HomeMy WebLinkAboutPermit Plumbing 1998-05-15SP
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
LOCATION OF PROPOSED WORK:5 NLz-_
ASSESSORS MAP:11 03 3b r>TAX LOT:0(@a
LOT:BLOCK:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:OO a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Rough Mechanlcal - Prlor to
cover.
al Plumbing - When all
plumbing work is complete.
E
E
E
E
Slte lnspectlon - To be made
after excavation, but prior to
setting forms.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prlor to
decking.
Sanllary Sewer - Prior to fllling
trench.
Water Llne - Prlor to filling
trench.
Rough Plumblng - Prlor to
cover.
[-l Flreptace - Prlor to faclngH materlals and framing lnsp.
n Framlng - Prlor to cover.
l-l watt/Celling lnsulatlon - Prlor tol-l cover.
I-l Drywall - Prlor to taplng.
Rough Electrical - Prior to
cover.
Electrlcal Service - Must be
approved to obtain permanent
electrlcal power.
Wood Stove - After lnstallation.
lnserl - After flreplace approval
and lnstallatlon of unlt.
Curbcut & AJrproaclr - After
forms are erected but prior to
placement of concrete.
Sidewall< & Drlveway - After
excavation is complete, forms
and sub-base material in place.
Fence - When cotrpleted.
Streel Trees - When all required
trees are planted.
Final Electrlcal - When all
electrical work is complete.
Final Mechanlcal - When all
mechanical work ls complete.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
l--l Btocking and Set.Up - When alu blocklng ls complete,
dt *sewer - Prior to rrrrins
Plumbing Connectlons - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Final - After all required
inspectlons are approvecl andporches, sklrtlng, decks, and
ventlng have been lnstalled.
I 173?PHONE:
7Y77ZlPiSTATE:CITY:< rJi\:-t-T
trL*rd.o,< Nolb^2|u->at-d- e o^d
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
-(
tDESCRIBE WOBK:
ADDRESS
t"
ST.
TRACTOR #EXPIRES ,;1 PHONE,ittCONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTBICAL:
FFICE USE _
USE:
RANGE:
ZONING CODE:
FLOOD PLAIN:
WATER HEATER:
* OF UNITS:
SECONDARY HEAT:
SOUARF. FOOTAGE:
QUAD AREA:
r OF BLDGS:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
E
SUBDIVISION: '
'u5s N >z
, OF BDRMS:-
[--l remporary Electrlc
E
tl
tl
tl
E
E
E D
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
Setbacks
VALUE
(A)
lir
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PENfiIT
ITEM
Main
Garage
Carport
SQ. FT. X $/SQ. FT.
Thls pernrit is granted on the express condition that the saldconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfietd, inctuding theDevelopment Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any timeupon violalion of any provisions of said ordinances.
Plan Check Fee: _
Date Paid:
DatePlans Reviewed By
Receipt Numbe
BU ILDING
AND BUIL
E,
PE
LtJ c ECH KNLA
ID LIN MR IT
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblte Home
FEE
*n?, -(c)
N!
FT.
Plumblng Permit
State Surcharge
Total Charge
#s"-=--t*7t,/5
PLUMBING PERMIT
ITEM
Fixtures
ADDITIONAL COMMENTS
MECHANICAL PERM!T
Fu rnace
Exhaust Hood
Vent Fan
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accortJance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are In 6erylpliance with ORS 7O1.O5S will be used on thls
prolect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during construcilon.
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
MISCELLANEOUS PERMTTS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, Q and E Combined)
6n,
(;","
atu re
,5 -r r -e/
VALIDATION:
RECEIPT NUMBER d g
DATE PAII)6-t{-a e
7.AMOUNT REC
RECEIVED BY
EIVE
i lS THE PFIOPOSED WORK tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the H istorloal
Coordinator prlor to permit issuance.
APPROVED:
FT.
FT, ,{
e
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