HomeMy WebLinkAboutPermit Plumbing 1998-06-29RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
IELD
QtranzJOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
LOCATION OF PROPOSED WOBK:QL,UaE
ASSESSORS MAP:l7a 37 s z>
TAX LOT 0 ?zoo
LOT BLOCK:SUBDIVISION:
--
PHONE:
STATE: A ^
Ztp:
OWNER:
ADDRESS:
CITY:
3 5a-, Sz,.r,.
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
ADDRESS
D h/P?/r EXPIRES ,* PHONECONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
PEBIOD.
RANGE:WATER HEATER:
FLOOD I)LAIN:
# OF UNITS
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
# OF BDRMS: _OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspection, you must call 726-3769. Thls ls a 24 hour recordlng. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. wlll be macle the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumblng worl( ls complete.
Site lnspection - To be made
after excavation, but prior to
setting lorms.
Rough Elecirical - Pri<lr to
cover,Final Electrical - When all
electrical work is complete.
Underslab Plumbing/ Electrical /
Mechanlcal - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlca! - When all
mechanical work ls complete.
Foollng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.Framlng - Prlor to cover,
Foundatlon - After forms are
erected but prlor to concrete
Othsr
ement.tl Wall/Celling lnsulatlon - Prlor to
cover.
und Plumbing - Prior Drywall - Prlor to tapingto f illino trench.,4is P'{
Underllo<ir Plumbing/ Mechanical
- Prior to lnsulation or decking.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approvgl
and installation of unlt.
Blocking and Set.Up - When alt
blocklng is complete.
Floor lnsulalion - Prior to
decking.Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Stonn Sewer - Prior to fi.lling
trench.
Sidewall< & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
Fence - Wlren ccijrpleted.
Rough Plumbing - Prior to
cover.
[itr€el Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
ANY
LAND
ZONING CODE:
E
fl
tl
E
E
tl
E
E
E
tl
E
E
E
E E
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type-
-
lnterior
-
Corner
-
Phnhandle :
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
i IS THE PROPOSED WORK TN THE .
HISTORICAL DISTBICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
BUILDING ta*'g|t' ':l 'r; t
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
,f
BUILDING \IALUE, 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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee
Date Paid:
Receipt Num
Received By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
. FT.
FT.
I 24)tlo t)
FT.
Plumblng Permit
State Surcharge
Total Charge (c)
La7t.*
-43. l^
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther cerilfy
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 pertainlng to the work described
hereln, and that NO OCCUPANCy will be made of any
structure without perrnission of the Buildirrg Safety Division.
I further certify that only contractors and entployees who
are in compliance with ORS 701.0S5 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all constructio
Slgnatu re
Date
du
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-_-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
s+
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Comblned)
SQ. FT. X $/SO. FT. = VALUE
Nc