HomeMy WebLinkAboutPermit Plumbing 1998-04-06RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:a.< y'
JOB NUMBER o FI
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT:6t 3rDASSESSORS MAP:t1 0L z 7z-
LOT BLOCK:SUBDIVISION
/)OWNER:
ADDRESS:
CITY:
-/"PHONE:
ZIP:
/S
7STATE:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
C-t*+d^-fu..n-nu-DESCRIBE WORK:
ADDRESS
')42J
U.suo
I
EXPIRES 1 PHONE
SOUARF. FOOTAGE:RANGE:
- OFFI
WATER HEATER:
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
I OF UNITS:
LAND USE:
CONST.
CONTBACTOR #
QUAD AREA:
* OF BLDGS:
OCCY GBOUP:
* OF STORIES:
CONSTR. TYPEI
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be macle
REOUIRED INSPECTIONS
the followlng day.
n femporary Electrlc Rough Mechanlcal - Prior to
cover.
Flnal Plumbing
plumblng work - When all
ls complete.
Slte lnspection - To be made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrical - When alt
electrlcal work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.E Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlca! - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Bulldlng - When alt
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
E Foundatlon - After forms are
erected but prlor to concreto
placement.
Other
Wall/Celllng tnsutallon - Prlor to
cover.
Underground Plumblng - Prior
to fllling trench.I---l Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stovo - After lnstallation.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvgl
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prior to
decking.Curbcul & Agrproach - After
forms are erected b(rt prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Electrlcal Connection - When
blocklng, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When ccinpleted
$treel Trees - When all requlred
trees are planted.
Flnal - After all required
inspections are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
I
'(u
PLAIN:
CODE:
HEAT: --
E
E
E
tl
E
E E
fl
EE
:t1
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Tyn
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WOFIK TN THE .
HISTOFIICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
ffilT 'i 'ii {
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. X $/SQ. FT,
BUILDING PER
ITEM SO.
Main
Garage
Carport
Thls permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfleld, inctuding the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Receipt Number:-
Plans Fleviewed By Date
'I
P,
E
Date Paid
Fleceived By
Plan Check Fee:
LAN CHECK
RMIT
BUILDING Vhr-UE
AND BUILDING P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
q
(c)+
FT.
N'
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
l.f- -
,7rf+,4S
l(' , >o
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERM!T
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Building Safety Divislon.
I further certily that only contractors and employees who
are in compliance with ORS 7O1.O5S wlll be used on thls
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.
!oate <(-L-7(
Bstonature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, Q and E Comblned)
>z
DATE PAID Lt- b-1
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
RECEIPT NUMBER
PL.HSE GAR ACC
N
S
E
FT.
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