HomeMy WebLinkAboutPermit Plumbing 1993-06-24SPFrIhIGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Off ice: 726-3759
?sae?tJOB NUMBER
225 Fifth Street
Springf ield, Oregon 97 477
LOCATION OF PROPOSED WORK: -
ASSESSORS MAP:TAX LOT:
r ^T. BLOCK:SUBDIVISION
PHONE:
ZIP:STATE:RCITY:
ADDRESS
OWNER:
NEW --_ REMODEL ADDITION DEMOLISH OTHEB
/t-E o1ffi< /'t'tsEorscRlae WoRK:
CONTRACTOR'S NAME . ADDRESS
GFNERAL: -
EXPIRES PHONE
Oal^Jy<PLUMBINC:
MECHANICAL:
--
CONST.
CONTRACTOR #
ELECTRICAL
I
RANGE:
* OF BDRMS:
OUAD AREA:
- OFFICE USE -
LAND USE:FLOOD PLAIN
s OF BLDGS: -
WATER HEATER
* OF UNITS:
SECONDAFIY HEAT
SQUARE FOOTAGE:
ZONING CODE:
OCCY GFIOUP:
E OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspectiorls 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
ll
Rough Mechanical - Pr!or to
cover.
Final Plumbing - When all
plumbing work is complete.
Sile 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 - ldust be
approved to obtai n permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
bearns, grouting.Framing - Prior to cover.
E o,n", vfklX. LAf
Foundalion - After forms are
erectecl but Prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.f-l Drywatl - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Slove - After installation
Post and Beam - Prior to floor
insulation or decki ng.lnsert - After fireplace approval
and instaliation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
fornrs are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer I Prior to fillitrg
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - Aiter
excavation is complete, forms
ar:d sub-basc materiai in place.
Waler Line - Prior to filling
trench.
Fence - When completed
Street Trees - When :rll required
trees ar:l plantecl.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
?557 P, 3/€ <-r
7/6-7r '
E
tl
E
E
r
E
fl
tf tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
.S THE PROPOSED WORK II.J THE
HI{JTORICAL DISTRICT, OR ON
TFI E, HISTOFICAL REGISTER? ---lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, in all respr,'cts, con{orm to the Ordinance
adopted by the Cily of Springf ield, including the
Developrnent Code, requlating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
DatePlans Reviewed By
PIan Check Fee: . - -
Date Paid
Receipt Number:---
Received By:
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
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
--€a4;a- -?Uru)A*-m-ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
4zoo
Ge
20o
(c)
FT.
FT.
FT.
k-
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
N0
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I 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 certif y
that any and all work pcrformed shall be done in accordance
with the Ordinances of the City of Spring{ield, and the Laws
of the State oi Oregon pcrtaining 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 corftractors and employees who
are in compliance with ORS 701.O55 will be used on this
proiect.
I f urther agree to ensure that all requlred inspectio.ns are
requested at the propcr tirne, 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 constr
ZV -3Date
tionI
(,
Xign.*ur"
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk ---_ ft
Curbcut
--
ft
Demolition
State Surcharge
Totai Miscellaneous Permits (E)
AMOUNT RECEIVED
-REOEIVED BY
-
-
9tez-
Oi,
/r>*2 4 ?-7DATE PAID
VALIDATION:
RECEIPT NUMBER -
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
y'4 ro
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