HomeMy WebLinkAboutPermit Plumbing 1995-03-06RESIDENTIAL
PERMIT APPLICATION
lnspections:726.3769
Office: 726-3759
SPrlIhlG
JOB NUMBER CI 2-b
225 Fifth Street
Sprlngfleld, Oregon 9Z 477
/i
LOCATION OF PROPOSED WORK:2'2o
ASSESSORS MAP:
.2_
TAX LOT:
LOT; BLOCK: SUBD|VIS|ON
PHONE:
'2 'z
ZIP:
-,)
CITY:
ADDRESS:
OWNEB:
NEW .-"- BEMoDEL ADD|IoN DEMoLtsH orHEB
DESCRIBE WORK:
ADDRESS EXPIBES PHONE
coco
ELECTBICAL:
CONTBACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
NST.
NTRACTOR
- OFFICE USE -
ZONING CODE:
FLOOD PLAINLAND USE:QUAD ABEA:
r OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF BDRMS: --
BANGE:WATER HEATER:
OCCY GBOUP:
Y OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
--
To request an lnspectlon, you musl call 726-3769, Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Eleclric Rough Mochanlcal - Prlor to
cover.
Flnal Plumbing - When ailplumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
[-l Rough Electrtcal - prtor toL-J cover.Flnal Electrlcal - When ail
electrical work ls complete.
Underslab Plumbing/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated,fl Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When alt
requlred lnspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng,
l-l Framlng - prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllling trench.l--l Drywall - Prtor to taptng
Underlloor Plumbing/ Mechanical
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPE TIONS
l-_I Wood Stovo - After lnstailatton.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After fireplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When allblocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & Approaclr - After
forms are erected but prior toplacoment of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
[-l Sanitary Sewer - Prior to ,iltingu trench.
Storm Sewer - Prlor to filllng
trench.
l-l Sidewalk & Drlvewav - Afteru excavatlon ls complete, forms
and sub-base material in place.
[-l Fence - When compteted.
Electrlcal Connection - Whenblocking, set.up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel,
Waler Llne - Prlor to filling
trench.
Rough Plumblng - Prlor to
cover.
Stroel Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been installed.
STATE:
.->
-'t z,9\
E
tl
E
tl
E
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
i IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Historlcat
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
X $/SQ. FT.
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condiilon that the Said
construction shall, ln all respects, conform to the Ordinanceadopted by the City of Sprlngfield, includlng the
Development Code, regulatlng the constructlon and use ofbulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provisions of sald ordlnances.
Plans Reviewed By Date
Recel pt Numbc
Date Pald:
Flecelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
27,"o
FEE
Li,t'
No
PLUMBING PERMIT
FT.
Plumblng Permlt
State Surcharge /,7:
Total Charge
'2 eot,7t
(c)
- FT.
ADDTTIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mechanlcal Permlt
lssuance
Stata Surcharge
Total Permlt I further agree to ensure that all required lnspections arerequested at the proper trme, that each address rs readabre
from the street, that the permlt card ls located at the f rontof the property, and the approved set of plans will remaln
on the slte at all times during construcilon.
By slgnature, I state and agree, that I have caref ully examlnedthe completed application and do hereby cerilfy that alllnformatlon hereon is true and correct, and I f urther cerilly
that any and ail work performed shail be done In accordance
with the Ordinances of the Ctty of Sprlngfield, and the Lawsof the State of Oregon pertainlng to the work described
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.I further cerilfy that only contractors and employees who
are ln compliance with ORS 70.1.055 wlll be used on thts
pro,lect.
Date .*3-cz -'r5
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MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-- ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
P,L.HSE GAR ACC
N
S
E
VALIDATION:
FIECEIPT NUMBEF
DATE PAID
AMOUNT RECEIVED
Z
2o
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, Q and'E'Combined)..{
n?,
''
RECEIVED BY
("
:. . i;:. ' r:-
l,
Plan Check Fee: _
Fr. <=i,D