HomeMy WebLinkAboutPermit Plumbing 1999-06-21RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PBOPOSED WOFIK:)L/
225 Fifth Street
Sprlngfleld, Oregon 974
TAX LOT:ASSESSORS MAP:/7037'l ttl
LOT:BLOCK:SUBDIVISION:
PHONE:
1t 7 ?'/>STATE:ZIP:
jADDRESS:)?v
)r-^ A,,vOWNER
CITY:
NEW
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REMODEL ADDITION DEMOLISH OTHER
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l,l,/,L^ L,DESCBIBE WORK:
ADDRESS
€t /
EXPIRES .1 PHONE
/rlc^ L7[ 0 No
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
coNsT.
CONTRACTOR #
M M ENGO 0R t$AStltt{s€AIEDEOTB--
____+lty
1 80 DA$pEFHO&DE: _--
iffi'Hffi#B$8F
Note
I e
LAND USE:
LDGS:
oQUAD AREA:
,OFB I OF UNITS:
the centeroccY GRooe[l
regonnumber
r OF BDRMS:
WATER HEATER:
follow rules adopteci Dy til* Oi'i:Eiiii '''!liiity - oFFlcE usE -AIITIIORIZED UNDER THIS PERMIT IS NOT
'f oF sToRrES: Genteri+1_g$e432_2344Heer souRCE:SECONDARY HEAT:
SQUARF. FOOTAGE:RANGE:
TYPE:
--
To reguest an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the sarne worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
J-_l remporary Electrtc
Slte lnspectlon - To be mado
after excavatlon, but prlor to
setting forms.
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forma are.r.otcd but prlor to oonorata
placemont,
Underlloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prlor to
decking.
Sanltary Sewer - Prlor to fllllng
trench.
Storrn Sewer - Prior to fllling
ch
Llne - Prlor to filling
ch
Rough Mechanlcal - Prlor to
cover.
l-l Rough Etectrical - Prlor to|J cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover,
Wall/Celllng lnsulallon - Prlor to
cover.
Wood Stovo - Aftor lnstallation.
lnserl - After flreplace approval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prior toplacoment of concrete.
Final Mechanical - When allmechanical work is complete.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and bullding is
completed,
MOBILE HOME INSPE TIONS
E
I--l Btocking and Set.Up - When ail
-
blocklng ls complete.
Flnal Plumblng - When altplumbing worl( ls complete.
Flnal Electrlcal - When all
electrlcal work ls complete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Electrical Connection - Whenblocking, set.up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
tl
E
tl
f] ,'Jfliifll'i*lin'."orns - p71o' [-l Drvwarr - prror ro taprns.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal ln place.
t] i;,1"?"
Prumbrns - Prror to E
Fence - When coinpleted.
Str€€l Trges - When all requlred
trees are planted.
l--l Final - After ail requiredu lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
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fltl
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterlor
-_
Corner
-- Panhandle'
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Cul-de-sac
r-S THE PROPOSED WORK tN THE -.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
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lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordlnator prlOr to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
s
W
E
VALUE
(A)
MtT ,
Total Value
Building Permit Fee
State Surchatgo
Total Fee
'1, 'A
X $/SQ. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
BUTLDTNc vhlUe, i5r-nu cHEcK
AND BUILDING PERMIT
Thls permit is granted on the cxpress condition that the said
construction shall, ln all respects, conform to the OrdinAnce
adopted by the Clty of Sprlngfie'ld, including tHe
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances,
Plan Check Fee;
-
Plans Reviewed By Date
Becolpt Numba
Date Pald:
Roceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles wlthln tlre City llmlts which are belng lmproved.
ITEM
'Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
z?. oo
FEE
{2 .?
?2"
zt@W
(c)
N.
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Vent Fan N0
Mechanical Permit
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby certlfy that all
lnformatlon hereon ls true ancl correct, and I [urther certlfy
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 pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are In compliance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
lrom tho street, that the pormlt card ls locatod at the front
of the property, and the approved set of plans will remaln
Slgnature
Date e/zr/rq
Zsdug constructlonon the slte at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut f t
Demolitlon
State Surcharge
Total Mlscellaneous Permlls (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)
3
VAI-IDATION:
BECEIPT NUMBER
DATE PAII)
AMOUNT RECEIVED
BECEIVED BY