HomeMy WebLinkAboutPermit Plumbing 1993-06-24SPFlINGFIELED
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Off ice: 726'3759
JOB NUMBER Qlo Bq7
225 Fifth Street
Springfield, Otegon 97 477
?S9 5 4L HJ)1-
LOCATION OF PROPOSED WORK:
,8 1)s,f,TAX LOT:ASSESSORS MAP:-
Lor:--- I I a oiABLOCKSUBDIVISION:
PHONE:
l-,l A ztP'.STATE:
AQua q
tttr
CITY:
ADDRESS:
OWNER:
NEW REMODEL ADDITION DEMOLISH OTHER
DESCRiBE WORK: _-
ELECTRICAL,.
-
PHONEEXPIRESADDRESS
d
,oq, hws
CONTRACTOR'S NAME
G EN ERAL:
MECHANICAL:
PLUMBING:-
CONST.
CONTRACTOR #
1 Qsc-QUAD AREA
'{ OF BDRMS
_ OFFICE USE _
LAND USE
ZONING CODE:
FLOOD PLAIN
OCCY GFIOUP..
---
r OF UNITS:
WATER HEATER RANGE:
SECONDARY HEAT:
SOUARE FOOTAGE:
, OF STORIES:
-
CONSTR. TYPE:
HEAT SOURCE:
To reguest an inspection, you must crrll 726-3769. This is a24hour recording' All inspections reques
made the same working day, inspections requested after 7:00 a.m. will be made the following work
ted before 7:00 a.m. wlll be
day.
REOUIRED INSPECTIONS
TemporarY Eleclric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing wcrk is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Eleclrical - Prior to Final Electrical - When all
electrical wcrk is comPlete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Eleclrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing !nsP.
Final Building - When all
required insPections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting'Framing - Prior to cgver
Other
Foundation - After forms are
erectecl trut Prior to conciete
plac e rn en t.
Wall/Ceiling lnsulation - Prior to
cover
Underground Plumbing - Prior
to lilling trench.[--l Drywall - Prior to taoing
MOBILE HOME INSPECTIONS
Underlloor Plumbing / Mechanical
- Prior to insulation or decking'Wcod Stove - After insiallation.
Post and Beam - Prior to floor
insulation or decking.
n Blocking and Set'UP - When all
blocking is comPlete.lnsert - After flreplace aPProval
and installation of unit.
Floor lnsulation - Prior to
decking.S[utr owS
Curbcut & APProach - A{ter
forms are erected but Prior to
placetnent of concrete.
Plumbing Connections - When
home has been connected to
waler and sewer.
f/SanirarYl- trencn.
Sewer - Prior to fillittg
Electrical Connection - When
blocking, set-uP, and Plumbing
inspections have been aPProved
and the home is connected to
the service Panel.
Storm Sewe
trench.
*
r - Prior to filltEd
Sidewalk & DrivewaY -- A.fter
e>cavation is compiete, forms
and sub-base materia' in Place.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trces are Planted'
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have be.n installed.
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[-l Fence - When comPleted'
i_l
[]
Lot faces
Lot sq. {tg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL Hse I cnn ACC
N
S
E
IS THE PROPOSED WOFIK IN THE
HISTOHICAL DISTRICT, OR ON
THE HISIORICAL FIEGISTER?
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $iSO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express conditron that the said
construction shall, in ali respects, conform to the Ordinance
adopted by ihe City of Springf ield, including the
Development Code, regulating the construction and use of
buildings, and may bc suspended or revoked at any time
upon violation of any provisions of said ordrnances.
Plans Reviewed By Date
Plan Check Fee: -
Date Paid
Receipt Nurnber:-
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
SS oo
ES)t )((c)
AS
N0
FT.
Fr. 15/
60
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
I
cl\
Wood Stove/ lnsert/ Fi :'eplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work pcyfqyrned shall be done in accordance
with the Ordinances of the City of Springfield, and thc Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only corftractors and employees who
are in compliance with ORS 701.055 will be used on this
projcct.
I f urther agree to ensure that all required inspectio.ns are
requested at the propcr time, that each address is readable
from the street, that tlre permit card is located at the lront
of the property, and tire approved set of plans will remain
on the site at all time s during construct
Date v_blenlq
Signa
MISCELLANEOUS PERMITS
Mobile Horrre
State lssuance
State Surcharge
Sidewalk
-
tt
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
aLaS
q tqb
DB
2l-AS
(?
PATE PAID
RECEIVED BY
--
-
AMOUNT FIECEIVED
VALIDATION:
RECSIPT NU}r.,;5ER -
FT.