HomeMy WebLinkAboutPermit Plumbing 1996-08-07RESIDENTlAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WO
ASSESSOBS MAP:
LOT:
SPFIINGFIELO
BLOCK:
JOB NUMBER
225 Fi(th Street
Sprlng f I , Oregon 97477
TAX LOT:
SUBDIVISION:
uE/<PHONE
DE.ZIP:
+
/I 7? 77CITY:
ADDRESS
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK
ADDRESS EXPIRES PHONE
44q,fr
ELECTRICAL
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTFIACTOR ,
GENERAL:
PLUMBING
RANGE:WATER HEATER:
ZONING CODE:
FLOOD PLAINOUAD AREA:
, OF BLDGS
SECONDABY HEAT:
SOUARF. FOOTAGE:
, OF BDRMS: ..-OCCY GROUP:
, OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
To request an lnspectlon' you must call 726.3769. Thls ls a 24 hour recordlng. All lnspectlons 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.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - prlor to
cover.
Flnal Plumblng - When allplumblng worl< ls complete.
Slte lnspectlon - To be made
af ter excavatlon, but prlor tosettlng forms,
Rough Electrical - Prior to Flnal Electrlcal - When allelectrlcal work ls complete.cover-
[--l Underslab Plumbtng/ Etectrical/tJ Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - After trenches are
excavated,Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bullding ls
completed.Masonry - Steel locatlon, boncl
beams, groutlng.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover,
Foundatlon - After forms are
erected but prlor lo concrete
placemont.
Othsr
Wall/Colling lnsulatlon - prlor to
cover,
Underground Plumblng - prlor
to fllllng trench.Drywall - Prlor to taplng
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME !NSPE TIONS
I Wood Stovo - Afrer lnstailatlon.
Post and Boam - Prlor to floorlnsulatlon or decklng.lnsert - Aftor flreplace approval
and lnstallatlon of unlt.
l-l glocklng and Ser.Up - When ailtJ blocklng ls compteie.
Floor lnsulallon - Prlor to
decki ng.Curbcut & AJrproaclr - After
forms are erected bUt prlor toplacemont of concrete.
Plumbing Connectlons - Whenhome has been connected towater and sewer.
Sanllary Sewer - Prior to filling
trench.
Slorm Sewer - Prlor to f Illlngtrench. r
Sidewalk & Drlveway - Afterexcavatlon ls complctc, formsand sub.base materlal ln place.
Eleclrlcal Connectlon - Whenblocklng, set.up, and plumblng
lnspectlons have been approvedand the home ls connected tothe servlce panel.
r Llne - Prlor ro filllng [--l Fence - When compteted.
trench.
Streel Troos - When all requlred
trees are planted.
Final - After all requiredlnspectlons are approved andporchcs, sklrtlng, decks, andventlng have been lnstalted.
[-_l Rough Plumblng - Prtor to
-
cover.
Qtot D!5
STATE:
- oFFtcE usE -
LAND USE:
# OF UNITS: _----
tl
fl
E
E
tl
il
E
E
E
P,L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type -
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
i--i.S THE PROPOSEO WORK iN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
l{ yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit lssuance.
APPROVED:
k
VALUE
(A)
X SiSO. FI.
Total Value
Bullding Permit Fee
Stale Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condltion that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by thc City of Springfleld, includlng the
Development Code, regulating the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Hcvlewecl By Date
Date Paid
Receipt Number
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles withln thc City linrlts which are belng improved.
ITEM
Flx tu res
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I statc and agree, that I have carof ully examlned
the completed applicatlon and do hereby certlfy that all
lnformatlon horeon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth tho Ordinances of the City of Sprlnglield, and the Laws
of the State of Oregon pertalnlng to thc work descrlbed
herein, and that NO OCCUPANCY wilt be made of any
structure wlthout perrnission of the Bulldirrg Safety Dlvislon,
I lurther certlfy that only contractors and employees who
aro ln compllance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensurc that all required lnspections are
requested at the proper tlme, that each address ls readable
{rom the street, that the permlt card ls I
Slgnatu
Date
I ansof the property, and t app
onon the site at all ti
at the front
will remaln
Wood Stove/ lnsert/ Flrcplace Unll
Dryer Vent
MISCELLAN EOUS PERMITS
Moblle Home
Stale lssuance
Stato Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surchargp
Total Mlscellaneous Perrnits (E)
Vent Fan No
(D)
MECHANICAL PERMTT
Furnace
Exhaust Hood
Mechanlcal Permlt
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, g D, and E Comblned)
VALI DATION:
RECEIPT NUMBER
DATE PAID,
AMOUNT R
RECEIVED
ECEI
BY
Plan Check Fee:
-_