HomeMy WebLinkAboutPermit Plumbing 1997-11-24IhrGFTELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:_ W >. 3q*'
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
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ASSESSORS MAP:)>?7/-v7 TAX LOT:
LOT:BLOCK:SUBDIVISION
PHONE:
STATE:ZIP:
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\J ' fs%OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
\DESCRIBE WORK:
ELECTRICAL:
ADDRESS
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CONTRACTOR'S NAME
MECHANICAL:
EXPIRES
CONST.
CONTRACTOR #
to'i1 30GENERAL:
PLUMBING
PHONE
bt{#
RANGE:
r OF BDRMS:
- OFFICE USE -
ZONING CODE:
WATER HEATER:
SECONDARY HEAT:
SOUARE FOOTAGE:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Tiils ls a 24 hour recordlng, Ali lnspectlons requested beiore 7:OO a.m. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
SIte lnspectlon - To be mado
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrlcal - When all
electrical work is complete,cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.[--l Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
WalltCelllng lnsutatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONSEUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to lloor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcut & AJ:proaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Electrical Conneclion - When
blocking, set.up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to fllling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to lilling
trench.
Str€et Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
Bough Plumblng - Prior to
cover.
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3oasgs z
FLOOD PLAIN:LAND USE:
# OF UNITS:
-
E
m
E
tl
E
tl
E
fl
[-l Fence - lVhen coinpleted.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
t.IS THE PROPOSED WORK IN THE .
HISTORICAL DISTRICtr, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcailon must be slgned zand approved by the Hlstorlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC'
N
S
E
VALUE
(A)
Total Value
Building Permit Fe6
State Surcharge
Total Fee
i
X $/SQ, FT,
i
BUILDING PERNdIIT ,
ITEM SQ. FT.
Main
Garage
Carport
Thls permit is granted on the express condition that the saldconstruction shall, ln all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any ilmeupon violation of any provisions of said ordinances.
Plan Check Fee: _
Plans Reviewed By Date
Date Paid:
Received By
DING PERMTT
BUILDING
AND BUIL
. 'lLUE, PLAN CHECK
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
4Fa
(c)2 ),o?
Nr
FT.
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have carelully examlned
the completed application and do hereby cerilfy that all
lnformatlon hereon is true ancl correct, and I further cerflfy
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
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 7O1.OS5 wlll be used on thls
proiect.
I further agree to ensure that all requlred inspections are
requested at the proper tlme, that each address ls readable
from the street, 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 construcilon.
It"l.l -11
Sig natu re
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NUMBER
DATE PAI[)
AMOUNT RECEIVED
RECEIVED BY
Lot Type
-
lnterlor
-
Corner
-
Panhandle I
-
Gul-de-sac
Receipt Number:_