HomeMy WebLinkAboutPermit Plumbing 1997-05-15SPrlIN
RES!D ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED
ASSESSORS MAP:
LOI
-
BLOCK:
JOB NUMBER
225 Fifth Street
Sprlng fleld, Oregon 97 477
l1
TAX LOT:
SUBDIVISION:
--
OWNE
ADDR
CITY:STATE:
PHONE
ztP
ADDITION OEMOLISH OTHERNEW- REMODEL
DESCRIBE WORK:
ADDHESS EXPIRES PHONE
C\02--
CONTRACTOFI'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTRICAL:
coNsT.
CONTRACTOR ,
- OFFICE USE -
ZONING CODE:
FLOOD PLAIN
RANGE:
OUAD AREA:
I OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
, OF BDRMS:-
LAND USE:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
't OF UNITS: _
To request an I
made the sam,
Inspectlon, you must call 726'3769. Thls ls a 24 hour recordlng. All lnspections requesred before z:oo a,m. wlll bee worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - prlor to
cover.Flnal Plumblng - When allplumbing worl< ls complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor tosettlng forms.
Rough Electrlcal - Prior to Flnal Electrlcal - When allelectrical work ls complete.cover.
l-l Understab Plumblng/Etectrlcal/
-
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must beapproved to obtaln permanent
electrlcal power.
Final Mechanlcal - When allmechanical worl< ls complete.
Footlng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Flnal Buildlng - When allrequired lnspectlons have beenapproved and buildlng is
completed.Masonry - Steel locailon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concreteplacemont.
Other
Wall/Celllng lnsulatlon - prlor to
cover.
E ,'""ffiffil"i,ll"ln'.'-olns - Prior [-l Drywan - prror to raprns
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME TNSPECTTONS
Wood Slovo - After lnstallailon.
Post and Beam - prlor to floorlnsulatlon or decklng.lnsert - After flreplace approvaland lnstallatlon ol unlt.
[-_l elocktng and Set.Up - When ail
-
blocklng ls compleie.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior toplacemont of concrete.
Plumblng Connecllons - Whenhome has been connected towater and sewer.
[-l Sanltary Sewer - prior ro filtinglJ trench.
[-l Storm Sewer - prtor to fililnglJ trench.
E'll#:frne - Prror to rirrrns
Sldewalk & Drlveway - Afterexcavation ls complete, formsand sub-base materlal ln place.
Eleclrical Connectlon - Whenblocking, set.up, and plumblnglnspectlons have been approvedand the home is connected tothe servlce panel.
[--l Fence - When completed
Rough Plumblng - Prlor to
cover.
$treet Trees - When all requlred
trees are planted.
Final - After all requiredlnspectlons are approved andporches, sklrilng, decks, andventlng have been lnstalled.
Kr
WATER HEATER:
tl E
Lot faces
Lot sq. ftg.
Lol coverage
Topography
Total helght
Lot Ty1
-
lnterigr
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAB ACC
N
S
E
IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTOBICAL REGISTER?
-
lf yes, thls application must be slgned
and approved by the Historlcal
Coordinator prlor to permlt issuance.
APPFIOVED:
VALUE
(A)
x $/so. FT.
Total Value
Building Permit Fee
Slate Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln 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 provlslons of sald ordinances.
Receipt Number:---
Plans Rcviewed t3y Date
Plan Check Fee:
Date Paid
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthin tlre City linrits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
4t)
(c)
N0
FT.
FT.
PLU MBING 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
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carelully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlly
that any and all work performed shall be done in accordance
wlth the Ordinances of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout perrnission of the Buildlng Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on lhls
project.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the slte at all times during constructlon.
slg
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharg€
Total Mlscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
tr0>
VALIDATION:
RECEIPT NUMBE
DATE PAID
AMOUNT RECEIVE
BECEIVED BY
Beceived By:
FT.