HomeMy WebLinkAboutBuilding Plumbing 1998-06-19SPRIr{GFIELt)
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BLOCK:
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LOCATION OF PROPOSED WOFIK:
TAX LOT:ASSESSOBS MAP:
LOI
JOB NUMBER
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SUBDIVISION: -
225 Fifth Street
Sprlngfleld, Oregon 97477
?t4o r
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STATE:
PHON E:?oo\o Ll fq- r
CITY:ZlPi
ADDRESS:
OWNER:
NEW- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NAME ADDRESS
q1
EXPIRES ,i PHONE
ELECTRICAL:
MECHANICAL:
CONTRACTOR CONST.
CONTRACTOR #
GENERAL:
PLUMBING
Nol$Esbk
IH\s FORF
- OFFICE USE -
FLOOD PLAIN
WATER HEATER:
ZONING CODE:
, OF BDRM
FIANGE:
LAND USE:QUAD AREA:
* OF BLDGST # OF UNITS:
-
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng.
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be m
REOUIRED INSPECTIO
before 7:00 a.m. wlll be
day.
I Temnorary Etectrlc Rough Mechanlcal - Prlor to
cover.
Slte lnspectlon - To be mado
after excavation, but prlor to
settlng forms,
l-l Rough Electrlcal - Prlor tor-l cover.Flnal Electrlcal - When all
electrical work is complete.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Electrlqal Servlce - Must be
approved to obtaln permanent
electrlcal power.
tl Flnat Mechanlcal - When alt
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When alt
requlred lnspectlons have been
approved and bullding ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celllng lnsulation - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPE TIONS
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng.Wood Slovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prior to
decklng.Curbcut & Alrproach - After
forms are erected b(rt prlor to
placement of concrete.
Plumblng Connectlons - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.[--l Electrlcal Connectlon - When
'J blocklnO, set-up, and plumblng
lnspections have been approved
and the home ls connected to
the servlce panel,
Storm Sewer - Prior to fllling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base malerlal ln place.
Water Llne - Prlor to filling
trench.
Rough Plumblng -. Prlor to
cover.
Str€et Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, skirtlng, decks, and
ventlng have been lnstalled.
o5900
rl
OCCY GROUP:
* OF STORIES:
[-l Fence - When coiilpleted.
[_l flnal Plumbtng - When ail|J plumblng worl< ls complete.
tf
E
E
E
n
E E
P.L.HSE GAR ACC
N
S
W
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type-r
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK TN THE ..
HISTORICAL DISTRIST, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicailon must be slgnedand approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDINGPERMIT i ' {
VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Per:nit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
This permit is granted on the express condiilon that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including theDevelopment Code, regulating the constructlon and use ofbulldings, and may be suspended or revoked at any tlmeupon violation of any provisions of said ordlnances.
Plan Check Fee: _
Plans Reviewed By Date
BUILDI
AND B
LAN CHECK
MIT
GN LU E
U L D GN P
t
E R
Date Paid:
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Fix tu res
Flesidenlial Bath(s)
Sanltary Sgwer
Water
Storm Sewer
Mobile Home
Plumblng Permlt
Stato Surcharge /,25 7-- fl {
Tolal Charge (C)
PLUMBING PERMIT
FEE
N!
2ao
F]:
FT.
t?
7 5?*
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedtho completed applicatlon and do hereby cerUfy that alllnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and alr work performed shafl be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without permission of the Building Safety Divislon.I further certify that only contractors and employees who
are ln compliance with ORS 7O1.O5S will be used on thlsprciect.
I further agree to ensure that all required inspections are
requested at the proper ilme, that each address ls readable
from the street, that the permlt card ls located at the front
Slgnature
v,f"o he rtpepro d eth ap osetproved
no eth tesl m des ilU n rus
will remain
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk _ ft
Curbcut
-
ft
Demolition
Stale Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding ctectrica\ ry(A, B, C, Q and E Combtned)
2-
H
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT BECEIVED
RECEIVED BY
Receipt Number:_
t
FT.