HomeMy WebLinkAboutPermit Plumbing 1996-11-27RESID ENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Of{ice: 726.3759
LOCATION OF PROPOSED WORK
ASSESSORS MAP:
SPFlINGFIEL()
Qfi,
JoBNUMBE^@
225 Fiftlr Street
Springtleld, Oregon 97 4ZZ
rAX Lor: -e 3<a-+
SUBDIVISION
R
LOT:- BLoCK:
STATE:ZIP
PI]ON E:r'/e>
CITY:
ADDRESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTFiEFI
DESCRIBE WOTTK
ADDRESS EXPIIl ES PHON E
CONTRACTOR'S NAME
G EN ERAL:
PLUMBIN
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
_ OFFICE USE _
OCCY GROUP:
// OF UNITS:
QUAD AREA:
I OF BLDGS:
FLOOD I)I-AIN:
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
RN NGE:
# OF STORIES: ___
WATER HEATER:
HEAT SOURCE:
--
CONSTn. TYPE; __# OF BDNMS: .--.-
To request an lnspecilon, you must call 726.371
made the sanre working day, lnspections requ
69. Trris rs a 24 hour rccordrng. Ail inspections requesrecj beforc 7i0o a.rn. wiil bcested after 7:00 a.m. wlll be made the followlng worl( day.
REQUIRED INSPECTIONS
[l Temporary Eleclrisll Rough Mechanical - prior to
cover.Final Plunrbing - When allplumbing worl< is complete.
Site lnspection - To be madcafter excavation, but prior tosetting forms.
Final Elcctrical - When allelectrical worl< is complete.
Undersl;rb Plurtrbirrg / Elcc trical /
Mectranical - Prior to cover.lilcctrical Scrvicc - Mr.rst l;t-,
approved to obtaln pcrrnancnt
electrlcal power.
Firrirl Mcclr;rrrical - Wllcn allrnccltanical worl< Is cornplcte.
Footlng - After trenches are
excavated.Final Building - When allrequired lnspections have beenapproved and building is
com pleted.Masonry - Steel locatlon, bond
beams, grouting.
Fireplace - Prlor to facing
materlals and f raming lnsp.
Framing - Prior to cover.
Foundatlon - After forms are
erected bu t prior to concrete
placemen t.
O ther
Wall/Ceiling lnsulalion - prior to
cover.
E l';'flii:;'i;:jJ:'"tins - Prior [_l Drywan - prior ro taprns
Underlloor Plumbing / Mechanical
- Prior to lnsulatlon or decking.
MOBILE I.IOME INSPESTIONS
Wood Stovc - After lnstallation
Post and Beam - Prior to floorinsulation or decl<ing.lnsert - Af ter (replace approval
and installatlon oI unit.
Blockirrg and Set.Up - Wlren altblt:cl<in1y is complcte,
Floor lnsulation - Prior to
dec ki ng.Curbcut & Altprrcach - Af terfornrs are erected but prior toplaccmcnt of concrctr:.
Plumbing Connections - Whenhorne lras been coltnected towater and sewer.Sanitary Sewer - Prior to filling
trench.
Storrn Sewer - l)rior to fillin!
trench.
Sidewalk & Drirewal, - Af tercxcavittion ls cornplctc, Ioil])s
and suhr.base rraterial in placc.
Electrical Connection - Whenblocking, set-up, and plumbinginspeclions l'rave becn approvedand the home is connected tothe service panel.
l-_l Water Line - Prior to filtingu trench.
Fence - When cornpletecJ
(;treot Treos - Wl'ren all required
trces are planted.
Firral - After all requiredinspections are approved andporches, sl(irting, decks, andventlng have been installed.
Rough Plunrbing - Prior to
cover.
>9
tl
E [l Rough Etectrical - prior to.- covcr. l__-]
E
E
E
E
a
E
Lot Iaccs
Lot sq. f tg.
Lot coverage
To pogra phy
Total height
Lot Typc -v
-
lntcrior
--
Corner
-
Panhandle
-
Cul-de-sac
t bac ks
HSE GAR
N
S
E
c IS.fHE PIlOPOSED WORK iN THE
FIISTORICAL DISTRICI OB ON
TI-I E I-IISTORICAL BEGISTER?
-
llyes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
v {/Qr\ r--T
PERMIT
so. F'r.
BUILDIN G
ITEM
Main
Garagc
Carport
Total Value
BuilcJing Perrrtit Fcc
State Surclrargc
Total Fec
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pcrmitis granted on tl.rc cxpress condition that the said
construction sirall, in all respects, con[orm to the Ordinance
adopted by thc City of Spring(ield, including the
Devcloprncrrt Codc, re0ulating the construction and use oI
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plarr Ctrccl< [:cc: _-_-
Rccci pt Nrrrnbcr.-_ __-
Plans Rcvicwcd 8y Date
ByI Rcceivcri
Datc Paid
SYSTEMS DEVELOPMENT CHARGE (SDC)
(8)
Systcms Developmcnt Charge is due on all undeveloped
properties within thc City linrits whicl'r are being improved.
ITEM
Fix tu res
Resldcntial Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Fl.
FT.
FT.
/7.2--(c)
tfuc.a-
N
qw------------?5/
4e-8a
=r-qD7.?aB
PLUMBING PERMIT
FEE
Aae22
Plumblng Permit
Statc Surcharoe
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlnecl
the completed application and do hereby certify that all
ln(ormation hereon is true and correct, and I f urther certify
that any and all work perf ormed shall be done in accordance
witlr the Ordinanccs of ttre City of Springf ield, and the Laws
of the Statc of Orcgon pertaining to thc work descrlbed
hercin, and that NO OCCUPANCy wilt be made of any
structure without perrnission of the Buildirrg Safety Division.
I f urther certify that only contractors and employees who
are in cornpliance with ORS 70 1.055 will be used on thls
p roiec t.
lfurther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
S lg natu re
Date b
times nstr lon.unon the site at
Wood Stove/ lnsert / Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surchargo
Sldewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
o
(D)
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Vent Fan No
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (cxclucling clectrir:at)
(A, B, C, D, and E Combincd)
VALIDATION:
BECEIPT NUMBER
DATE PAID
AMOUNT RECEIVi..D
IIECEIVED BY
e
Pt.