HomeMy WebLinkAboutPermit Plumbing 1998-04-22SP'l!tYGFIELORESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Olfice: 726-3759
LOCATION OF PROPOSED WORK:
ASSESS9RS *or. /^ -az = -%, -?2 TAX LoT: ?27
LOT:BLOCK:SUBDIVISION
3OWNEB:
ADDRESS:
CITY:
PHONE:
STATE:ztP
ADDITION OTHERDEMOLISH
DESCRIBE WORK:,<1
NEW- REMODEL
ELECTRICAL:
CONST.
R#ADDRESS EXPIRES PHONE
/s.f-316,
,aCONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
RANGE:
* OF BDFIMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAIN
* OF UNITS:
OUAD AREA:
I OF BLDGS:
SECONDARY HEAT
SOUARF- FOOTAGE:
OCCY GROUP:
* OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
l--l Temporary Electric Rough Mechanical - Prior to
cover.
Flnal Plumbing - When all
plumbing worl( ls complete.
Slte lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrical work is complete.cover
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.
Eleclrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work is complete.
Foollng - After trenches are
excavated.[l Flreplace - Prlor to faclng|J materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.E Masonry - Steel locatlon, bond
beams, groutlng.l--l Framlng - Prior to cover.
OtherFoundatlon - After forms are
erected but prlor to concrete
placement.WalltCelling lnsulation - Prlor to
cover.
Underground Plumblng - Prior
to filling trench.l-_l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stovo - After lnstallation.
Post and Beam - Prlor to floor
lnsulation or decking.lnserl - After flreplace approvsl
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocklng ls complete.
FIoor lnsulalion - Prior to
decking.Curbcut & AJrproaclr - 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 fllling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal in place.
Water Llne - Prior to filling
trench.
Fence - When colrpleted
$tr€et Trees - When all requlred
trees are planted.
Final - After all required
lnspecllons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.Rough Plumbing - Prior to
cover.
JoB NUMBEa *?a7>^
225 Fifth Street
Springfleld, Oregon 97 477
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Tyf
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lnte-rior
-
Corner
-
Panhandle 't
-
Cul-de-sac.
rt
Setbacks
P,L.HSE GAR ACC
N
S
E
THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X S/SO. FT.
BUILDING VALUE, i5Uru 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 ilme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Date Paid:
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
N0
FEE
Fr. qr* /
FT.
eO
(c)
a
d1:
PLUMBING PERMIT
*.za--T_7-
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
Mechanical Permit
lssuance
State Surcharge
Total Permit
By slgnature, I state and agree, that I have carefuily examlned
the completed apptication and do hereby certlfy that all
lnformatlon hereon is true anct correct, and I f urther cerflfy
that any and all work performed shall be done in accortlance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work described
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Bulldirrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS ZO1.O55 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
r
on the site at I times during
Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Oemolition
Slate Surcharge
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Comblned)
VALIDATION:
RECEIPT NUMBER
DATE PAIi)
AMOUNT RECEIVED
RECEIVED BY
Plan Check Fee:
-
FT.
Plumbing Permlt
State Surcharge
Total Charge
*2