HomeMy WebLinkAboutPermit Plumbing 1995-07-10RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:9.
LOT:
OWNER
ADDRESS:
SPFlIN FIELD
5 7Z
JOB NUMBER
225 Fif tlr Street
Sprlngfl cld, Oregon 97477
TAX LOT:?
BLOCK.:
G EN ERAL:
PLUMBING
MECHANICAL:
ELECTRICAL:
OUAD AREA:
I OF BLDGS:
OCCY GROUP:
r OF STORIEST
WATEB I.IEATER:
PHONE:
ADDBESS CONST.
CONTFACTOR #
- OFFICE USE -
LAND USE:
ztPi
EXPIBES PHONE
FLOOD PLAIN:
ZONING CODE:
, OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:
Othor
CITY.
STATE
DESCRIBE WORI(
NEW ---_. NEMODEL ._-_-- ADDITION OEMOLISH OTHER
CONTBACTOR'S NAME
I OF UNITS:
To request an lnspccilon, you musl call 726.3made lhe sanle working day, lnspections req
lTernporary Electric
Sllo lnspcction - To be nracjoall_er excavallon, but prlor losettlng lorrrrs.
U_nderslab plunrblng/ Electrical /Mochanlcal - prloi to cover.
Footlng - After trenches areexcavaled.
Masonry - Sleol locaUon, bonclbeams, grouilng.
Foundallon - Aftor lorms areerectod but prlor to concreteplacement.
w Underground plurrrbing _ prlorto rllllnq trencl.l.
Underlloor plumblng/ Mochanlcal
- prtor to lnsulation or decl(lng.
Posl and Boarw. - prlor to floorlnsulatlon or decklng.
Wator Llno - prlor to tililngtrench.
CONSTR. TYPE:
-*HEAT SOURCE; _-
RANGF.:
769. Thls ls a 24 hour recordlng. All lnspecuested alter 7;00 a.m. wlll be made f ne iof
REQUIRED INSPECTIONS
ff Roueh Mechanlcat - prtor to
-
cover.
[l Rough Etectrtcal - prtor to
-- covor.
Eloclrlcal Servlco _ Must beapproyed to obtaln pormanento,eclrlcal powor.
Flroplace - prlor to faclngmaterlals and framlng lnsI
Framlng - prlor to cover.
fl WailtColling lnsutatlon _ prlor ro
-
cover.
[-l Drywa[ - prlor ro raptng.
l--l Wood Stovo - Alrer tnstailailon
l--l lnsert - After llreptace approvat._ anc, lnslallailon of unll.
tlons requested belore 7:00 a.m, wlll belowlng work day.
z 5l;;1.?l;1'i?,?,;"yl;t iJ:
FJnal Eleclrlcal _ When atlerectrtcal work ls complote.
Flnal Mocharrlcal _ When allmechanlcal work ls gomplete.
Flnal Buildlng - When ailrequtrod lnspecilons have beenapproved and bulldlng lscompletcd.
MOBTLE HOME lrusptcilorvs
[_l BJocking and Sot.Up _ When alt.J blocklng ls compleie.
Plumblng Connoctlons _ Whenhome has been connected towaler and sewer,
Floor lnsulation - prior todecklng.
Sanitary Sewor - prior to fllllnglronch,
Curbcut & Approach - AfterIOrmS arg erecled btrt prlor lOplacomont ol concrcte.
E .",:_rlll Sowcr - prior to fllilng
-
trench.
Sldewalk & Drlveway - Altorexcavatlon ls complcto, formsand sub.base materlal ln place.
Fence - Whon completed.
Eleclrlcal Connoction _ When
llg_"lllg, set.up, and ptumbtnglnspocllons have been approvedand the homo ls connecled lothe servlce panel.
Rough Plunrblng - prior to
cover,I-l Stroet Troee - When ail roqulred
-
troeg are planted.
Flnal - After all requlredInspectlong are approved andporc.hos, sklrtlng, decks, andventtng have been lnstalled.
E
rl ll
tl
I
E
Lot facos
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typc Selbac IS THE PROPOSED WORK IN THE
HISTOFIICAL OISTRICT, OR ON
TIIE HISTORICAL FIEGISTEB?
-
ll yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinalor prlor to pennit issuance.
APPROVED:
lnterlor
Corner
Panhandle
Cul-de.sac
P.L.HSE GAR ACC
N
S
W
E
(A)
X S/SQ. FT. = VALUE
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMlT
ITEM SO. FT.
Maln
Garage
Carport
BUILDING VALUE, PLAN CHEC}(
AND BUILDING PERMIT
Thls permll ls grantec, on the cxpress corrcliilon that the sald
constructlon shall, ln all respocts, conform to the Ordlnance
adopted by the City ol Spring(lclcJ, includtng the
Development Cocle, regulating the coqstructlon and use of
bulldlngs, and may bc suspended or rcvol(cd at any tlme
upon violation of any provisions ol said ordinances.
Plan Chcck Fee: ..- -.__
Plans Rcvlewecl By Oate
Datc Palcj
Recelpt Nurnbcr:-__.
Recelved By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on atl undoveloped
propertles wlthln tha City llntlts whlch are bcing improved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewei
Water
Storm Sewer
Moblle Home
No
(c)
?
FT.
r-,f7
3/G_a
Plumblng Permlt
Stato Surcharge
Total Charoe
PLUMBiNG PERMIT
FEE
2c2-*
22-oo7-\--eb' ,60
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl roplace Unlt
Oryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
M ECHANICAL PERMIT
Furnaco
Exhaust Hood By slgnaturo, I statc and a0rcc, that I lravo carof ully examlnsd
the comploted appllcation and clo horeby ccrtlly that all
lnformatlon hereon ls true anct correct, and I turther cerilly
that any and all work performed shall bc done in accordance
wlth tho Ordlnanccs of tho Clty ol Sprlngfietd, and the Laws
of the Stato ol Oregon pertalnlnO to tho work descrlbed
heroln, and that NO OCCUPANCY wlll bo mado of any
structure wlthout pcrrnlsslon of tho Bull<Jlng Safoly Dlvlslon.
I lurther certl(y tlrat only cgntractors and employees who
are ln compllance wlth ORS 701.055 wlll lte used on thls
prolect.
I (urther agree to ensuro that all required lnspectlons are
reguesled at the proper tlme, that oach address ls readable
from the street, that the permlt card ls locatcd at the front
of the property, and thc approvecl set of plans will remaln
on the slte at all tlmcs durlng conslruction.
Slgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
Slato lssuance
State Surcharge
Sldewalk
-
ft
Curbcut ' f t
Oemolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng clectrtcat)
(A, B, C, O, and E Comblned)
4_.4
VALIDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT REC
.. RECE'VED BY
EIVED c?
FT.
FT.