HomeMy WebLinkAboutPermit Plumbing 1996-04-17RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSE
ASSESSORS MAP:
SPRIhrGFIELD E,
JOB NUMBER
225 Fif th Street
Springf leld, Oregon 97
t
TAX LOT
LOT:
-
BLOCK:SUBDIVISION
OWNER
CITY:
ADD
PHONE:
STATE ZIP:
ADDITION DEMOLISH OTHERNEW- REMODEL
DESCRIBE WORK:
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- OFFICE USE -
r OF BDFIMS:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
LAND USE:QUAD AREA:
# OF BLDGS
SECONDAHY HEAT:
SQUARF- FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. will bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc [l Rough Mechanlcal - prior tol--J cover.
Site lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrlcal - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrlcal /
Mechanlcal - Prior to cover,Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls cornplete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When ail
required inspectlons have been
approved and buildlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l--l Framlng - Prtor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Olher
WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to filllng trench.l-_l Drywall - Prior to raptng
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.
MOBlLE HOME INSPESTIONS
E Posl and Beam - Prlor to lloor
lnsulation or decking.[-_l tnsert - After ftreplace approvsl
-
and lnstallation of unit.
Blocking and Set-Up - When ailblocking ls complete.
Floor lnsulation - Prlor to
decking.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to lllling
trench.
Slorm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base materlal ln place.
Waler Line - Prlor to filling
trench.[--l Fence - When completed
Rough Plumbing - Prior to
cover.
Streel Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirtlng, decks, andventing have been instalted.
RANGE:
tl
Wood Stovo - After lnstallatlon.
lEf-iinat Plumbing - When ail
'J plumbing worl< is complete.
tf
fl
Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typr
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
S backs
PL.HSE GAR ACC
N
S
E
lS l .; PROPOSED WORK iN THE
HISTORICAL DISTFIICT, OR ON
THE HISTOBICAL REGISTER?
lf yes, this application must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPFIOVED:
VALUE
(A)
x $/so. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Rcviewed By Date
Receipt Numbe
Date Paid:
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City linrits which are being improved.
ITEM
Fix tu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
I
(c)
N0
FT.
FT,
l,ZlJ
PLUMBING PERMIT
Plumbing Permit
State Surcharoe
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
M ECHANICAL PERM!T
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther 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 permission of the Building Safety Division.
I further certify that only contractors and employees who
are ln compliance with ORS 701.0S5 will be used on this
proiect.
cons
Date
the
te
set of plans will remain
ls located at the front
ired inspections are
address is readable
I {urther agree to ensure that
requested at the proper ti
from the street, that
perty,of
on
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Statc Surcharge
Sidewalk
-
ft
Curbcut
---_
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNI DUE (excluding electrical)
(A, B, C, D, and E Gomblned)
ru@ ED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT R
t,' i l. ,
lazD
FT.