477
STATE ZIP:?>/2
G
CITY:
ADDRESS:
OWNEB;
PHONE:
lr*.
ADDITION DEMOLISH OTHER
DESCRIBE WORI(:
NEW-- REMODEL
EXPIHES PHONE
ADDFESS
?
CONTRACTOR'S NAMF:
ELECIRICAL:
MECHANICAL:
PLUMBING:
CONST,
CONTFIACTOR /
G EN EBAL:
- OFFICE USE -
LAND USE:
, OF UNITS:
QUAD AFIEA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE;
, OF BDRMS:
OCCY GROUP;
r OF STORIES:
ZONING CODE:_-
FLOOD PLAIN:
CONSTR. TYPE:
HEAT SOURCE:
WATEB HEATER:___RANGE:
Tornporary Eloctrlc Rough Moclranlcal - prlor tocover,
Rough Electrlcal - prlor tocover.
To request an rnspection, you must calr 726.3769. Thls ls a 24 hourmade rhe sanle workrng ctay, lnspections rcquested af tor 7:00 a,m.
rccordrng, Ail lnspecilons requested berore 7:00 a.m. wilr bcwlll bo made tho followlng worl< day.
REOUIRED INSPECTIONS
Slto lnspection - To be madoafter excavallon, but prior tos€ttlng l<lrrns.
Underslab Plumblng/ Electrical/Mechanlcal - prloi lo cover.
l-_l FInat ptumbtng - When ail
-
plumblng worl( ls complete.
I--l rtnat Etocrrtcat - When ail'r electrlcal work ls complote.
Flnal Mschanlcal - When allmechanlcal work ls complete.
Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bulldlng lscompletcd.
Electrlcal Servlco - Must beapproved to obtaln pormanent
electrlcal power.
Flroplaco - prlor to faclngmaterlals and lramlng lnsp.
Framlng - prlor to cover.
Wall/Colllng lnsulallon - prlor tocover,
Wood Stovo - Alter lnstallatlon
Footlng - Af ter trenches areexcavated.
Masonry - Steel locatlon, bonclbeams, grouilng,
Foundatlon - Aft€r forms areerected but prlor to concreteplacemont.
Floor lnsulation - prlor to
deckl ng.
Other
[-l Underground pluntblns - prlorL-r to tllllig trencrr.
"-"'v
l-l orywall - Prlor ro taptng.
Underlloor plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Boanv. - prlor to f loorlnsulatlon or docklng,
MOBILE HOME TNSPECTIONS
ffi Sanltary Sewer - prtor to fllting* tronch.
Curbcul & Approach - Afterlorms are erocted bUt prlor loplacomont ol concrote.
[--l Srorm Sewor - prtor ro tiilrngtJ trench.
Sidewalk & Drlveway - Af terexcavallon ls completo, formsand sub.basc materlal ln place.
Walsr Llno - Prlor to fllling
trench.
Fence - When completed.
Rough Plurrrblng - prlor to
cover.
lnserl - After llreplace approvaland lnslallailon of unll.
f Atocklng and Set.Up - When ail
-
blocklng ls complete.
Plumblng Connoctlons - Whenhomo has been connected towater and sewer.
Eleclrlcal Connoclion - Whenblocklng, set.up, and plumblnglnspocllons have been approvedand tlre home ls connected tothe servlce panel.
[--] Street Trooe - When ail roqulredu lroes are planlod.
FInal - After all requiredlnspectlons are approved andporc.hcs, sklrllng, decks, andventlng havo been lnstailod.
_%az/_
272aa
I
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
ac ks rS THE PROPOSEO WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historical
Coordinator prlor to permit issuance.
APPBOVED
P.L.HSE GAB ACC
N
S
E
VALUE
(A)
X $/SO. FT.
Total Valuo
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Maln
Garago
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permll ls granted on the cxprcss concJition that the said
construction shall, ln all respects, conf orm to the Ordinance
adopted by thc City of Spring(iclcl, includlng the
Development Code, regulating thc co0strur:tion and use of
bulldlngs, and may be suspended or revokcd at any time
upon violation of any provisions of said ordinances.
Date
Plan Check Fee
Datc Pald
Recelpt Nurnbo:---...
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on ail undeveloped
properties wlthln the City llmlts which are being improved.
ITEM
Flx tu res
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(\, )
.z
2 2,4
N0
FT.
FT.
./e'
PLUMBING PERMlT
Plumblng Permlt
Slate Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl roplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssu ance
Stato Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rn aco
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerU(y
that any and all work performed shall be done in accordance
wlth the Ordlnanccs of tho Clty of Sprtngf ietd, and the Laws
of the Stato of Oregon pertalnlng to thc worl( described
hereln. and that NO OCCUPANCY wilt be macle of any
structure wlthout perrnission of the Buil<JIr'rg Safety DIvislon.
I further certlfy that only contractors and employees who
are ln compllance wlth OBS 701,055 wlll tte used on thls
project.
lfurther agree to ensure that all requlrecl lnspections are
requested at the proper tlme, that cach address ls readable
from the streetr that the permlt card ls located at the front
of the property, and the approved set of ptans will remaln
on the slte at all times durlng construction.
oate 6/-< r 1zr
Slgnatu re
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut ' f t
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
/Z.o>TOTAL AMOUNT DUE (excluding clectrical)
(A, B, C, O, and E Comblned)
VALIDATION:
RECEIPT NUMBER
OATE PAID gF
@AMOUNT RECEIVED
--
FIECEIVED BY .-...
Lot facos
Lot sq. ftg.
Lot coverage
Topography
Total helght
Plans Rcr4-ewez Ljt-" --------
FT.