HomeMy WebLinkAboutPermit Plumbing 1993-12-17SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
I ns pecti ons: 726-3769
Office: 726-3759
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97 477
zLOCATION OF PROPOSED WORK:
ASSESSORS MAP:
,1,-4p ? ,_ 1<- _- 2</
LOT:
-
BLOCK:
TAX LOT:eAr.r/dZP
SUBDIVISION:
PHONE:
z,P: zA<E't=Z>1r-STATE:CITY:
ADDRESS:
OWNER
NEW
-
REMODEL ADDITION DEMOLISH OTHER
i
DESCRIBE WORK:
ADDRESS EXPIBES PHON E
ELECTRICAL:
CONTBACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
G EN ERAL:
PLUMBING
FIANGE:
* OF BDRMS:
- OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This ls a 24 hour recording. AII inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Eleclrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prlor to facing
materlals and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prlor to cover.
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l--l Drywall - Prior to taping
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to lnsulation or decking.Wood Slove - After installation
Post and Beam - Prior to floor
insulation or decking.lnserl - After flreplace approval
and lnstallatlon of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prlor to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the 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 Llne - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
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Other
-
l-_l Fence - When completed.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
, rS THE PROPOSED WOFIK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
X $/SO. FT.
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PERM!T
ITEM SQ. FT.
Main
BUILDING 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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
/4--z'
FEE
4 ..*
223(c)
N0
FT.
FT,
2. *-€
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information 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 Springf ield, 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 in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
he permit card ls located at the front
e approved set of plans will remainand
Signature
IZ 3Date
d fln
from the
of the pro
truction.on the site
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltion
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A,B,qOandECombined)
U7.ea -'-3
2-DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
/4/2
(B)
FT.