HomeMy WebLinkAboutPermit Plumbing 1996-03-06SPRINGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER ?4>z
225 Fifth Street
Spri ng f leld, Oregon 97 477
I,z?LOCATION OF PROPOSED WORK:
ASSESSORS MAP:/a -az 2,/TAX LOT
LOT:BLOCK:SUBDIVISION
PHONE:
STATE ZlPie2
7 .ZZOWNER
ADDRESS
CITY:
L DDI DEMOLISH OTHER
DESCRIBE WORK:
NEW- B
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
r OF BDRMS:
- OFFICE USE _
WATER HEATEFI:
r OF UNITS:
RANGE:
QUAD AREA:
I OF BLDGS:
FLOOD PLAIN:
ZONING CODE
SECONDAFIY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726'3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Eleclric Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Final Electrlcal - When all
electrical work is complete.cover,
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.
Other
Wall/Celllng lnsulatlon - Prlor to
cover,
Underground Plumblng - Prior
to filllng trench.l-_l Drywall - Prlor to taptng
Underlloor Plumblng/Mechanlcal
- Prior to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Slovo - After lnstallatlon
Posl and Beam - Prlor to floor
lnsulatlon or decking,lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When ail
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumblng Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to filling
trench.Eleclrlcal Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prlor to fllling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base malerial in place.
Water Line - Prlor to filling
trench.l-_l Fence - lvhen completed
Rough Plumbing - Prior to
cover.
Streel Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved andporches, sklrting, decks, andventlng have been installed.
w
E
tl
E
E
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
rS THE PFIOPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X S/SO. FT,
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Beviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Besidentlal Bath(s)
Sanltary Sewer
Water
Slorm Sewer
Mobile Home
FEE
r,r7
2a(c)
No
FT.
FT.
qa.*---.+-a-=2./.22
-
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
-FT 2V
ADDITIONAL COMMENTS
X-rE
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
reguested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
Signature
3-t-q6Date
t
d the approved set of
site mes durin
of the
on the
plans will remain
ion.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk f t
Curbcut
-
ft
Demolitlon
State Surchar!e
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludirfg electrical)
(A, B, C, Q and E Combined)
2e
<d4;
2e
-4
RECEIVED BY
DATE PAID
VALIDATION:
BECEIPT NUMBER
AMOUNT RECEIVED