HomeMy WebLinkAboutPermit Plumbing 1996-08-06SPFlIl\.GFIELE)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:Li o
ASSESSOBS MAP:
efi,
JOB NUMBER
225 Fif th Street
Sprlngfleld, Oregon 97477
I
TAX LOT
SUBDIVISION
t
-5(1,-PHONE:
ZlPi
L.o.\{
CITY:STATE
lrtuc()€)ADDRESS:
OWNER:
C.\*s \r-..
.J <wrr
NEW
-
BEMODEL ADDITION DEMOLISH OTHER {.-\\t\ erI S*.-
ADDRESS EXPI RES PHONE
1 L S'19qo fs
ELECTRICAL;
CONTBACTOR'S NAME
MECHANICAL
PLUMBING:
GENERAL:
CONST.
CONTFIACTOR ,
- OFFICE USE -
LAND USE
r OF BDRMS:
FLOOD PLAIN
I OF UNITS:
QUAD AREA:
, OF BLDGS
SECONDARY HEAT:
SOUARE FOOTAGETRANGE:WATER HEATER:-
OCCY GROUP:
* OF STOBIES:
ZONING CODE:_
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspecilon
made the same worklng ' you must call 726'3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll beday, lnspectrons requested after 7:00 a.m. wil be made the foilowrng work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - prlor to
cover.
Slte lnspectlon - To be madeafter excavatlon, but prior tosetting forms.
Rough Electrlcat - prior to
cover.
I-_l Unaerstab ptumbing/ Etectrical/
-
Mechanlcal - prloi to cover.Electrlcal Servlco - Must beapproved to obtaln permanent
electrlcal power.Footlng - After trenches areexcavatod.
[-l Masonry - Steet tocailon, bond
-
beams, grouilng.
Flreplace - prlor to faclng
materlals and framlng lnsp.
Foundatlon - After forms areerected but prlor to concreteplacement.
[-l Framlng - prlor to cover,
Wall/Celling lnsulatlon - prlor tocover.
f-l UnOerground plumblnq - priorH to fllllng trench l-_l Drywatt - prlor to raping.
Underltoor plumblng/ Mechanlcal
- Prlor to lnsulailon or decklng.
Post and Boam - prlor to floorlnsulatlon or decklng.
Wood Slovo - After lnstallatlon.
MOBILE HOME INSPE TIONS
lnsert - Alter flreplace approvalano tnstallatlon of unlt.
[-l Blocking and Set.Up - When ail
-
btocklng ls complete.
Floor lnsulatlon - prior todecklng.Curbcul & Alrproach - Afterlorms are erected bUt prlor loplacemont of concrete.
Plumbing Connectlons _ Whenhome has been connected towater and sewer.
XL;:lHry Sewer - Prior to rirrins
ffi|""X.t"I"'- Prlor to rltttns
l-l Water Llne - prtor ro fiilingu trench.
Sidewalk & Driveway - Afterexcavatlon ls complcte, formsand sub.base material in place.
Electrical Connection _ When
F]::!,19, set.up, ano plumornjtnspections have been approvedand the home is connected tothe servlce panel.
[-l fence - When compteted
Rough Plumblng - prlor to
cover.l--l Street Trees - When alt roquired
-
trees are planted.
Final - After all requiredrnspections are approved andporc.hes, sklrilng, decks, andventlng have been installed.
2b/c6?
LOT:
-
BLOCK:
.\
L
"l 9r\?z
DESCFIIBE WORK:
l--l Flnal ptumbtng - When ail
-
plumblng worl< ls complete,
I-_l Plnat Etecrrtcat - When ail
-
electrlcal work ls complete.
l-_l P'lnat Mechantcat - When ail
-
mechanlcal work ls complete.
l-_l Flnal Buitdlng - When alt
-
requlred lnspectlons have beenapproved and bullding lscompleted.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type _
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
.- IS THE PROPOSED WORK iN THE -
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
arrd approved by the Historlcal
Coordinalor prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
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 constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Bcviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Received By:
BUILDING VALUE
AND BUILDING P
, PLAN CHECK
ERMIT
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.VALUE
(A)
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge ls due on all undeveloped
properties withln the City linrlts which are being lmproved,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Flxtures
Flesldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
State Surcharge 2P + /'La
Total Charge (C)
FEE
zo
@
No
FT.
FT.
FT. 7O
PLUMBING PERMIT
By slgnature, I stato and agree, that I have carof ully examlned
th6 completed applicatlon and do hereby certlfy that all
lnformatlon horeon is true ancl correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City o{ Sprlngfield, and the Laws
of the State of Orcgon pertainlng to the work descrlbed
hereln. and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Bulldlrrg Safety Dlvislon'
I further certlfy that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on this
proiect.
I further agree to ensure that all required 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
Date
on the si I times durl structlon.
\,/
Slgnature
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MISCELLANEOUS PERMITS
Total Mlscellaneous Permits (E)
(D)
N0Vent Fan
Mechanical Permlt
lssuance
Stale Surcharge
Total Permit
Moblle Home
State lssuance
State Surcharge
Sldewalk _- ft
Curbcut
--
ft
Demolitlon
State SurchargP
MECHANICAL PERMIT
Furnace
Exhaust Hood
2o
L
AMOUNT RECEIVEO
RECEIVED BY
DATE PAID
VALIDATION:
FIECEIPT NUMBEB
TOTAL AMOUNT DUE (excludlng electrlcal)
(A, B, C, D, and E Comblned)43,'.*