HomeMy WebLinkAboutPermit Plumbing 1993-04-063reSP,lIr{GFIELT)
WOFIK:
rtBLOCK:
5-tr\
Springf ield, Oregon 97477
LOT:SUBDIVISION
TAX LOT:
LOCATION OF PROPOS
ASSESSOBS MAP;
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office:726-3759
JOB NUMBEFI -
225 Fif th Street
ZIP:STATE
_fPIIONE:OWNER
ADDR
CITY:
-)DESCRIBE WOFIK: --l/t
NEW _ \-{ REMOD I.L--- ADDITION DEMOLISH OII'IER
EXPIRES PHOl.lEADDRESS
ELECTRICAL
CONTRACTOR'S NAME
CONST.
CONTHACTOH '
MECHANICAL:
-
- -
GENERAL:
PLUMBING
_ OFFICE USE _
LAND USE:
// OF UNITS: ,
coNS'il:I. t-Yt't::
} IEAI SOUIICf .
RANCE: .
FLOOD PLAIN:
ZONING CODE: -
# OF T]DFIMS:
SECONDARY HEAl:
SQUARE FOOTAGEWATER HEATER
OCCY GROUPT
'{ OF STORIES
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspoctions requested before 7:00 a.m. will br:
made the same working day, inspecti<.rns requested after 7:00 a.m. will be rnarlr: tlro {ollowirrgl work <Jay.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.t-l Firral Plunrbirrty - Wlren all
pltrrrrlrirrg w(,rl( is cclrrplc.tr:.
L]Site lnspection - To be rnade
af ter excavation, but prior to
setting forrns.
Rough Electtical - l)rior l<.r L-l Final Electrical - Wlren all
elcctrical work is corrrplclc.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must l;e
approved to obtain pL-rmancnt
electrical power.
Final Meclranical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsp.
l:]Final Buildirrg - Wlren all
required inspectiorrs have beerr
approved and building is
cornpleted.Masonry - Stcel lo<;ation, bond
bearns, grouting.Framing - Prior to covcr.
Foundation - After forms are
erected but prior to concrete
placement.
l_] other-
Wall/Ceilirtgl lnsulaliotr - Ptior Io
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to lapinq
MOBILE HOME INSPE TIONS
Underlloor Plumbing / Mechanical
- Prior to insulation or decklng.Wood Slove - AItcr installztti<,rrt
Post and Beanr - Prior to floor
insulation or decl<ing.
tt Blockirrg and Scl.Up - Wltcn all
blt>cl<ing is corrrplctc.lnserl - AItcr f iroplacc' appt<,rv;rl
and installation ol unit.
Floor lnsulation - Prior to
decking.Curbcut & Approach - Aftcr
fornrs are erected bul pric;r t<-r
placement of concretc.
Plunrbing Connections - Wlren
trorne has been corrrrectec, lo
water and sewer.
Sanitary Sewer - Prior to fillirrg
trench.t:j Electrical Connection - When
blocking, set-ul), and lrlumbinginspcctions lrave l-rccn approved
and ltre horne is connected t<r
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - Aftc'r
excavation is conrplcle, forrrr:;
and sub-base tnaterial in 1rl;lr;t-..
r Line - Prior to lilling
rench Final - Af tcr all required
inspections are approved and
porches, skirling, decks, and
ventin0 lrave been installed.
Slreet Trees - When all required
trees are planted.
Rough Plumbing - Prior to
cover.
t_l
QUAD AREA:
# OF BLDGS:
-
----..--
tl
tl
tl
rl
fl
r
E
t_t
l-_l Fence - When comJrletcd.
Lot faccs
Lot sq. ltg.
Lot covcrage
TogrograpltY
Total helght
Lot'fyl)e v Settracks
SE GANP=NCC
IS
-IE
PFIOPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
---lf yes, thls application tnust be slgned
;rnd approved lry the Historical
Coordinator prior to permit issuance.
APPROVED
lnterior
Corncr
['anlr;rtrtllc
Cul-rle-sac
N
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
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
buildinqs, and may be suspended or revol(ed at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: --.---,."-'.------
Fleceipt Number:--
DatePlans Reviewed BY
Date Paid
Roceived By:
BUILDING PERMIT
VALUE
(A)
so. FT. X $/SO, Fl.ITEM
Main
Garage
Carport
Total Value
Building Perrnit Fee
Stale Surchargc
Total Fee
Systcnls Developtrrent Charge is due on all undeveloped
properties within tllc City linrits which are being improved'SYSTEMS DEVELOPMENT CI.IARGE (SDC)
(R)
ADDITIONAL COMMENTS
ITEM
Fixtures
Flesidential Bath(s)
SanltarY Scwer
Water
'Storm Sewer
Mobile Home
iacr'
PLUMBING PERMIT
FEf:
NU
FT.
?)(c)
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert / Flreplace Urrit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Perntit
lssuance
State Surchar0e
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
lnformatlon hereon is true and correct, and I f urther certif y
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without pcrrnisslon of the Buildlng Safety Division'
I further certily lhat only contractors and employees who
are ln compliance with OFS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
trt
Date
o the site at all times during cons on
1-?e
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk ----- lt
Curbcut
---
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
E
E
AMOUNT
DATE PAID
RECEIVED
VALIDATION:
RECEIPT NUM
TOTAL AMOUNT DUE (t'xcltrtlln!, ()lc()trl()irl)
(A, B, C, D, arrtl E Cornlrirrerl)
5
E-
F],
(