HomeMy WebLinkAboutPermit Plumbing 1997-01-23RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBOPOSED
ASSESSORS MAP;
SPRINGFIELr,
?zotJOB NUMBER 5
225 Fifth Street
Spri ng fleld, Oregon 97 477
TAX LOT
l,/
SUBDIVISION
t4
OWNER:
ADDRESS:
CITY:ZlPiSTATE:
PHONE:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDFIESS
-€7 /-
EXPIRES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
CONST.
CONTBACTOR #
FIANGE:
r OF BDFIMS:
- OFFICE USE -
WATER HEATER:
QUAD AREA:
r OF BLDGS:
FLOOD I)LAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCCY GROUP:
r OF STORIES:
CONSTB. TYPE:
HEAT SOURCE:
# OF UNITS:
-_
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7;00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
n femporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl< is complete.
Slte lnspecllon - To be made
after excavation, but prior to
setting forms.
Rough Electrlcal - Prior to Final Electrical - When all
electrical worl( is complete.cover
Underslab Plumblng / Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framing lnsp.
Final Building - When all
required inspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.Walt/Celllng lnsutatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taplng.
MOBILE I.IOME INSPE TIONS
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decking.lnserl - After fireplace approvql
and lnstallatlon of unit.
Blocking and Set.Up - When all
blocklng is complete.
Floor lnsulalion - Prior to
decklng.Curbcut & AJrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filllng
trench.Electrical Connection - When
blocklng, 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 ls complete, forms
and sub-base material in place.
Waler Llne - Prlor to filling
trench.
Fence - When completed.
Street Trees - When all requ!red
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
Rough Plumbing - Prior to
cover.
LOT
-
BLOCK:
GENERAL:
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I other
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type -
-
lnterior
-_
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P,L.HSE GAR ACC
N
S
E
i --TS THE PROPOSED WORK tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
VALUE
(A)
X $/SO. FT.
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
. ,f
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 Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the constructlon 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
Recei pt Numbe
Plan Check Fee:
Date Paid:
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln tlre City limits which are being improved.
ITEM
Fix tu res
Residential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
l/t^W
7qr{
(c)16;-i
N0
FT.
+ 3?,01y Adnin Frt
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure without permission of the Buildlrrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.05S will be used on this
proiect.
I {urther agree to ensure that all required inspections are
Sign
from the street, that the per
c
address is readablerequested at the proper time,
s located at the front
of the property, an set of plans will remain
on the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
rc7
RECEIVED BY
AMOUNT RECEIVE
DATE PAID
VALIDATION:
RECEIPT NUMBER
FT.
FT.
lrm