HomeMy WebLinkAboutPermit Plumbing 1998-02-13RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office:726-3759
SPRI[{GFIELD
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97 477
$ocnrroru oF PBoPosED woRK:)tft lLl
ASSESSORS MAP:TAX LOT:0o lo m
SUBDIVISION:
qTATE
o c
.*247 ONE:5h'L,
,Johnso5 N.3t 9-**5n
STY:
)AoonESS:
,\6wrueR'
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEw /' REM.DEL
ADDRESS EXPIRES .1 PHONE
Ta&rn-
CONTRACTOR'S NAME
GENERAL:
<PLUMBING
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
-Drn-
, OF BDRMS:
- OFFTCE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
r OF UNITS:
RANGE:
QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requested before 7:oo a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.[_l flnal Plumbtng - When ail
'J plumbing worl( is complete.
Slte lnspection - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Final Electrlcal - When all
electrlcal work ls complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When alt
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
[-_| Framlng - Prtor to cover.
l-l WalllCelting lnsutatlon - prtor tol-.| cover.
E Foundatton - After forms are
erected but prlor to concrete
placement.
Sn^,+**q Sprr*.rCoa-
:
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taping.
Underlloor Plumblngl Mechanlca!
- Prlor to lnsulatlon or decking.
MOBILE HOME INSPECTIONS
Wood Slove - After lnstallatlon
Post and Boam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvsl
and lnstallatlon of unlt.
Blocking and Set-Up - When altblocklng ls complete.
IPlumbing Connectlons - When
home has been connected to
water and sewer.
Floor lnsulation - Prior to
decking.Curbcut & A;rproaclr - After
forms are erected but prior to
placement of concrete.Sanitary Sewer - Prior to fllling
trench.
Slorm Sewer - Prlor to fl,llng
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected tothe servlce panel.
n Water Llne - Prlor to filtingH trench.
[l Rougtr Plumbing - prior tolJ cover.
l-l Fence - When colrpteted
Slreol Trees - When all requlred
trees are planted.
Final - After all required
lnspections are approved andporches, sklrting, decks, andventlng have been installed.tl
LOT
-
BLOCK:
Qvegon vro, 971? 7
44 L - 9a <7
E tl
GKer
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle "
-
Cul-de-sac
Setback ( IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUEFT.
(A)
MlT i
Total Value
Building Permit Fee
State Surcharge
Total Fee
,: -
X $/SO. FT.
BUILDING PER
ITEM SO.
Main
I
Garage
Carport
This permit 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, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By
t
E
Date
Plan Check Fee:
Date Paid:
Receipt Num
Received By:
i5uru cHEcK
RMIT
BUTLDING TAIUE
AND BUTLDING P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City linrits which are being improved.
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
*
_,7tt,Lt_<qlk ag(c)
N'
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
No
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby cerilfy 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 Ordinanccs of the City of Springfield, 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 perrnission of the Buildirrg Safety Division.
I further certify that only contractors and enrployees who
are in compliance with ORS 701.055 wlll be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during construction.
ure(ston"t
!o.t"
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Pennits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Comblned)
b.2'4)
)
4
tv -7
RECEIVED BY
AMOUNT BECEIVED
DATE PAII)
VALIDATION:
FIECEIPT NUMBER
1_
P.L.HSE GAR ACC
N
S
E
:' , ir':
K.
FT.
FT.
. FT.