HomeMy WebLinkAboutPermit Plumbing 1992-11-19SPRINGFIELD
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
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JOB NUMBER 246o't
Zfr,
225 Fifth Street
Springfield, Oregon 97 477
LOCATION OF PROPOSED WORK 2r-&
ASSESSORS MAP:/7os 3c-/4 TAX LOT:/74eo
LOT BLOCK:SUBDIVISION
PHONE:
STATE:ztPa<
74C J/-
CITY:
ADDRESS:
OWNER:
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
MECHANICAL:
ELECTRICAL:
ADDRESS EXPIRES PHONE
-02/€
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
CONST,
CONTRACTOR #
WATER HEATER:RANGE:
# OF BDRMS:
- OFFICE USE _
r OF UNITS:
SECONDARY HEAI
SQUARE FOOTAGE:
OCCY GROUP:
# OF STORIES
QUAD AREA:
* OF BLDGS:
FLOOD PLAIN:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, 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, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
[-l remporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to faclng
materials and framlng lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Foundalion - After forms are
erected but prior to concrete
placement.
Other
WalllCeiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to filling trench.[-l Drywall - Prior to taping.
MOBILE HOME INSPE TIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.Wood Stove - After installatlon.
Posl and Beam - Prior to floor
insulation or decklng.lnserl - After flreplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.
5or
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
re*:f,ry sewer - Prior to rilrins
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prlor to filling
trench.
Fence - When completed.
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
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4futna
egtu't,t)LAND USE:
ZONING CODE:
E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ,
_
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED 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:
P.L.HSE GAR ACC
N
S
W
E
BUILD!NG PERMIT
ITEM SO. FT.
Main
X $/SQ. FT.VALUE
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
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 Spri ngfield, 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.
Plan Check Fee:
Date Paid
Fleceipt Number:-
Received By:
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
No
. FT.'?-,iao
FT.
Plumbing Permlt
State Surcharge
Total Charge
25 a"
zs-
(c)_24.2:-
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permit
lssuance
State Surcharge
Total Permit (D)
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
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
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
rcn the site at all times during constructiY
K.sign,,,, " /?;! - *aFT'"- 'ri O
Date /7
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneou$ Permits (E)
VALIDATION:
RECEIPT NUMBEFI o@s /
DATE PAID
AMOUNT BECEIVED
RECEIVED BY
2 z-f
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
%$
FT.