HomeMy WebLinkAboutPermit Plumbing 1997-01-22SPFIINGFIELE)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:a
ASSESSORS MAP:
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
L
LOT
-
BLOCK:
TAX LOT:
SUBDIVISION: -
OWNER
ADDRESS:
CITY:
PHONE
ZIP:STATE:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
)
.I^
PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
RANGE:
_ OFFICE USE -
ZONING CODE:
FLOOD I)LAINQUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726'3769. Thls ls a24.hour recordlng. All inspections requested before 7:o0 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m, wlll be made the following work day.
REQUIRED INSPECTIONS
Final Plumbing - When ailplumbing worl( is complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Final Electrical - When allelectrical work is complete.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When allmechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When ail
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
[-l Framlng - Prlor to cover.
n WatllCeltlng tnsulatlon - prlor tou cover.
[-_l Drywall - Prlor to taptng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Underground Plumblng - Prior
to fllllng trench.
Undertloor Plumblng/ Mechanical
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TTONS
Wood Stove - After lnstallation
Post and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approval
and lnstallatlon of unlt.
[-_l Blocking and Ser.Up - When ail.- blocklng ls complete.
Floor lnsulalion - Prlor to
decklng.Curbcut & Alrproaclr - After
forms are erected but prior toplacemcnt of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base malerial in place.
Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
h.
Waler Llne - Prlor to filling Fence - When completed
h.Final - After all required
inspectlons are approved andporches, skirting, decks, and
ventlng have been lnstalled.
Street Trees - When all required
trees are planted.
Rough Plumbing - Prior to
cover.
I
I
# OF BDBMS: _
WATER HEATER:
l-_l Temporary Electrlc
E
[-l Rough Mechanlcal - prior tolJ cover.
l-l Rough Electrical - Prior tolJ cover.
tl
tl
E
n
fl
tl
tl
GAR ACCP.L.HSE
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ks i Ts rne PBoPoSED woBK iN TIJE
HlsroRtcAL olsTRrcl oR oN
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Nu
Plan Check Fee:
Date Paid
Received By:
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln tlre City limits which are being improved.
ITEM
Fixtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
.0b
+ 37,0q l*uiue
FEE
--ffip--
t ll"AO(c)
N0
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
information hereon is true and correct, and I f urther certlly
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 pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
proiect.
I {urther agree to ensure that all required lnspections are
requested at the proper time, that each address ls readable
f rom the street, that the permlt card ls located at the front
of the property, and the approvod set of plans wlll remaln
S
on the site at
Date
s during constructlon.
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pertnits (E)
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
VALIDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
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