HomeMy WebLinkAboutPermit Plumbing 1993-06-01!3I'iul"l{iFlEul-)
RESIDENT IAL
PERMIT APPLICATION
lnspections: 726'3769
Of {ice: 726-3759
LOCATION C)F PBOPOSED WONK:
ASSESSORS; MAP
h,
OB NUMBER
..25 Fifth Street
Springfield, Oregon 97 477
TAX LOT:
SUBDIVISIONLOT:--_ BLOCK:
PHONE:
ztPSTATE:
OWNER
ADDRESS: _
CITY:
--,
ERDEMOLISH
DESCAIBE \,VOR
NEW
-,
REMODEL --- ADDITIO
MECHANICAL:
-=-
CONST.EXPIRESADDRESS oRIt,CONTRACTOR'S NAME
GENE,RAL: -
PLUMBIN
_ OFFICE USE _
LAND USE:
I OF BDFIMS:
Y OF UNITS:ZONING CODE:
FLOOD PLAIT.I
CONSTR. TYPE: --_-
HEAT SOURCE:
RANGE:
SECONDARY HEAT
SOUARE FOOTAGE:
OUAD AREA:
, OF STORIES:
----WATER HEATER:
c OF BLDGS: -
OCCY GROUP:
To request an inspection' you must call 726-3769' This is a 24 hour reco
nrade the strme working day, inspections requested after 7:00 a'm' will
rding. All inspections requested before 7:OO a'm' Will be
be made the following work daY'
REOUIRED INSPECTIONS
TemporarY Elcctric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl< is comPlete.
Site lrtspection - To be made
af ter r:xcavation, but Prior to
setting lorms.
Under slab Plumbing/ Electrical /
Mechanical - Prior to cover'
Rough Etectrical - Frior to Final Electrical - When all
electrical work is comPlete.cover
Eleclrical Service - Must be
approved to obtain Permanent
electrical Power.
Final Mechanical - When all
mechanical work is comPlete.
Footirrg - After trenches are
excavated.Fireplace - Prior to facing
rnaterlals and framing lnsP.
Final Building - When all
required insPections have been
approved and bui!ding is
completed.
Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover'
Other
Founttation - After forms ate
erected but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to fillrng trench.
Drywall - Prior to taPing.
MOBILE HOME INSPECTIONS
Under lloor Plumbing / Mechanical
- Prior to insulation or decking'Wood Stove - After installation
Post :rnd Beam - Prior lo floor
insul.,tion or decking.lnsert - After firePlace aPProval
;rnd installation of unit.
Blocking and Set'UP - When all
blocking is complete.
Floor lnsulation - Prior to
deckirlg.Curbcut & APProach - After
fornts are erected but Prior to
placement of concrete.
Plumbing Contlections - When
home has been connected to
water and sewer.
SanitarY Sewer - Prior to filling
trencll.Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place'
Electrical Conrrection - When
blocking, set-uP, and Plurnbing .
inspections have been aPProved
and the home is connected to
the service Panel.
Storm Sewer - Prior to filling
trenclt.
Water Line - Prior to lilling
trench.
l-_-l Fence - When conrPleted'
Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees are Plarrted.
Final - After all required
insoections are aPProved and
oorches, skirtirrg, decks, and
ventlng have bcen installecl'
%"\-tt l
E r
r
D
E
E
E
E
Lot laces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
PanhancJle
-
Cul-de-sac
Setbacks
P.L.I{SE GAR ACC
N
S
E
13 THE PBOPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER? __-
lf yes, tlris application must be signed
and approved by the Historical
Coordin;rtor prior to permit issuance.
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SO, FT VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express conditi<rn tirat the said
construction shall, in all resl)ects, conform to lhe Ordinance
adopted by the City of Springfield, inclrrding the
Development Code, regLrlating the conslruction and use of
buildings, and nray be suspended or revoked .1t any time
upon violation of any provisions of said ordrnarrces.
Date Paid
Recei pt Number:--
Received By
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City lirnits which are berng improved.
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N
,r. q 5'
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
By signature, I state and agree, that I have caref ully 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 performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the 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 Builcling Safety Division.
I f urther certify that only contractors and employees who
are In compliance with OFIS 701.055 wiil be usecl on this
proiect.
I f urther agree to ensute that all requirecj inspcctio\s are
requested at the proper time, that each address is readable
from the street, that the permit carcJ is locatecl at the front
of the property, and the approvecl set of plans will remain
U
n the site at al imesr ri n stru
ig nat u re
Date d-J -_Z?
n
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pernrits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NUMBER.-
DATE PAID
AMOUNT R
RECEIVED
Plan Check Fee:
-
Mechanical Permit
lssuance
State Surcharge
Total Permit