HomeMy WebLinkAboutPermit Plumbing 1996-07-30RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3765
Office: 726.3759
LOCATION OF PROPOSED WOH}(:
ASSESSORS MAP:
SPrlTFrGFIELc)
LOT:
-
BLOCK:
JOB NUMBER a Z
225 Fif th Street
SprlngllelcJ, Oregon 97477
TAX LOT:
SUBDIVISION:
--
eft,3z Z&
PHON EI
STATE:CD<'CITY:
ADDRESS:
OWNER:
NEW
-
FIEMODEL ADDITION DEMOLISFI OTHER
DESCRIBE WOFIK
ADDRESS EXPI R ES PHON E
LUP BM G:N
CONTBACTOR'S NAME
MECHANICAL:
ELECTRICAL;
CONST.
CONTRACTOR ,
GENERAL:
- OFFICE USE _
WATER HEATER
FLOOD PLAIN
HEAT SOURCE
LAND USE:
,? OF UNITS
QUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GBOUP:
r OF STORIES:
ZONING CODE:
-.
CONSTR. TYPEi
---
, OF BDNMS:
---
To req
made
uest an lnspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspecilons requested before 7:00 a.m. will bethe same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followtng;;rli;;y. - -
REQUIRED INSPECTIONS
[--l femporary Etocrrlc Rough Mechanlcal - prlor to FInal Plumblng - When allcover.mblng worl< ls complete.
Slte lnspection - To be madc
after excavatlon, but prlor to
settlnO forms.
Rough Electrical - Prlor to Final Electrlcal - When allelectrlcal work is complete.cover
[-_] Underslab Plumblng/ Electricat/
-
Mechanlcal - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal worl< ls complete.
Footlng - Af ter trenches are
excavated.Flreplace - Prlor to faclng
materlals and f ramlng lnsp.
Framlng - Prlor to cover.
Flnal Buildlng - When allrequlred lnspecilons have beenapproved and bullding ls
completed.Masonry - Steel locailon, boncl
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - prlor to
cover.
Underground Plumblng - Prior
to filllng trench.f Drywall - prlor to taplng
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TTONS
Wood Stovo - Af ter lnstallatlon
Post and Boam - Prlor to floor
lnsulatlon or decklng.lnserl - Af ter f lreplace approval
and installatlon of unlt.
Blocking and Set.Up - When altblocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & A1:proach - After
forms are erected b(rt prlor toplacomont of concrete.
Plumbing Connectlons - When
home has been connected towater and sewer.
Sanltary Sewer - Prlor to f llllngtrench. ,l
l--l Storm Sewer - t)rlor ro f iiltng
-
trench. r
Sldewalk & Drlveway - Af ter
excavation is complcte, forms
and sub.base materlal in place.
Electrical Connection - Whenblocklng, set.up, and plumblng
inspectlons have been approved
and the home is connected tothe servlce panel,
Water Llne - Prlor to filllng
trench.
Fence - When completed.
Slreel Treos - When all required
trees are planted,
Final - After all requiredinspectlons are approved andporches, sklrtlng, decks, andventlng have been Installed.
Rough Plumblng - Prlor to
cover,
/n
a Tace
zte: ) 7 {-*
BANGE:
tl
fl
fl
tl
E
Lot faces
Lot sq. ftg,
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de.sac
Se t bac ks
P.L.HSE GAR ACC
N
D
E
; THE PBOPOSED WORK iN THE "
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEB?
-
It yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordlnator prior to permit issuance,
APPROVED
BUILDING PERMIT
ITEM SO. FT. X $/SO, FT.VALU E
Maln
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE, P LAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
constructlon shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, includlng the
Development Code, regulatlng the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provislons of sald ordinances,
Plan Check Fee
Date Paid
Receipt Number
Received By:
Plans Bcvlewed t3y Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all undoveloped
properties within tlre City linrlts which are being lmproved.
PLUMBING PERMIT
ITEM
Flxtures
Residentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
_1
FEEru,
N0
FT.
FT,
FT.
Plumblng Permlt
State Surcharge
Total Charge
/5.N
,7f *'y'f
(c)
/lo
./ 2A,/(- ,
ADDITIONAL COMMENTS
cR4( ,lhoa**
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt (D)
MISCELLANEOUS PERMITS
Moblle Home
Stato lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surchargp
Total Mlscellaneous Perrni ts (E)
By slgnature, I state and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlty
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout perrnission of the Bulldlrrg Safety Divislon.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 wlll be used on thls
pro ject.
I further agree to ensure that all required lnspections are
requested at the proper tim oach address ls readable
from tlro street, t he rd ls located at the front
set ol plans will remainof the propert
on the slte tlon
CI
Date
VALIDATION
FECEIPT NUMBER
DATE PAIO
7ctAMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (excluding electrlcarl)
(A, B, C, D, and E Comblncd)
/a?9_
otatv.sEBtAt t{cf.
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