HomeMy WebLinkAboutPermit Plumbing 1997-06-10-RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSEDi1 wo0ASSESSORS MAP:
To request an lnspecilon, you must call 726-3769. Thlmade the same worklno day, lnspections requested
n femporary Electrlc
s ls a 24 hour recordrng. A, rnspections requested before 7:00 a.mafter 7:00 a.m. wlll be made the followlng work day.
REOUIRED !NSPECTIONS
Rough Mechanlcal - prlor to
cover.
Rough Electrlcal - prlor tocover.Flnal Electrical - When allelectrlcal work is complete.
IELE,4l CssT
LOT BLOCK:SUBDIVISION
TAX LOI
JOB NUMBER
225 Fifth Street
SprlngflelcJ, Oregon g7477
will be
Flnal Plumbing - When ailplumblng worl< ls complete.
l-l finat Mechanlcal - When all
-
mechanical work ls complete.
Flnal Buildlng - When allrequlred lnspecilons have beenapproved and building is
completecl.
Othor
MOBILE HOME INSPE TTONS
n Masonry - Steet locatlon, bonc.tu beams, grouting.
Slte lnspectlon - To be madoafter excavation, but prior tosettlng forms.
Underslab Plumbing/ Electrical /Mechanlcal - prior to cover.Electrical Servtce - Must beapproved to obtaln permanent
electrlcal pow€r,
Flroplace - prlor to faclngmaterlals and framlng lnsp,
Framlng - Prlor to cover.
Footlng - After trenches are
excavated.
Foundatlon - After forms areerected but prlor to concreteplacement.Wall/Celling lnsulatlon - prlor tocover.
Sidewalk & Driveway - Afterexcavation ls complete, forms
and sub.base material in place.
Fence - Vvhen completed.
Plumbing Connectlons - Whenhome has been connected towater and sewer.
l.zfSanllary Sewer - prior to filling
-
trencn.
n Storm Sewer - prior to fiiling
-
trench.
[--1 watur Llne - prlor to filinglJ trench.
Underground Plumblng - prior
to fllllng trench.l-l Orywalt - prtor to taptng.
Underlloor Plumblng/ Mechanical
- Prior to lnsulallon or decking.Wood Stovo - After lnstallation
Post and Beam - Prlor to floorlnsulatlon or decking.
Floor lnsulalion - prior to
decklng.Curbcut & AJrproach - Afterforms are erecled but prior loplacemcnt of concrete.
lnsert - After flreplace approvaland lnstallatlon ol unlt.
[-l Alocking and Set.Up - When alt
-
blockln0 is cornplete.
Eleclrical Connection - Whenblocking, set-up, and plumbing
lnspections have been approvedand the home is connected tothe servlce panel.
PHONE:
le dCSTATE:ZIP:
EA 7rt-
4 rec
OWNER:
ADDRESS:
CITY:
DESCBIBE WORK:
ADDITION DEMOLISH OTHERNEW-- REMODEL
ADDRESS EXPIFIES PHONE
CONTRACTOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTRICAL:
CONST.
CONTFIACTOR '
- OFFICE USE -
, OF BDBMS
SECONDABY HEAT: _
LAND USE:QUAO AREA:
r OF BLDGS:
OCCY GROUP:
I OF STORIES:
FLOOD ITLAIN:
CONSTR. TYPE:
HEAT SOUFICE:
BANGE:SOUARE FOOTAGE:
/ OF UNITS: ---ZONING CODE:
Rough Plumblng - prior lo
cover.[-l {;treet Troos - When ail required
-
trees are planted.
Final - After all requiredrnspecUons are approved andporchos, skirting, clecks, andventlng have been installed.
WATEB HEATER:-
E
E
PL.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-_
Corner
-
Panhandle
-
Cul-de-sac
i IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Hlstorlcal
Coordinator prior to permlt lssuancer
APPROVED:
VALUE
(A)
X $/SQ, FT.
BUILDING PERMIT
ITEM SO. FT.
Main
Garago
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Springfleld, includlng the
Development Code, regulating the constructlon and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of arry provisions of said ordinances.
DatePlans Rcvi ewecJ t3y
Receipt Numbe
Plan Check Fee:
Date Paid:
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln tlre City limits which are belng improved.
ITEM
Flxtures
Rcsldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
state surcha 'ry,e+|flo Oq M*)"a--
FEE
4a
Plumblng Permlt
Total Charge (c)
No
FT.
PLUMBING PERMIT
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Demolltlon
State Surcharge
Total Mlscellaneous Perrnits (E)
MECHANICAL PERMIT
(D)
No
Mechanical Permlt
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carof ully examlned
the completed appllcatlon and do horeby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed 6hall be done ln accordance
wllh the Ordinanccs ol tho City ol Sprlngf iold, and the Laws
of the Statc of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll bs madE of any
structure wlthout perrnlsslon of the Bulldlrrg Safety Dlvlalon.
I lurther certlfy that only contractors and employees who
are ln cornpliance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to onsuro that all required lnspectlons are
requested at the proper tlme, that oach address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
all times duri
sls
D te
VALIDATION
RECEIPT NUMBER
OATE PAID
AMOUNT RECEIVED
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, O, and E Combined)
a
RECEIVED BY
bt/
ructlon.
'l,{.,, f:,
.i
Tolal Value
Building Permit Fee
State Surcharge
Tolal Fec
m
FT.