HomeMy WebLinkAboutPermit Plumbing 1996-02-13RINGFIELc,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
LOT
>.--/
BLOCK:
JoBNUMBER%
225 Fif th Street
Sprlngfleld, Oregon 97477
I
TAX LOT ?,€
SUBDIVISION:-
ztPSTATE:
PHoNE: :u> *6.?,+?OWNER:
ADDRESS:
CITY:
NEW
--
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOFIK
ADDRESS EXPIIlES PHONE
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- OFFICE USE -
WATER HEATER
ZONING CODE:
QUAD AREA:
E OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
# OF BDRMS:
RANGE:
OCCY GFIOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:FLOOD PLAIN:
To request an rnspection, you must cail 726-376g. Thrs is a 24 hourmade the sanle worklng day, lnspections requested af ter 7:00 a.m.
recordlng. All inspections requested before 7:00 a.m. wlll bewlll be made the following work day.
REQUIRED TNSPECTIONS
Site lnspection - To be made
af ter excavation, but prior tosetting forms.
[-_| Underslab ptumbing/ Etecrrical/
-
Mechanlcal - prioi to cover.
Temporary Electrlc
Foollng - After trenches areexcavated.
Rough Mechanlcal - prior tocover.
Rough Electrical - prior tocover
cover.
Wood Stove - After lnstallation
Flnal Plumbing - When ailplumblng work is complete.
Final Electrical - When allelectrical work is complete.
l-l finat Mechanical - When ail
-.
mechanical work ls complete.
Flnal Buildlng - When ailrequired.lnspections have beenapproved and building iscompteted.
Eleclrical Servlce - Must beapproved to obtaln permanent
electrlcal power.
Flreplace - prlor to faclngmaterlals and framing lnspi
Framlng - prior to cover.
Wall/Celllng lnsulatlon _ prlor to
Olher
[--l UnOerground plumbtng _ prior.J to fitllng trench l-l Drywall - prior to raping
Underlloor plumbing / Mechanicat
- prior to insulation or decklng.
Post. and Beam - prior to floorrnsuration or decking.
Floor lnsulation - prior todecking.
Masonry - Steel locatlon, bondbeams, grouilng.
Foundatlon - After forms areerected but prlor to concreteplacement.
[p ;:::;l Sewer - Prior to ririns
Slorm Sewer _ prior to fillingtrench.
W_a-ter Llne - prlor to fillingtrench.
l:.y^S-n Plumbins - prior tocover.
MOBILE HOME INSPECTIONS
[l Btocking and Set.Up _ When ail
-
blocklng is compteie.
Ill1Uinn Connecrions _ When
.n.?:u h": been connected towater and sewer.
Electrical Conneclion _ When
,o^,1_"lii g, set.u p, ano pru m6in"s'rnspections have been approved
lI_O -th".home is connected torne servlce panel.
lnserl - After flreplace approvqland ,nstallailon of unit.
C_urbcul & Approach _ Afterrorms are erected but prior toplacemcnt of concrete.
Sidewalk & Driveway _ Afterexcavation is compllte, formsanc, sub-base material in ptacl.
Fence - When completed.
f] ;$"'t"["ffi;I.en arr required *tr*'I*[t**fi'"r,ffi
A<lzR
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK iN THE
HISTOFIICAL DISTBICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPBOVED:
PL.HSE GAR ACC
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
cqnstruction 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 Numbe
Plan Check Fee
Date Paid:
Received By:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ADDITIONAL COMMENTS
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
-WaE
423
FT.
FT.
c/2.e
(c)
fr-3'Z
&+
N0
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I turther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Division'
I further certify that only contractors and employees who
are in compliance with ORS 701'055 will be used on this
proiect.
I {urther agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the f ront
of the property, and the approved set of plans will remain
ZDate
times during construction'on the site
Slgnatu
MlSCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk .-._-- ft
Curbcut -.---.- ft
Demolition
State SurchargJe
(E)Total Miscellaneous Permits z.o
VALIDATION
RECEIPT NUMBER
AMOUNT FECEIVE.D
RECEIVED BYTOTAL AMOUNT
(A, B, c, D, and E
DUE (excludinQ electrical)
Combined)
FT. /P
DATE PAID