HomeMy WebLinkAboutPermit Plumbing 1997-02-21RESlDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Oflice: 726-3759
SPFlThrGFIELE,
LocATloN oF PRoPoSED woFtK: Z/A-4
ASSESSORS MAP:/7 -a<-r/ - 7/
LOT:BLOCK
OWNEFI
ADDRESS
CITY:STATE:
CONTBACTOFI'S NAME ADDRESS
GEN ERAL:
PLUMBING:
MECHANICAL
SUBDIVISION:
PHONE:^t
JOB NUMBER 2az 27
225 Fif th Street
Springf leld, Oregon 97471
EXPIRES PHONE
ztP
DESCRIBE WORI<
CONST-
CONTRACTOR #
ELECTRICAL
QUAD AREA:
, OF BLDGS
OCCY GROUP:
E OF STOFIIES:
To request an lnspection, you must call z
made the same worklng day, lnspections
Temporary Electric
Site lnspection - To be madeafter excavation, bul prior tosetling forrns.
Underslab Plumbing/ Electrical /Mechanical - Prior to cover.
Footlng - Af ter trenches are
excavated.
Masonry - Steel locatlon, boncJbeams, grouting.
Foundatlon - After forms are
erected but prior to concreteplacement.
Underlloor Plumbing/ Mechanical
- Prior to lnsulallon or decl(ing.
Post and Beam - Prior to floorlnsulation or decklng.
Floor lnsulation - Prlor to
decklng.
w Sanitary Sewer - Prior to filling
trench.
l-l Storm Sewor - l)rior ro fiiling
-
trench.
Waler Line - Prlor to filling
trench.
Rough Plunrbing - prior to
BANGE:
- OFFICE USE -
LAND USE:
# OF UNITS: -_-
CONSTR. TYPE
HEAT SOURCE:
Rough Electrical - prior to
c ove r.
Electrical Service - Must beapproved to obtaln perrnanent
clectrlcal power.
ZONING CODE:
,' OF BDRMS: -.-
SECONDABY HEAT:_.
SOUARE FOOTAGE:
fl final ptumbing - When ail.J plumbing worl( ls complete.
Final Electrical - When allelectrical worl( ls complete.
Final Mechanical - When allmechanical work ls cornplete.
Final Building - When allrequired lnspections have beenapproved and building iscompleted.
Othor
MOBILE HOME INSPE TIONS
Plumbing Connections - Whenhome lras been connected towater and sewer.
26'3769' Thls is a24 hour rccording. All inspections requestecl betore 7:00 a.m. wllt berequested after 7:0O a,m. will be made the followlng work day.
REQUIRED !NSPECTIONS
Rough Mechanlcal - prior to
cover.
[-_l ,'Jffii:;'i;:J;.'-tins - Prior
l_-l Drywan - prior ro rapins
Framing - Prior to cover,
Wall/Ceiling lnsulation - prlor tocover.
Wood Stovc - A,ter lnstallation.
Fireplace - Prlor to facing
materlals and framing lnsp.
Curbcut & A;:prroach - Afterforms are erected but prior toplacement of concrete.
Sidewalk & Driveway - Afterexcav:rtion ls completc, formsand sub.base material in place.
Fence - When completed.
[--l lnsert - Atter flreptace approval
-
and installauon of unlt.
[-l Elocking and Set.Up - When ail
-
blocklno is complete.
cover.I l {itresr Troes - When ail required
-
trees are planted.
TAx LoT: A,/8A:/
WATER HEATER: --
[--l Electrical Connection - When.J blocking, set-up, and plumbinglnspections have been ,ppror6dand the home is connected tothe servlce panel.
l-_l Final - Afrer ail rcquired
-
lnspections are approved andporc.hes, skirting, decks, andvenUng have been instailed.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de-sac
Setback
P.L.HSE GAR ACC
N
S
E
.- THE PROPOSED WORK iN THE
HISTOBICAL DISTRICT, OR ON
TIJE HISTORICAL REGISTER?
-
lf yes, this application must be slgnedarrd approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X . $/SQ. FT.
Total Value
Building Permit Foe
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FI.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMTT
This pernrit is granted on the cxpress condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment CocJe, regulating the construction and tse ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
Receipt Numbcr:__._-
Plans ReviewecJ t3y Date
Plan Checl< Fee
Reccived By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
Rcsidential Bath(s)
Sanilary Sewer
Water
Storm Sewer
Moblle Home
FEE
\ \,,
/a-'
22
N0
FT.
FT.
Plumblng Permit
State Surcharge
Total Charge
r€ff.
PLUMBING PERMIT
ITEM
Fix t u res
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
MECHANICAL PERM!T
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carcfully examlnedtlre completed apptication and do hereby cerilfy that alllnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and ail work performed shalr be done in accordance
with the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertaining to thc work described
herein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Building Safety Divislon.I further certify that only contractors and employees whoare In cornpliance with ORS 701.055 will be used on thisproiect.
I f urther agree to ensure that all required lnspections are
requested at lhe proper tlme, that each address ls readable
from the street, that the pcrmlt card is Iocated at the frontof the property, and the approved sei of plans wiil remaln
on the site lt t s dur con st ruction.
Signatu
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk _ ft
Curbcut
-_
ft
Demolitlon
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (exctuding clectrtcal)
(A, B, C, D, and E CornblnecJ)
lh_2a
VALIDATION:
FIECEIPT NUMBER
DATE PAID ?
AMOUNT FIEC
RECEIVED BY
EIVED
O
>a
Date Paid:
F'T. ,/2A