HomeMy WebLinkAboutPermit Plumbing 1997-11-03SPRIhrGF
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT
LOT:BLOCK:SUBDIVISION
To roquest an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
[-l Underslab Plumblng/Electrical/u Mechanlcat - Prlor to cover.
Temporary Electrlc
Slte lnspectlon - To be made
after excavatlon, but prlor to
setting forms,
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placemont.
Undertloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulation or decklng.
Floor lnsulatlon - Prior to
decklng.
Storm Sewer - Prior to fllling
trench.
Water Llne - Prlor to filling
trench.
Rough Plumblng - Prlor to
cover.
Rough Mechanlcal - Prlor to
cover.
Rough Electrlcal - Prior to
cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and lramlng lnsp.
Framlng - Prlor to cover.
Wall/Celllng lnsutallon - Prlor to
cover.
Drywall - Prlor to taplng.
Wood Stovo - After lnstallatlon.
lnsert - Alter flreplace approval
and lnstallatlon of unlt.
Curbcut & AJrproach - After
forms are erected but prior toplacemont of concrete.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base materlal ln place.
l-l Fence - lVhen ccinpleted
Slreet Trees - When all roqulred
lrees are planted.
F lna Plumbtng - When an
;l:-dtumblng work ts complete.
Flnal Eleclrlcal - When all
electrical work is complete.
Flnal Mechanical - When all
mechanical work ls complete.
Flnal Buildlng - When all
requlred lnspectlgns have been
approved and bullding ls
comploted.
Other
MOBILE HOME TNSPECTTONS
Blocking and Set.Up - When allblocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Electrlcal Connection - Whenblocking, set-up, and plumblng
lnspections have been approved
and the home is connected tothe servlce panel.
Flnal - After all required
lnspectlons are approved andporchos, sklrtlng, decks, andventlng have been lnstalled.
fl
tl
funr,i:ri,:: JJ: -b,ns - Pr, or
K;*ary sewer - Prior to rllllns
OWNEB:
AD
c STATE:ztP;
PHONE:3fr.f-,?i4 (
NEW
-
REMODEL ADDITION DEMOLISH OTHER
/L)
t
DESCFIIBE WORK:
AODRESS R#,
I
PHONE/4/-c,2 *
ELECTRICAL:
CONTRACTOR'S NAM
MECHANICAL:
GENEBAL:
PLUMBING
H EAr soffi DONED$UpN DARv H EAr:
RANGE:_fiNy{€+DAy+ER{egt_ SQUARE FoorAGE:
- OFFICE USE -
coNSrR' AU?fi[p12gB611Bg6161g pERMf B,rfflnMs
WATER HEATEFI:
LAND U FLOOD I'LAINQUAD AREA:
* OF BLDGST
OCCY GROUP:
r OF STOBIEST
# oF uNrIfiffiE
tF TFHNblfi(coDE:
il
tf
E
fl
fl
Lot faceg
Lot sq. ftg.
Lot coverage
Topography
Total helght
1-p1 TYE _
-
lnterlor
-
Corner
-
Panhandle i
-
Cul-de-sac
IS THE PROPOSED WORK }N THE .
HtsToRtcAL DtsTRtcr, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnedand approved by the Hlstorlcal
Coordinator prlor to permlt issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
W
E
BUILDING PERMIT
VALUE
(A)
-t
ITEM
Main
Garage
Carport
Total Value
Bulldlng Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.
't
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the cxpress conditlon that,the sald
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Sprlngfleld, inctudlng the
Development Code, regulating the constructlon and use ot
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances.
Fleceipt Number:_
Plans Beviewed By
t
Date
Date Paid
Beceive<J By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are being lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
z* +/20 ,LO
232P(c)
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permit
lssuance
Stato Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby cerilfy that all
lnformatlon hereon is true and correct, and Lurther cerilfy
that any and all work performed shall be done ln accorrJance
wlth the Ordinanccs of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvlslon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.0SS wlil be used on thls
proiect.
I further agree to ensure that all requlred lnspectlons are
requested at the propor tlme, that each address ls readable
from the street, that the permlt card ls located at the front
Slgnature
Date -Z-
du S
set of ans will remalnof the property, and the a
on the slte
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharoe
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlls (E)
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)
24 za
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
Plan Check Fee:
--
N'
FT, @ -T*
FT.
FT.