HomeMy WebLinkAboutPermit Plumbing 1998-12-28RESTDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SP}lINGFIELE,
4fstoJOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477//27 ,u 4 ?/
ASSESSOBS MAP:rTotzb )f
TAX LOT 03f0a
LOr BLOCK:SUBDIVISION:
PHONE:
STATE:ztP
ft.OWNER:
ADDRESS:
CITY:
NEW
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REMODEL ADDITION DEMOLISH OTHER
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DESCRIBE WORK:
/
ADDRESS
/7
O
EXPIRES ,S PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
4Nv
,AY
ity
!€lltElFlCE USE -
OUAD AREA:
r OF BLDGS:ZONING CODE:
MS:
FLOOD I:LAIN
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All inspectio req uested a.m. wlll bemade the same worklng day, lnspections reguested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
J--l Temporary Eleclrlc Rough Mechanlcal - Prior to
cover.l-_l Finat Plumbing - When ail
'J plumbing worl< ls complete.
Slte lnspectlon - To lre made
after excavatlon, but prlor to
settlng forms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrical work ls complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlca! - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When alt
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsutation - Prlor to
cover,
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng.
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTTONS
Wood Stovo - After lnstallatlon.
E Post and Beam - Prlor to lloor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to Plumbing Connectlons - When
home has been connected to
water and sewer.
Sewer - Prior to fllllng
Curbcut & AJrproach - After
forms are erected but prior to
placement of concrete.
trench.Electrical Conneclion - When
blocking, set-up, and plumblng
lnspections have been approved
and the home ls connected to
the service panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalt< & Drlveway - After
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.l--l Fence - When coinpleted
$treel Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved andporches, sklrting, decks, andventlng have been lnstallecl.
tl
Rough Plumblng - Prlor to
cover.
law
follow rules adopted by
E
E
tl
E
tl
I
I
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type _
-
lnterlor
-
Corner
\1."- Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
s
E
.-.S THE PROPOSED WORK TN THE .
HrsroBtcAL DtsTRlcT, oR oN
THE HISTOBICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordlnator prlor to permit issuance.
APPROVED:
BUILDING PERMIT T
VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
.t.
BUILDING IATUE, PINU CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, including the
Development Code, regulating 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
Plan Check Fee
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limlts which are being improved.
ITEM
Flxtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
1o*gs
'fo *
/.2O. 2oo
(j.z>
FEE
(c)
FT.
FT.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhausl Hood
N0
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure without permission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
proiect.
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 f ront
of the property, and the approved set of plans will remaln
Slgnatu
Date
on the site at all times duri construction
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
0
?1L
VAI-IDATION
RECEIPT NUMBER
DATE PAI[')
072
AMOUNT FIECEIVED
RECEIVED BY