HomeMy WebLinkAboutPermit Plumbing 1996-08-21SPrlINGFIELt)RESIDENTIAL
PERMIT APPLICATION
lnspections:726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK: .ZzE/-
eft,
JOB NUMBER
225 Fif th Street
Sprlngtleld, Oregon 97477
I
TAX LOTIASSESSORS MAP ,/?ev 26->/
LOT;BLOCK;SUBDIVISION:
STATE:ztP
2
€CITY:
ADDRESS:
OWNEB:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- BEM
ADDBESS EXPIFI ES PHONECONTRACTOR'S NAME
GENERAL:
ELECTRICAL:
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR #
RANGE:
- OFFICE USE -
LAND USE
r OF UNITS:
OUAD AFIEA:
* OF BLDGS:
SECONDABY HEAT:
SOUARF. FOOTAGE:WATER HEATER:-
OCCY GBOUP:
I 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:oo a.m. wlll bemade the same worklng c,ay, lnspections requested after 7:00 a.m. wlll bo made the followlng work day.
REQUIRED !NSPECTIONS
Temporary Electric Rough Mechanlcal - prlor to
cover.
Flnal Plumbing - When allplumblng worl< ls comptete.
Site lnspectlon - To be madc
after excavatlon, but prlor tosettlng forms.
Rough Electrlcal - Prior to Flnal Eloctrlcal - When all
electrlcal work ls complete.cover.
Underslab Plumblng / Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtalrr permanent
electrlcal power.
Flnal Mechanlcal - When allmechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bullding ls
completed,Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Othor
Wall/Colling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.Drywall - Prlor to taplng
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng,
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon,
Post and Boam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
[-l Alocking and Ser.Up - When ail.J blocking ls complete.
Floor lnsulallon - Prlor to
deckl ng.Curbcut & A1:proach - After
forms are erected but prlor toplacemont of concrete.
Plumbing Connectlons - Whenhome has been connected to
water and sewer.
Sanltary Sewer - Prior to f llling
trench.
Storm Sewer - Prior to {llllngtrench. i
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub.base materlal ln place.
Electrlcal Conneclion - Whenblocklng, set.up, and plumblng
Inspectlons have been approved
and the home ls connected tothe servlce panel.
Waler Llne - Prlor to filllng
trench.l--l Fence - When compteted
Bough Plumbing - Prlor to
c0ver,
{itroet Treos - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, andventlng have been lnstatled.
B
PHONE:-%
FLOOD PLAIN:
ZONING CODE;
, OF BDRMS:
-
E
E
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
i -.j THE PROPOSED WORK IN THE
HISTOBICAL OISTRICT, OR ON
.THE HISTORICAL REGISTER?
lf yes, thls applicatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permit issuance.
APPBOVED:
P.L,HSE GAR ACC
N
S
E
k
VALUE
(A)
x $/so. FT,
Total Value
Bulldlng Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT,
Maln
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the sald
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, includlng the
Development Code, regulating the construction and use ol
buildlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordinances.
Plans Bcvlewed t3y Date
Recelpt Numbe
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge ls due on all undeveloped
properties withln the City linrlts which are being lmproved.
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Homefur:' P,rz.
FEE
112,G
4rel(c)
No
FT.
,a-€
5Z.e
PLUMBING PERMIT
Plumblng Permlt
Stato Surcharge
Total Charge
Fr. //d
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carofully examlned
the compl€ted appllcatlon and do hereby cerilfy that all
lnformatlon horeon ls lrue and correct, and I f urther certlfy
that any and all work performed shall be done In accordance
wlth the Ordinances of the City of Sprlng(ield, and the Laws
of the State of Orcgon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compliance with ORS 701.05S wlll be used on thls
pro jec t.
I f urther agree to ensure that all requlred lnspections are
requested at the proper tlme, 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 plans will remaln
on the site at all times durlng construcilo
Date
J
7-E
Slgnature
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Moblle Home
Stale lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surchargp
Total Mlscellaneous pennits (E)
Vent Fan
(u,
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanlcal Permlt
lssuance
State Surcharge
Total Permlt
TOTAL AMOUNT DUE (exctudtng ctectrtcat)
(A, B, C, D, and E Comblned)
VALIDATION:
RECEIPT NUMBEF _ 22?/,/
4r4\
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
. FT.
N0