HomeMy WebLinkAboutPermit Plumbing 1998-06-29RESIDENTI/tL
PERMIT APPLICATION
lnspections: 726-3769
Oftice: 726-3759
SPrlINGFIELO
7so7Oo
ffi,
JOB NUMAER
225 Filth Street
Sprlngfleld, Oregon 97 477
LOCATION OF PROPOSED WORK:f,zo so (/3et(
ASSESSORS MAP:orL(
LOT
-
BLOCK:
TAX LOT:
SUBDIVISION
o t {c,.2-
PHONE:
STATE:a ZIP:?>vt {
9 zt: 9- (3 ,+{
CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCBIBE WORK:
MECHANICALT.--
ADDRESS
o
EXPIRES ,t PHONECONTRACTOR'S NAME
ELECTRICAL
CONST.
CONTRACTOR '
GENEBAL:
PLUMBING
, oF SToRIES:
-6y166B6y-pEBlOD.
HEAr souRCE;
RANGE:WATER HEATER:
r OF BDRMS:
- OFFICE USE -
OUAD AREA
NOTICE: o
LAND USE:FLOOD I)LAIN:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the sanre worklng day, lnspections requested af ter 7:00 a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
E Temporary Eleclrlc Rouglr Mechanlcal - Prior to
cover.w Flnal Plumblng - When all
plumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Eleclrical - Prior to Flnal Eleclrlcal - When all
electrlcal work ls complete.cover,
Underslab Plumblng/ Electrlcal /
Mechanlca! - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.t]Flreplaco - Prlor to faclng
materlals and lraming lnsp.
E Flnal Buildlng - When all
requlred lnspectlons have been
approved and bulldlng is
completed.Masonry - Steel locatlon, bond
bearns, groutlng.Framlng - Prlor to cover.
OtherFoundatlon - Arter forms are
erected but prlor to concrete
placemont.WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to fllllng trench.Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - Afler lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvgl
and lnstallatlon of unlt.
Blocking and Sel.Up - When alt
blocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & AJrproach - After
forms are erected but prior to
placement ol concrete.
Plumbing Connectlons - When
home has been connected to
waler and sewer.
Sanitary Sewer - Prior to fllling
trench.Electrlcal Connection - When
blocking, set.up, and plumblng
lnspectlons have been approved
and the homo ls connected to
the servlce panel.
Stonn Sewer - Prior to fllllng
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filllng
trench.
Fence - When coirrpleted.
Slreet Tress - When all requlred
trees are planted.
Flnal - After all required
inspecllons are approved and
porchos, sklrtlng, decks, and
ventlng havo been lnstalled.
Rough Plumblng - Prior to
cover.
7{z "-t qc
ZONING CODE:
tl
tl
tf
r
fl
fl
tl
it .r
Lot faces
Lot sq. ftg.
Lol coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle i
-
Cul-de-sac
tbacks i lS THE PROPOSED WOBK tN THE -. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI? --lf yes, thls applicatlon must be slgned
arrd approved by the Historlcal
Coordinalor prlor to permit issuance.
APPROVED:
P.L.}JSE GAR ACC
N
S
W
E
VALUE
(A)
i.,xrilrr
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. X $/SQ. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
AND BUILDING PERMIT
Thls pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfietd, includlng the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Recei pt Number:_
Plans Fleviewed By Date
BUI LDI N G LUE,LAN CHECK
Plan Check Fee:
Date Paid:
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within the City linrits which are belng improved.
ITEM
Flxtures
Residential Bath(s)
Sanltary Sgwer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
Nc
0tt
FT.
bob^ /t*L_
Jt/-l{
/h LO(c)
Plumblng Permlt
State Surcharoe
Tolal Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Perrnlts (E)
TOTAL AMOUNT DUE (exctudtng etectricat)
(A, B, C, D, and E Comblned)
By slgnature, I state ,nJ ,gru", that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true ancl correct, and I further cerflfy
that any and all work performed shall be done in accordance
wlth 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 wiil be made of any
structure without perrnission of the Buildlrrg Safety Divislon.
I further certify that only contractors and enrployees who
are In compllance with OFIS 7O1.OS5 will be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, ilrat each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Slgnature
?e-
Date
aRECEIVED BY
on the site at times
AMOUNT HECEIVED
-
DATE PAID
VALIDATION:
REcErPr NUMBER &
'lt.-i,,
FT.
. FT.
ADDITIONAL COMMENTS
sPslll ELc,
ir
225 FTFTS STREET
SPRINGFIELD, OREGON 97477
INSPECTION RXQTESTz 72
OFPICE: 726-3759
1 LOCATION OF INSTALLATIONfuo .< 43il
DESCRT
Permits are non-transf bIe and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTATLATION ONLY
Elec t ri
Address
ca] Contracto
Ci ty Phone
Supervi License Number
Expi.ration Date
Con str Conrr. Number JBCri|oav
Expiration Date
Si of Supervising Electrician
Ovners Name
Addressu Ja ,,-o
ci ty-<-Phone J I J
6-i}f&*ee,.fre nI^. '' ei,YJb U llurU". I
u$'.s
ELECTRICAT PERI{IT APPLICATION
COHPLETE FEE SCffiDT'LE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:Items Cost
s 8s.00
.#H,?.t#'f#
3
A
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder'
Services or Feeders
Installation, Alterations
r Relocation:
s 1s.00
$ 40.00
B
D
E
200 amps
201 amps
401 amps
601 ampsr 100
IF
Nor
0 amps'b
20L amps to 4 amps
or less
to 400 amps
-to 600 amps _to 1000 amps_
0 amps/volts _t only
-T6ITs se
or Feeders
ation or Relocation
$
$
$
s
s
$
s
$
$
00
00
00
00
00
00
50
60.
100
130
300
40
00
00
40
55
BO
,e
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
ior- sale, lease or rent'
omers Signature:
0ver 401 to 600 amps
Over 600 amps or L000
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I $ gs'oo A5f
Each Additional
Circuit or vith Servic€ a !o
or Feeder permit I g 2.00 d-_
l'liscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sisn/OutIine Lightitg-
Liilited Energy/Res _-
Limited EnergY/Comm
.00uB" aE6TE-
$ 40.00
s 40.00
$ 20.00
s 36.O0
SUBTOTAL OT ABOVE
5Z State Surcharge
ii ea*i"istrative Fee
TOTALDATE:
RECEIVED
5
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