HomeMy WebLinkAboutPermit Plumbing 1996-10-21RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Of fice: 726.3759
LOCATION OF PROPOSED WOFK:
ASSESSORS MAP:
SPRINGFIELO
d,
TAX
--JO6 NUMBER
'225 Fitth Strcet
Sprlngfleld, Oregon 97477
SUBDIVISION
dfi,7? /r?
LOT:- BLOCK
PHONE:
STATE:ztP
4
'Z 7")q 1'1CITY:
OWNER:
ADDRES
DESCRI BE WORK: P"il"'-,WL*
NL.w- *urooJ'. X 'oro,
1.
DEMOLISH OTHERoTIN
ADDBESS EXPIBES
f4, - .is g
I.J
J
CONTRACTOB'S NAME
PHONE
MECHANICAL:
ELECTRICAL
coNsT.
CONTRACTOB ,
G EN ERAL:
PLUMBING
- OFFICE USE -
WATER HEATER:
FLOOD PLAIN
ZONING CODE:
OUAD AREAr
, OF BLDGS
SECONDARY HEAI:
SOUARF. FOOTAGE:
, OF EDRMS:
RANGE:
OCCY GBOUP:
, OF STORIES:
LAND USE:
CONSTR. TYPEr
HEAT SOURCE:
, OF UNITS:
--
To request an lnspectlon, you must call 7,
made the sanre worklng day, lnspectlons
26'3769. Thls ls a 24 hour recordlng. Ail rnspections requested before 7100 a,m, wlil berequested after 7:00 a.m. vrlll he nraCe lhe fcllor.,,ir:g rvork day.
REQUIRED INSPECTIONS
[-_l lemnorary Etocrrlc Bouglr Mechanlcal - prlor to
cover.l-_l Flnat ptumblng - When ail'J plumblng worl( ls complete.
Slto lnspectlon - To be madc
af ter excavatlon, but prlor tosettlng lorms.
Rough Electrlcal - prior to Flnal Electrlcal - When allelectrlcal work is complete.
cover
Underslab Plumblng/ Electrical /Mechanlcal - Prlor to cover.Electrlcal Servlco - Must beapproved to obtalr.r permanent
electrlcal power.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Footlng - Af ter trenches are
excavated.Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bullding ls
completed.Masonry - Sleel locatlon, boncjbeams, groutlng.
Flreplaco - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover,
Foundatlon - After forms are
erecled but prlor to concrete
placemont,
Othor
Wall/Colling lnsulatlon - prlor to
cover,
Undorground Plumblng - prlor
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Drywall - Prlor to taplng,
nnnP!! E LlnInr: t'\toFE/rrrArrA.t.ve.LL i.v.Utl_ rt\Jt- t:\Ja lvlI\)
Post and Boam - prlor to floorlnsulatlon or decklng.[-] Alocktng and Ser.Up - When ail
-
blocklng ls complete.
Floor lnsulallon - Prlor to
deckl ng.Plumblng Connectlons - Whenhome has been connected towater and sewer.Sanltary Sewer - prior to f llllng
trench.
Slorm Sewer - Prlor to filllngtrench. ,
Sidewalk & Drlveway - Afterexcavatlon ls complcte, formsand sub.base materlal ln place.
Electrlcal Connectlon - Whenblocklng. set-up, and plumblnglnspectlons have becn approvedand the home ls connected tothe servlce panel.Water Llne - Prlor to filllng
trench.[--l rence - When complered
Rough Plumblng - prlor to
cover.
Flnal - Af ter all requlredlnspectlons are approved andporches, sklrilng, docks, andventlng have been lnstalled.
)/^ -1 ln
E
r
l--l wood Stovo - After lnstaltatlon.tt
[--l lnsert - After ftreplace approvat
-
and lnstallailon of unlt.
[---] Curbcut & Approach - After.J forms are erectcd bUt prlor loplacemont of concrote.
[-_] (;treet Treos - When ail rcquired
-
trees are planled.
ACCP.L.HSE GAR
N
S
E
Lot laces
Lot sq. ftg.
Lot coverage
Topography
Total helght
BUILDING PERMIT
ITEM SO. FT.
Maln
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
x $/so. Fr.
Se i IS THE PFIOPOSED WORK iN THE
HISTOBICAL DlSTRlgr. OR ON 2r\
THE HISTORICAL FEGISIA1T //U
lf yes, thls appllcatlon must be slgned
arrd approved by the Hlstorlcal
Coordinator prlor to permit issuance.
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condltion that the sald
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springtield, includlng the
Dovelopment Code, regulating the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violation of any provisions oI said ordinances.
Plan Chcck Fee
Date Paid
Recelpt Numbcr
Received By
Plans Rcviewc<.1 By Date
VALU E
Garage
Carport
Total Value
Bulldlng Permit Fee
State Surcharge
Total Fec
PLUMBING PERMIT
ITEM
Flxtures
Besldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
N0
Moblle H e
Plumblng Permlt
Total Charge
t't'\rilA W
(A)
FEE
FT.
FT.
FT.
State surcha,ru * 1?o Cl ldrurn
(c)lL.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertics withln the City linrlts which are belng lmproved,
ADDITIONAL COMMENTS
By slgnature, I statc and agree, that I have carofully examlned
the completcd appllcatlon and do hereby certlly that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngf ield, and the Laws
of the State of Oregon perlalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout perrnission of the Bulldlrrg Safety Dlvislon.
I f urther certlty that only contractors and employees who
aro ln cornpliance with ORS 701.055 wlll be used on thls
pro jec t.
I further aeree to ensure that all reoulred 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
Slgnature
l0 - )r-Date
on the site at ll times durlng constructlon
Wood Stove/ lnsert/ Flrcplace Unl t
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
ft
Domolltlon
State Surchargp
Total Mlscellaneous Pertnlts (E)
N0Vent Fan
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Mechanlcal Permlt
lssuance
State Surcharge
?-.^l e^,:1..vrsr r girrr'r
_rv_F
AMouNr REcFrvt-.D lb-)n
!3111
rn - tq-q uDATE PAID
NECEIVED IJY
VALIDATION:
RECEIPT NUMBEN
TOT L AMOUNT DUE (excltt<lln0 olectrlc,rl)
(A, B, C, D, and E Cornblncd)
{/k
APPROVED:
l/1//
SPNING,;IEL()
7?lr?efr,
I
SUBDIVISION:
TAX
LOCATION OF PROPOSED WOR}(:
ASSESSORS MAP:
R ESID ENTIAL
PERMIT APPLICATION
lnspectlons: 726.3769
Office: 726.3759
LOT: BLOCT(:
'225 Fittlr Strcet
Sprlngfleld, Oregon g7477
--JO6 NUMBER
STATE:7r)ztP:
/naL-t
Z
PHONE:OWNER:
ADDR
CITY:
DES.RTBE woRr(: A&plq[-
NEW--
^urooJ',- X 'oo,
1
DEMOLISH OTHEFITN(J
EXPIRES
0 0'-
,IL 4 J
CONTBACTOB'S NAME
PHONE
MECHANICAL:
ELECTBICAL;
CONST.
CONTRACTOR .f
G EN ERAL:
PLUMBING
_ OFFICE USE _
, OF BDBMS
WATER HEATER:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SOUARF. FOOTAGE:RANGE:
OCCY GFIOUP:
, OF STORIES:
ZONING CODE: _-
FLOOD PLAIN:
CONSTR, TYPE
HEAT SOURCE;
LAND USE:
/ OF UNITS
To request an lnspecilon,
made the sanre worklng ,
' you must call 726'3769' Tttls ls a 24 hour recordlng, All lnspectlons requested belore 7;00 a.mday, lnspectlons requested arter 7:00 a.m. vrill he rnade the fcilowrng,"vork,Jay.
wlll be
RE'QUIRED TNSPECTIONS
Tomporary Eloctrlc Rough Moclranlcal - prlor tocover.Flnal Plumblng - When allplumblng work ls iomplete.
Slto lnspocllon - To bo madc
af ter excavatlon, bul prlor tosottlng lorms.
Rouglr Electrlcal - prior to [-l Flnat Eloctrtcal - When ail,J eleclrlcal work ls complete.
cover_
Electrlcal Scrvlco - Must beapproved to obtaln permanent
cleclrlcal power.
l-l ptnat Mochanlcal - Whon ail
-
mechanlcal work ls complele.
Footlng - Alter lrenches are
excavalod.Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bulldlng lscompleted.Masonry - Steel locallon, bonclbeams, groutln0.
Flreplaco - prlor to faclng
materlals and framlng lnsI
Framlng - prlor to covcr,
Foundallon - After forms aroerected but prlor to concrete
placemont.
Othor
Wall/Colling lnsulatlon - prlor to
cover,
l-l Undorgrounc.l plumblno - prtor!-J to flttig trencn [-l orywatt - prlor ro raptng
Undorlloor Plumblng/Mochanlcal
- Prlor lo lnsulatlon or decklng.
MOBILE HOME INSPE TTONS ,
Wood Slovo - Afler lnstallatlon.
Post and Boam - prlor to floorlnsulatlon or decklng.[-_l lnserl - Aftor ftreplace approval
-
and lnslallailon ol unlt.
[-_l Blocktng and Ser.Up - When all
-
blocklng ls complete.
Floor lnsulallon - prlor to
deckl ng.Curbcut & Alrproach - Afterlorms are erected btrt prlor toplaccmont of concrotc,
Plumblng Connectlons - Whenhomc has been connected towater and sewer.Sanltary Scwcr - Prlor to fllllng
lrench.
Slorm Scwer - l)rlor to {llllng
t rench.
Sidewalk & Drlveway - Aftercxcavatlon ls complcte, lormsand sub.basc materlal ln place.
Electrlcal Connecllon - Whenblocklng, set.up, and plumblnglnspecllons have been approvedand tlre home ls bonnected tothe servlce panel.Waler Llno - Prlor ro f illlng
trench.
Fenco - When completed
{ilreot Traos - Whon all requlredtrees are planted.
Rough Plumblng - prlor to
cover.
Flnal - Af ter all requlredlnspecllons are approved andporches, sklrtlng, docks, andventlng have been lnstalled.
g
tls
1
ADDRESS
[--lUnderslabplumblng/Etectrical/ r.-, Mochantcat - p;i;ii;';;;;;,"" L]
B
P,L.HSE GAFI ACC
N
s
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
ksLot Type
-
lntcrlor
-
Corner
. Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK IN THE,
HlsToRtcAL otsTRtcT, oR oN ,rn)
THE HISTORICAL FEGISTEAI 1/U
It yes, thls appllcatlon must bo slgned
arrd approved by thc Hlstorlcal
Coordinator prlor to permit lssuance.
APPROVED
VALUE
(A)
X $/SO. FT,
Tolal Value
Bulldlng Permit Fee
State Surcharge
Total Fcc
BUILDING PERMIT
ITEM SO. FT,
Maln
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt is granted on thc cxpress condltlon that the sald
constructlon shall, ln all respccts, conform to the Ordlnance
adopted by thc City of Springfleld, includlng lhe
Dovelopment Code, regulating lhe conslructlon and use of
bulldlngs, and may be suspended or revokcd at any tlm6
upon violation oI any provisions of said ordlnances.
Date
Recelpt Nurnbc
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln thc City linrlts which are belng lmproved.
ADDITIONAL COMMENTS
By slgnature, I stalc and agree, that I have carotully examlned
the compl€ted appllcatlon and do hereby certlly that all
lnformatlon horeon ls true and correcl, and I lurther certlly
that any and all work performed shall be done ln accordance
wlth tho Ordinanccs of the Ci ty o( Sprlngfield, and the Laws
o( the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout pennission of the Bulldlrrg Safety Dlvlslon.
I lurther certlly lhat only contraclors and employees who
aro ln cornpllancc with ORS 701.055 wlll be used on lhls
prolect.
I further aereo to ensuro that all reeulred lnspecllons are.,
requested at the proper Ilme, thal oach address ls roadablo.
f rom lhe street, that the permlt card ls located at the front
of the property, ancl the approved set of plans will remaln
Slgnature
Date
on the slte at I tlmes durlng constructlon.
Wood Stove/ lnsert / Flroplace Unl t
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
Stale lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
lt
Demolltlon
State Surchargg
Tolal Mlscellaneous Perlnlts (E)
N0Vent Fan
MECHANICAL PERMIT
Furnaco
Exhausl Hood
Mechanlcal Permlt
lssuance
Stats Surcharge
Total Perrnli
TOT L AMOUNT OUE (cxclutllni
(A, B, C, Q and E Cotnblncd)
r/bt rlc nl)
PLUMBING PERMIT
ITEM
Flxtures
Besldentlal Bath(s)N0
Sanltary Sewer FT.
Water FT.
Slorm Sower
Plumblng Permlt
Total Charge
stato surcha ,nu + 1% Cl llnt;n
FEE
Moblle Home
fi 'fl,rrln 11\^lA W
(c)lL.
DATE PAID
AMOUNT REQE'VED
RECEIVE,D OY ._.-_.
Plans Hcrlc*ca-By -
FT,
VALIDATION:
FECEIPT NUMBEF