HomeMy WebLinkAboutPermit Plumbing 1995-02-15SPRII\lGFIELEl
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Office: 726.3759
LOCATION OF PBOPOSED WOFIK:
c
Zfr,
&_
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:ASSESSOBS MAP:/7n z- 3(4 Z
LOT:BLOCK:SUBDIVISION
PH ON E:
ZIP:r STATE:
OWNEB:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTBICAL:
GENERAL:
PLUMBIN
CONST.
CONTRACTOR #
RANGE:
Y OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
Y OF UNITS:
OUAD AFIEA:
* OF BLDGS:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspoctlon, you must call 726-3769, Thls ls a24hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbir
plumblng wo
ng
,rk - When all
ls complete,
Slte lnspectlon - To be made
after excavatlon, but prior to
sottlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work ls complete.cover,
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng,Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Othor
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taplng
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
Wood Slovo - After lnstatlatlon
Posl and B€am - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt,
Blocking and Set.Up - When ailblocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor toplacoment of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer,
Sanltary Sewer - Prior to fllling
trench.
Storm Sewer - Prlor to fllllng
trench.
Sidewalk & Drlveway - After
excavatlOn ls Complete, forms
and sub-base materlal ln place.
Eleclrical Conneclion - When
blocking, set.up, and plumbing
inspections have been approved
and the home ls connected tothe servlce panel.
Water Llne - Prlor to filllng
tronch,I-l Fence - When compteted.
Rough Plumblng - Prior to
cover.
Slreel Trees - When all requlred
trees are planted,
FInal - After all required
inspectlons are approved andporches, sklrtlng, decks, andvenllng have been lnstalled.
tl
7 ?7-t L/ /,
E
tl
E
tl
tl
tl
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
._ lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
PL.HSE GAR ACC
N
S
E
IS THE PROl
HISTORICAL
POSED WORK TN THE
DtsTRtC{, OR ONTHE HISTORICAL BEGISTEFI?
-
lf yes, thls appllcailon must be slgnedand approved by the HistoilcalCoordinator prlor to permit lssuance.
APPFIOVED:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Fy.[D_tNG VALUE, PLAN CHECKAND BUILDINC PCNruIif -'
This pel.nit is granted on the express condiuon that the sardconstrucilon shall, ln all respects, conform to the Ordlnanceadopted by the Ciry of SpirngttetJ, inctuding theDevelopment code, regurating in" Jon"trr"iion and use ofbulldlngs, and may be suspended or revoked at any ilmeupon violation of any provisions of sald orJlr.,.n"r".
Plan Check Fee: --_
Date Patd:
-
DatePlansRevlewed By
Recelpt Numbe
Received By:
EVELOPMENT CHARGE (SDC)
(B)
SYSTEMS D Systems Development Charge ls due on all undevelopedpropertles wlthln tlre City limlts whlch are belng lmproved.
ITEM
Flxtures
Resldenilal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBTNG PERMIT
FEE
N0
20p
FT.
^ 7,00(c)
FT. SO /
ts + ,7.t
Plumblng permlt
State Surcharge /
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanlcal permlt
lssuance
State Surcharge
Total Permlt
Furnace
Exhausl Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe completed appllcailon and do hereby cerilfy that alllnformatlon hereon ls true and correct, and I f urther cerilfythat any and all work performed shall be done ln accordancewlth the Ordlnances of the Clty of Sprlngfleld, and the Lawsof the state of oregon pertarnrng to tho work descrrbedhereln, and that NO OCCUPANCy wlll be made of anystructure wlthout perrnission of the Bulldlng Safety Dlvlslon,I further certify that only contractors andlmptoyees whoare ln compliance wtth ORS ZO1.OSS wlll be used on thlsprolect.
I f urther agree to ensuro that all requlred lnsrequested at the proper ilme, that each
from the street, that the permlt card lsof the property, and the approved set
e at all times durlng constructlon
Date
on the slt\L
SlInature
pectlons are
address ls readable
located at the front
of plans wlll remaln
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut _ ft
Demolitlon
State Surcharge
Total Mlscellaneous permlls (E)
VALIDATION:
BECEIPT NUMBEF
DATE PAID
AMOUNT RECEIVEDTOTAL anaOUrur DUE (exctudtng etecrrtca \ .ZZIO(A, B, g Q and'E'Comblned)RECEIVED BY
4/-.)
FT.
2,