HomeMy WebLinkAboutPermit Plumbing 1993-06-10SPRI]tGFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
O{f ice: 726'3759
LOT:
LOCATION OF PROPOSED WORK: -
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JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97477
TAX LOT:
SUBDIVISIONBLOCK:
PHONE
STATE 2<
CITY:
OWNER: -
ADDRESS:
ADDITION DEMOLISH OTHEFI
DESCR|BE woRK: -
NEW
-_
REMODEL
PHONEEXPIRESADDRESS
MECHANICAL:
PLUMBING
CONST.
CONTRACTOR #
CONTRACTOR'S NAME
GENERAL:
RANGE
; OF BDFIMS:OCCY GROUP
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
CONSTR. TYPE
HEAT SOURCE:
LAND USE:
# OF UNITS
# OF STORIES;
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To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before
made the same working day, inspectlons requested after 7:OO a.m. will be made the foilowing wcrk day'
7:00 a.m. will be
REOUIRED INSPECTIONS
TemporarY Electric Rough Mechanical - Prior to
cover.
Final Plumbing
plumbing work - When all
is complete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.COVET
Underslab Plumbing / Electrical /
Mechanical - Prior to cover'
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.fl Fireplace - Prior to facingU materials and framing lnsp.
Final Building - When all
required lnsPections have been
approved and building is
completed.Masonry - Steel location, bond
bearns, groutinU.Framing - Prior to cover,
Foundalion - After forms are
erectecl but prlor to concrc'te
placement.
Wall/Ceiling lnsulation - Prior to
cover
Underground Plumbing - Prior
to filling trench.[-l orVwall - Prior to taping
MOBTLE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking'Wood Stove - After installation'
Posl and Beam - Prior to flo()r
insulation or decking.lnsert - After firePlace aPProval
and installation of unit.
Blocking and Set'UP - When all
blocking is comPlete.
Floor lnsulation - Prior to
decki ng.Curbcut & APProach - After
forrrrs are r:rected but Prior to
placernent of concrele.
Sanitary Sewer - Prior to fillitrg
trench.Sidewalk & DrivewaY - Atter
excavation is comPlete, forms
and sub-base nlateria! in 1t12qg'
Electrical Connection - When
blocking, set-uP, and Plumbing
inspections have been approved
and the home is connected to
the servlce Panel.
Slorm Sewer - Prior to filling
trench.
Water LIne - Prior to fillittg
trench.
Fonce - When comPleted.
Rough Plumbing - Prior to
cover.
Strect Trees - V'Jhen all required
tr,)es are Planted.
Final - After all required
inspections are aPProved and
oorches, skirting, decks, and
venting have been installed.
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[--l Plumbing Connections - WhenU home has been connected to
water and sewer.
E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typr--"
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ACC
IS THE PROPOSED WORK IN THE
HII;TORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR
N
S
E
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
VALUF-
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BU!LDING PERMIT
This permit is granted <>n 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, regulating the construction and use of
buildings, and may bc suspended or revoked at any time
upon viotation of any provisions of said ordinances.
Plans Reviewed By Date
Plan Check Fee:
-Date Paid
Receipt Number:--
Receiveci By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems D::velopment Charge is due on all undeveloped
properties within the City Iimits which are being improved.
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
4oe
(c)
2 e?
FT,
FT.
FT.
55,
1?,?o
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
N0
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood By signature, I state and agree, that I have caref ully examined
the completecj applic:rtion and do hereby certi[y that all
information hereon is true and correct, and I f urther certif y
that any and all work pcrformed 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, ancJ that NO OCCpPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only corfiractors and employees who
are in compliance with OFIS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the propt:r time, that each address is readable
from the street, that tlre permit card is located at the front
of the property, and tlre approved set of plans will remain
:?3
on the site at I times duri o
Date
co
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MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
/- ?o
934 ',
4DATE PAID
VALIDATION:
RECEIPT NUMBER -
AMOUNT RECEIVED
RECEIVED BY
-,