HomeMy WebLinkAboutPermit Plumbing 1999-07-23RESIDENTIAL
PERMIT APPLICATION
lnspections: 72687A9
Offlce: 726-3759
LOCATION OF PROPOSED WORK:
SPRTI\rGFIELE,
afi,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97477
X LOT;
trN,&
ASSESSOFIS MAP:t)t)724>
LOT BLOCK:SUBDIVISION:
94OWNERPHONE:
Tz- u 0I3A,{a<
STATE ZIP:€CITY:
ADDRESS:q)g o ?
'2-L Z
NEW
-
BEMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
MECHANICAL:
ELECTRICAL:
EXPIRES 4l PHONECONTBACTOR'S NAME ADDRESS
GENERAL:
PLUMBING:
CONST.
CONTBACTOR #
RANGE:
r OF BDRMS:
- OFFICE USE _
LAND USE:
WATER HEATER;
ZONING CODE:
FLOOO I)LAIN
* OF UNITS:
OUAD AREA:
* OF BLDGST
SECONDARY HEAT:
SQUARF. FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
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 same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumblng worl( ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrlcal work ls complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor lo cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechanical - When all
mechanlcal work ls complete.
E Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and lraming lnsp.
pf rlnut Buildlng - When att
,lArequlred lnspectlons have beent agproved and building ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Other
Wall/Celling tnsulation - Prlor to
cover.
Undorground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng
MOBILE HOME INSPECTTONS
Underlloor Plum$lng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnrtrlhtlon ol unlt,
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulallon - Prlor to
decking.Curbcut & AJrproaclr - After
forms are erected but prior to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllllng
trench.Electrlcal Connectlon - When
blocking, set-up, and plumblng
lnspectlons have been approved
and the home is connected to
the servlce panel.
Stonn Sewer - Prlor to fllling
trench.
Sidewall< & Drlveway - After
excavatlon ls complete, forms
and sub-base material in place.
Water Llne - Prlor to lilling
trench.
Fence - When cotrrPleted.
Str€et Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.Rough Plumbing - Prior to
cover.
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Lot sg. ftg. 'i
Lot coverage
Topography
Total helght
tel Type
v
-
lnterlor
-
Corner
-
Panhandle !:
-
Cul-de-sac
ACC'PL.HSE GAR
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SO. FT. X $/SO. FT. = VALUE
(A)
BUILDING PERITiIT
,', 'll
r!,
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fso
Thls permit is granted on the express condition that the sald
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Springfield, includlng the
Development Code, regulating the construction and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Bevlewod By Date
,
E
E
Plan Check Fee:
LAN EH ECK
AND BUILDING P RMIT
Date Paid:
Receipt Num
Received By:
BUTLDING Vh
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Sy.t€m! Developmont Chtrgc lt duo on rll undavclopod
propertles wlthln the City limits which are belng lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
N0
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accorrJance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Builcllng Safety Divislon.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on thls
proiect.
I further agree to ensuro that all requlred lnspections are
requested at the proper ilme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and, the approved set of ptans will remaln
on the slte at all times durlng co
Date
on.
Slgnature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
Srate surcharse lrT 6 t ,;(
Total Mlscellaneous Permits 7,@(E)
goJAy
TOTAL AMOUNT DUE (exctudtng electricat)
(A, B" C, Q and E Combtned)/?-Eo
9o
VAI-IDATION:
RECEIPT NUMBEH
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
I
r-,8 7HE PFOPOSEO WORK tN THE .- HtsroRtcAL DtsTHlc[, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgnod
arrd approved by the Hlstorlcal
Coordlnalor prlor to permit issuance.
APPROVED:
$elt
FT.
FT.
r"oL,aaer0 TD Jq7
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