HomeMy WebLinkAboutPermit Plumbing 1997-07-14SPFlIl\rGFIELORESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED
7t?fu
{l-
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
TAX LOT:n ACtOASSESSORS MAP::l 10
LOT:BLOCK:SUBDIVISION
o PHONE
ZIP:
E STATE:CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHEB
DESCRIBE WORK:
ADDRESS EXPIRES ,.?, PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL;
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
OFFICE USE -
,$Fu$$rs'
oR
r OF BDRMS:
ZONING CODE:
FLOOD PLAINOUAD AREA:
# OF BLDGS
OCCY GROU
, OF STORIES
WATER H
SECONDARY HEAT:
SOUABF. FOOTAGE:RANGE:
TYPE:
-
To request an lnspectlon' you must call 726'3769. Thls ls a24hour recordlng. All lnspectlons requested before 7:oo a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
J--.] remporary Etectrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When allplumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prior to
f-l Understab Plumblng/Etecrricat/
-
Mechanlcat - Prior to cover.
ll Footlng - After trenches are|J excavated.
l-l Masonry - Steel tocatlon, bond|J beams, groutlng.
E Foundatton - After forms are
erected but prlor to concrete
plac6ment,
cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Framlng - Prlor to cover.
Wall/Celling lnsutatlon - prtor to
cover.
Sidewalk & Drlvewav - Afterexcavation ls complete, forms
and sub-base malerlal ln place.
Street Trees - When all requlred
trees are planted.
Final Electrlcal - When ail
electrical work ls complete.
Final Mechanlcal - When all
mechanical work ls complete.
Flnal Bulldlng - When allrequired lnspectlons have beenapproved and bullding ls
completed.
Other
MOBILE HOME INSPECTIONS
Plumbing Connectlons - When
home has been connected towater and sewer.
Electrical Connection - Whenblocking, set-up, and plumbing
lnspectlons have been approvedand the home is connected tothe servlce panel.
Final - After all required
inspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstalled.
[-l Underground Plumblng - prioru to fllllng trench.Drywall - Prlor to taplng.
Underlloor Plumbtng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prlor to
klng.Curbcut & Alrproach - After
forms are erected but prior loplacement of concrete.
l-l tnsert - After flreplace approval
-
aDd lnstallatlon of unlt.
[--l glocking and Set.Up - When ail
-
blocklnO ls complete.
Sanltary Sewer - Prior to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench.
[-l Water Llne - Prlor to fiiltngtJ trench.l-l Fence - When ccinpteted
l-l Rough Plumblng - Prlor ro
-
cover.
I
HEAT SOURCET _
fl
tlE
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
i -1S THE PROPOSED WORK iN THE "
HISTORICAL DISTRI T, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinalor prlor to permit lssuance.
APPROVED:
VALUE
(A)
X $/SO, FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express conditlon that the sald
construction shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfleld, including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances.
Receipt Number:-
Plans Reviewed By Date
Plan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln tlre City limlts which are being improved.
ITEM
Flxtures
Besidentlal Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
w
(c)
I
FT.
FT.
N1
FT.
x1.tro
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the compl€ted appllcatlon and do hereby certlfy that all
lnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the City 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 permission of the Bulldlng Safety Divislon.
I further certily that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that €ach address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
on the site at all times during constructlgn.
aDate4 ,/,q(qT
Slgnature
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
NoVent Fan
(D)
MECHANICAL PERM!T
Fu rnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permlt
TOTAL AMOUNT DUE (excludlng electrlca n .Q?-|f,
(A, B, C, D, and E Combined)
0
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
2l .
RECEIVED BY