HomeMy WebLinkAboutPermit Plumbing 1996-12-17SPFrINGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF .PROPOSED WOBK:
ASSESSORS MAP:e -a
efi,
JOB NUIMEER
225 Fif th Street
Springf ield, Oregon 97477
TAX LOT:
..7>
O
LOT:
-
BLOCK: SUBDIVISION
PHON E:
ztPSTATE
'.ZDOWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCFIIBE WORK:
MECHANICAL:
----
EXPI RES PHON EADDRESS
a
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
G EN EBAL:
PLUMBING
RANG E:
# OF BDRMS
- OFFICE USE _
LAND USE:
WATER HEATER:
Y OF UNITS:
FLOOD I)LAIN:
ZONING CODE
SECONDARY HEAT:
SOUART., FOOTAGE:
OUAD AREA:
* OF BLDGS:
OCCY GROUP:
E OF STORIES:
CONSTR. TYPE:
HEAT SOURCE;
To request an inspection, you must call 726-3769. Thls ls a 24 hour recording. All inspections requested before 7:00 a.m. wlll be
made the sanre worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
[--l Temporary Electric
ll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl( is complete.
Site lnspection - To lre made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical wor!< is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrlcal power.
Final Mechanical - When all
mechanical worl( is comPlete.
Footlng - After trenches are
excavated.Flreplace - Prior to faclng
materials and framing lnsP'
Final Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framing - Prior to cover,
Other
Foundatlon - After forms are
erected but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to filling trench.[--l Drywall - Prlor to taolng
MOBILE I{OME INSPE TIONS
Underlloor Ptumbing/ Mechanical
- Prior to insulatlon or decking.Wood Stovo - After installation'
Post and Beam - Prlor to floor
insulation or decking.lnsert - After firePlace aPProval
and installatlon of unit.
Blocking and Set.UP - When all
blocklng is comPlete.
Floor lnsulation - Prior to
decki ng.Curbcut & ApPrroach - After
forms are erected bttt Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Connection - When
blocking, set-uP, and Plumbing
inspections have been approved
and tl-re home is connected to
the service Panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is comPlete, forms
and sub-base material in Place.
Water Line - Prlor to filling
trench,
I Fence'- lvhen comPleted.
Final - After all required
inspectlons are approved and
porches, st(lrting, decks, and
venting have been lnstalled.Rough Plumbing - Prior to
cover.
:;tr€et Trees - When all required
trees are Planted.
Cz'1 ^
tl
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tl
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D
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tl
tl
tl
tl
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n
fl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
--
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Se
PL.HSE GAFI ACC
N
S
E
r rS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
TI]E HISTORICAL REGISTER?
-
lf yes, this application must be signedand approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, inctuding theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said ordinances.
DatePlans Reviewed LJy
Receipt Nurnbc
Date Paid
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
pioperties within the City tintits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
?>.n
FT.
FT.
FT.
eefr
(c)
eEz
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby certify that allinformation hereon is true ancl correct, and I f urther certifythat any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work describedherein, and that NO OCCUPANCy will be made of anystructure without perrnission of the Buildirrg Safety Division.I further certify il)at only contractors and employees whoare in compliance with ORS 70.1.055 will be used on thisproiect.
I {urther agree to ensure that all required inspections arerequested at the proper time, that each address is readabr
from the street, that the permlt card is located at thof the property, and the approved set
rUC
Date
e
c
e front
ans will remain
Signature
on the site at all time on.
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut _--- ft
Demolition
State Surcharge
(D)
Total Miscellaneous pennits (E)
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Haod
Vent Fan No
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
?-
FIECEIVED BY
'e
6:
TOTAL AMOUNT DUE (exctucling clectricat) ____-__.-(A, B, C, D, and E Combined)
2