HomeMy WebLinkAboutPermit Plumbing 1996-12-16RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726.3759
LOCATION OF PBOPOSED WORK:
ASSESSORS MAP:
SPrrINGFIELc,
Y4L
Qttto\
LOT:
-
BLOCK:
JOB NUMBER
225 Fif tlr Street
Springf lelcl, Oregon 97477
TAX LOI:
SUBDIVISION:.--
PHONE:
STATE ?z q csJ-zlP:
<4_
L.
3zt=6a oaOWNER:
ADDRESS:
CITY:
NEW
--
REMODEL ADDITION DEMOLISH OTHEFI
/,
€z.Ot-t--
DESCFIIBE WORK:
ADDRESS EXPIRES PHONE
3,.15--33 o L"- n'4
CONTRACTOR'S NAME
GENERAL:
ELECTRICAL
CONST.
CONTRACTOR #
- OFFICE USE -
LAND USE:
# OF UNITS: --_--
CONSTR. TypE:
--HEAT SOURCE: ---
RANGE:
FLOOD I)LAIN
QUAD AREA:
r OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
# OF BDRMS: =.--
To request an,inspection, you must call 726-3769. Thls is amade the sanre working day, lnspections requested af ter ,
[-_l Temporary Etectric
cover,
'24 hour recording. All inspections requested before 7:00 a.m7:00 a.m. will be made the followlng work day.
REQUIRED TNSPECTIONS
Rough Mechanical - prior tocover.ll Final ptunrbing - When ail
-
plumbing work is complete.
Rough Electrical - prior to T-l Finat Etectricat - When ail'- electrical worl( is complete.
wlll be
Site Inspection - To be madeafter excavation, but prior tosetting forms.
|---| Underslab plumbing/ Electricat/
-
Mechanical - prior to cover.Electrical Service - Must beapproved to obtain permanent
electrlcal power.
Flreplace - prior to facingmaterials and framing lnspl
Framlng - prior to cover.
Wall/Ceiling lnsulation _ prlor tocover.
Drywall - prior to taplng.
Wood Stove - After installation.
11":1, - After fireptace approvqland installation of unlt.
C^urbcut & A1>prr63sh _ Afferrorms are erected bUt prior toplacemcnt Of concretc.
Sidewalk & Driveway _ Afterexcavation is compi'cte, tormsand sul)-base malerial in ptace.
Fence - When completed.
ll rinat Mechar.ricat _ When ail
-
mechanical work is cornplete.
Final Building - When ailrequired lnspections have beenapproved and building iscompleted.
Footlng - After trenches areexcavated.
Masonry - Steel locatlon, bonclbeams, grouting.
Foundatlon - After forms areerected but prior to concreteplacemertt.
Underground plumbing _ priorto filling trench.
Underlloor plumbing / Mechanical
- l-flor to insulation or decking-
l_o-"r.u.la Beam _ prior lo ftoorrnsulation or decking.
Floor lnsulation - prior tong.
.s_1nit3rv sewer - prior to fi,ingtrench.
Slorm Sewer _ prior to fillinOlrench.
Wa-ter Line _ prior to fillingtrench.
l^lyn,, Plumbing - prior rocover.
Other
MOBILE I.IOME INSPECTIONS
8,*[ff ,i"i.l#;3[- when a,,
lllT-biro Conneclions _ Whennomc has been connected towater and sewer.
fl *lH,l.:., 1,;: :,.,:r,; #?^",i
1rl:p:crigns have bcen approved
iri"" Jl'i,,?3?e is
rconnected to
tl l;:TS:1J"ffi;y'en arr required ffi[rg[,p:ri]ixLr
r)l_
PLUMBING:
MECHANICAL:
WATER HEATER:-
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
15 THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL FIEGISTER?
-
lf yes, this application nrust be slgned
arrd approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
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.
Receipt Number:-.-
Plans Flcviewed t3y Date
Plan Check Fee:
Date Paid:
Received By
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City lintits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
45eq
go
(1, )
FT.
FT,
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
N0
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carcf ully examlned
tlre completed application and do hereby certify that all
lnformation hereorr is true and correct, and I f urther certi(y
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertai ning to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Division,
I further certily that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
pro jec t.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
f rom tl-re street, that the permit card is located at the front
of the property, and the approved set of plans will remain
z_*?
S
Signatu
Date
on the site at ion
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk *.=..--- {t
Curbcut -.-.-- ft
Demolition
State Surcharge
(E)
Total Miscellaneous Perlni ts
TOTAL AMOUN
(A, B, c, D, and
T DUE (excluding electrical)
E Combined)
VALIDATION
BECEIPT NUMBE
DATE PAID
AMOUNT REC
RECEIVED BY
EIV D
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