HomeMy WebLinkAboutPermit Plumbing 1993-08-26SPRINGFIELD
RES!D ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
JOB NUMBEFI
225 Fifth Street
Sprlngfield, Oregon 97 477
LOCATION OF PRO
ASSESSORS MAP:
PO
\TAX LOT
LOT:
-
BLOCK:SUBDIVISION
To request an inspeclon, you must call 726-3769. Thls ls a24hout recording. All lnspectlons requested before 7:00 a.m. wlll be
made the same working day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day'
REQUIRED INSPECTIONS
Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumblng work ls complete.[-l Temporary Electricll
Slte lnspection - To be made
after excavation, but Prior to
setting forms.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundatlon - After forms are
erected but prior to concrete
placement,
Underground Plumbing - Prior
to filling trench.
Underf loor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prlor to
decking.
Sanltary Sewer - Prior to filling
trench.
Slorm Sewer - Prior to filllng
trench.
Water Line - Prlor to fllllng
trench.
Rough Plumbing - Prlor to
cover.
Rough Electrical - Prior to
cover.
Eleclrical Service - Must be
approved to obtain Permanent
electrlcal power.
Fireplace - Prlor to faclng
materlals and framlng lnsP.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prlor to
cover.
Drywall - Prior to taplng
Wood Stove - After lnstallation.
lnsert - After flreplace apProval
and lnstallation of unlt.
Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base materlal in place.
n Fence - When completed.
Streel Trees - When all requlred
trees are planted.
Final Electrical - When all
electrlcal work is complete.
Final Mechanlcal - When all
mechanical work is complete,
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Eleclrical Connection - When
blocking, set-up, and plumblng
inspections have been approved
and the home is connected to
the servlce panel.
Final - After all required
inspectlons are approved and
porches, sklrting, decks, and
ventlng have been installed.
PHONE:
ztP"STATE:
OWNER:
CITY:
ADD
NEW- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
MECHANICAL:
ELECTRICAL:
EXPIRES PHOI..!EADDHESS
Qnt C,b,)
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
CONST.
CONTRACTOR #
1-
* OF BDRMS:
- OFFICE USE -
LAND USE;FLOOD PLAIN
WATER HEATER:
r OF UNITS:
RANGE:
SECONDARY HEAT:
SQUARE FOOTAGE:
OUAD AREA:
* OF BLDGS:ZONING CODE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
tl
E
E
E
E
E
E
E
E
E
tl
E
E E tl
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lol Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
IY1 HE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordinator prior to permlt lssuance.
APPROVED:
I
HSE GAFI ACCP.L.
N
S
W
E
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 Ordlnance
adopted by the City of Springfield' including the
Development Cocle, regulatlng the construction and use ol
bulldings, and may be suspended or revoked at any tlme
upon violation of any provlsions of said ordinances'
Plans Reviewed BY Date
Plan Check Fee
Recelved UY:
Date Pald:
Flecelpt Nu
BU!LDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Bulldlng Pcrnrlt Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDTTTONAL COMMENTS
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
PLUMBING PERMIT
FEE
No
SLr,
FT.
FT.
FT.
(c)
Moblle ome
Plum Permlt
State Surcharge
Total Charge
MECHANTCAL PERMIT I
By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
tiiat any irnd ali wc.rli pcrforrncd shall bc done ln accordance
wlth tlre Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made ol any
structure without permission of the Buildlng Safety Dlvislon'
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.055 will be used on thls
prolect.
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
Mechanical Permlt
lssuance
State Surcharge
Total Permlt (D)
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 wlll remalnMISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
lt
Demolitlon
State Surcharge
on the slte at all tl during co
Slgnature
Date -J/" ?,3
VALIOATION
RECEIPT NUMB
DATE PAID
Total Mlscellaneous Permlts (E)
AMOUNT RECEI
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)RECEIVED BY
g
CITY OF ofrHGOfV
08/27/53 14:38 7 - 728 3689 SPFD DEV. SER @ ooe
225 .ETFIE STREBf,-6lbSPRINGEIEI.D, OREGON
INSPECIION REOtlEStt
OFEIGE: 726-37s9
1
Ci'f:iifr?dL
Permlts 8E€ ror-transferable and explrelf uork ls not started vlthtn 180 diys
of, lssuance or lf trork ls suspended for
180 days.
2., COITTBACTOR INSTAIJATION ONLT
electri
Address
Cont,ractor
ct Phone
Supervisor e Number
Exp lratlon Date \b.\qt
Constr Contr. Nurnber
Expi 'ratlon Date
of Electrlcian
Address
ci Phone
OgNgB
SPRIXGFIELD
BIJCRICAI PER}IIT APPUCATIOII
City Job Nuuber
3. COIIPI.EIB PBE .SCEEDUI.E BBI.OS
A. Nev Resldentlbl-Slngle or
t{ulti-Fanily per duelllng unit.
Service Included!
Iterns Cos t
1000 sq.ft. or less $ 85.00
Each additional 500sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
-Hodular Dvelling
Servlce sr Feeder $ 40.00
B. Serviees or FeedersIngtallatlonl Alreratlons
or Relocatlon:
C. Temporary Services or'Feeders
Xnstallation, ALteratlon or Relocation
200 amps or less
201. aups to 400 amps
Over 401 to.600 amps
Over 600 aurps or 100 s B'r above
$o,Pr+r ffi51--
oneCircuit I S35.Oo
Eaeh Additional ' --r
Clrcult or vith Service
or Peeder Permlt $ 2.00
200 amps or less
201 amps to !00 amps
-601 amps to 1000 amps
over 1b00 anrps/volti
Reeonnect Only
OF
Sum
s 50.00I 6o.m
$100,00
$r30.00
$3o0. oo
$ 40.00
il
$
$
$
seeOETE
00
00
00
40
55
80
I r D. Branch Circuits
[Uf,1"r, A].teratlon or Exrension Per Paner
Dd-L*J3
The' tnstallatloir is beltig uade on
property I ovn vhlch is not lntended
for saIe, lease or trent,
Omers SlgRature:
B. Hiscellaneous (Servlce/feeder not lncluded)
-Each installation
Punp or lrrigatlon
Stgn/Outline LightiI,lnited Energy/Res
. Llnlted Energy/Comnr
5. SITBTOTAL OT AFOVE5f $tate Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
DAIts:
RECET\IED
ng:
OO
V/ \IJ I II