HomeMy WebLinkAboutPermit Plumbing 1994-06-29RIt\lGFIELE'RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
JOB NUMBER c 3
225 Fifth Street
Sprlngfleld, Oregon 97 477
-{g\ N, tTre-
ASSESSORS MAP:TAX LOI:2_7
SUBDIVISION:
-a r/.wn PHONE:r7
ZIP:
<-
(4STATE:
., E, RI.OWNER:
ADDRESS:
CITY:
DEMOLISH OTHEB
DESCRIBE WORK:
NEW
-
REMODEL ADDITIO
CONST.
CONTRACTOFI #ADDRESS EXPIRES PHONE
/e^7
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
r OF BDRMS:
- OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
RANGE:
QUAD AREA:
A OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
g OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
n Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
umbing work is complete.
Slle lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrlcal,
Mechanlca! - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
OtherFoundallon - After forms are
erected but prlor to concrete
placement.WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to lllllng trench.[--l Drywall - Prlor to taplng
MOBILE HOME INSPECTIONS
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon qf unlt.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllling
trench.Electrical Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prlor to filllng
trench.
Sldewalk & Drlveway - After
excavatlon ls comDlete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filling
trench.
Fence - When completed.
Street Trees - When all requlred
trees are planted.
Final - After all required
inspectlons are approved and
porches, skirting, decks, and
ventlng have been lnstalled.Rough Plumblng - Prior to
LOT
-
BLOCK:
7Z
-(A.zo*-rz
LAND USE:
# OF UNITS:
--
E
tl
E
tl
E
E
E
E
E
E
E
E
ii,,
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type'--
-
lnterior
-- Corner
-
Panhandle
-
Cul-de-sac
k (. IS THE PRoPoSED WoRK TN THE -
HISTOFIICAL DISTRICT, OR ON
THE HISTOFIICAL FIEGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPFIOVED:
P.L.HSF-GAR ACC
N
S
E
VALUE
(A)
X $/SO, 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 permlt is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulatlng the construction and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Recel pt Numbe
Date Paid
Received By:
Plan Check Fee:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthin the City limits which are being improved.
ITEM
Flxtures
Resldential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
3)o **-z-ts
)
7f
(c)
5,6 -
FT.
FT.
FEE
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
tho completed appllcation and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilty
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 will be used on thls
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
Date
approved set of plans will remalnof the property, and
on the site
MISCELLANEOUS PERMITS
Mobile Home
State issuance
State Surcharge
Sidewalk _- ft
Curbcut _ ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exclu.ding electrlca O _4 ?(A, B, C, Q and E Comblned)
o
VALIDATION
BECEIPT NUMBER
DATE PAID
AMOUNT BECEIVED
FIECEIVED BY
N0
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent