HomeMy WebLinkAboutPermit Plumbing 1998-08-12RESIDENTIAL
PEBMIT APPLICATION
lnspections:726.3769
Office: 726-3759
SPRTNGFICT-O
JOB NUMBER 8e o/o/1
225 Fif th Street
SpringflelcJ, Oregon gT 472
LOCATION OF PROPOSED WORK:5t 't/u
ASSESSORS MAP 7 02 7Lz{
TAX LOT:b 5-6/
LOT; BLoCK:SUBDIVISION
PHONE:
STATE:ZIP:
r r q87q6 -qqOWNER
ADDRESS:
CITY:
N _- DEMOLISH OTHEB
DESCRIBE WORI<
NEW- FEMODEL ADDI
,S NAME ADDRESS EXPIRES PHONE
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CONT
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
FLOOD I)LAIN
fMS PEflMft
BARpOREDFOFAT.
SOUARE FOOTAGE:
To request an inspectlon, you must call 726-3769. Thimade the same worklng day, lnspections requested
Temporary Electric
s ls a 24 hour recordlng. All lnspections requested before 7:OO a.maf ter 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
I-_l rinat ptumbing - When ail
-
plumblng worl< is complete.
wlll be
Slte lnspection - To be madeafter excavation, but prior tosettlng forms.
[-_| Understab ptumbing/ Etecrricat/
-
Mechanical - prlor to cover.
Rough Mechanicat - prior tocover.
Rough Electrical - prior tocover.
Electrical Servlce - Must beapproved to obtain perrnanent
electrlcal power.
l--l finat Etectricat - When ail.- electrical worl< is complete.
Final Mecharrical - When allmechanical worl( ls cornplete.
Final Building - When allrequired lnspections have beenapproved and building is
com pl e ted.
Olher
MOBILE HOME TNSPECTIONS
Plumbing Connections - Whenhome has been connected towatcr and sewc.r.
Final - Af ter all requiredrnspections are approved andporches, sl<irting, decl(s, andventing have been lnstalled.
Masonry - Steel locatlon, bonclbeams, grouilng.
Footlng - After trenches areexcavated.
Foundatlon - After forms areerected but prior to concreteplacement.
Fireplace - prlor to faclngmaterlals and framing lnsp.
Framlng - prlor to cover,
Wall/Celling lnsulatlon - prlor tocover.
[--l Storm Sewer - t)rior to tiiling.J trench.
[-l Water Line - prtor ro fiiling I-_l Fence - When comprered
-
trench.
Underground plumbing - prior
to fllllng trench.Drywall - Prlor to taping
Underfloor Plumbing / Mechanical
- Prior to lnsulatlon or decklng.
Post and Beam - prior to floorlnsulation or decking.
Floor lnsulalion - prior to
Wood Stove - After lnstallatlon.
ng.
ch
ry Sewer - Prior to filling
Sidewalk & Driveway - Af terexcavation ls complete, formsand sub-base malerlal in place.
{;trest Trees - When all requiredtrees are planted.
[--l lnsert - After ftreplace approval
-
and installailon of unlt.
[--l Blocking and Ser.Up - When ail.J blocking is compleie.
Curbcut & A1:prroach - Afterforms are erected but prior toplacement of concrete.
Electrical Connection - Whenblocking, set.up, and plumbingInspccttons have bcen approvedand the home is connected tothe service panel.
l-l Rough Plumbing -.prior 1o(J cover.
tl
E
E
r-r-
Lot faces
Lot sq. ftg.
Lot coverage
Topograplry
Total height
BUILDING PERMIT
ITEM SO. FT.
Main
Lot Type t
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
X $/SO. FT,
Set tlac k:l
P.L.HSE GAR ACC
N
S
E
VALUE
IS-THE PROPOSED WOFIK iN THE
HISTORICAL DISTFIICT, OR ON
Tt]E HISTORICAL REGISTER?
-
ll yes, this applicatlon must be signed
arrd approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
Garage
Carport
Total Value
Buildlng Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT
ITEM
Fixtu res
Besidential Bath(s)
Sanitary Sewer
Vr/ater
Storm Sewer
Mobile Home
(A)
FEE
N
ET
FT.
Plumblng Permit
State Surcharge
Total Charge
"{o
3.2o
-tr1a4(c)
MECHANICAL PERMlT
Furnacc
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
MISCELLANEOUS PERMTTS
Mobile Home
State lssuance
State Surcharge
Sidewatx -- fr
Curbcut
-
ft
Deniolition
State. Surcharge
Total Miscellaneous penni ts (E)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress 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
u pon violation of any provisions of said ordinances.
Plans Reviewed L3y Date
Receipt Numbe
Plan Check Fee
Date Paid
Receivecl By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within thc City linlits which are being improved.
ADDITIONAL COMMENTS
Note:- Building Iaspector may require
additional plans information,
and/or fees for the completion of
this project.
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereorr is true and correct, and I lurther cerilfy
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 thc work described
herein, and that NO OCCUPANCy will be macJe of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are ln cornpliance with ORS 70.1.05S wiil be used on thls
prolect.
I further agree to ensure that all required inspections are
roquested at the proper time, that each address ls readable
from thc street, that the permlt card ls located at the front
Signatu
Da
of the property,
on the sile at ng co
set of plans will remain
n st ruction.
0)00?I
(Lt
VALIDATION
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
TOTAL AMOUNT DUE (exclucJing clectricat)
(A, B, C, O, and E Comblnecj)
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