HomeMy WebLinkAboutPermit Plumbing 1996-05-10FIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATTON OF PROPOSED
ASSESSORS MAP:
LOT:
2fr,
JOB NUMBER
225 Filth Street
Sprlngf leld, Oregon 97477
It
TAX LOT:
q4^)
BLOCK:SUBDIVISION
STATE:
PHONE
ztP
OWNER:
ADDR
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
MECHANICAL:
ADDRESS EXPI RES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
G EN ERAL:
PLUMBIN
CONST.
CONTRACTOR '
RANGE:
I OF BDRMS:
- OFFICE USE -
SECONDARY HEAT:
WATER HEATER:
* OF UNITS:
FLOOD PLAIN:
ZONING CODE
OUAD AREA:
# OF BLDGS
SOUARF. FOOTAGE:
OCCY GROUP:
E 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 sante worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumbing worl( is complete.
Slte lnspectlon - To be mado
after excavation, but Prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Electrlcal - When all
electrlcal work ls complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Electrlcal Servlce - Must be
approved to obtaln Permanent
electrlcal power.
Flnal Mecharrlcal - When all
mechanical work Is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsP.
Flnal Buildlng - When all
required Inspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutln0.E
tl
Framlng - Prlor to cover.
Other
Foundallon - After forms are
erected but prlor to concrete
placement.WalllCelllng lnsulatlon - Prlor to
cover,
Underground Plumblng - Prlor
to filling trench.J--l Drywall - Prlor to taolns.
MOBILE HOME INSPECTIONS
Undeilloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.l-l Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng,lnsert - After flrePlace aPProval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
deckl ng.Curbcut & AlrProach - Afler
forms are erected btlt Prlor to
placomcnt of concrete.
Ptumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prlor to fllllng
trench.Electrlcal Connection - When
blocking, set-uP, and Plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Slorm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway I After
excavation ls comPlote,' forms
and sub-base materlal ln Place.
Water Llne - Prlor to filllng
trench.
Fence - When comPleted
Rough Plumblng - Prlor to
cover.
Streel Trees - When all requlred
trees are Planted.
Flnal - After all required
inspectlons are approved and
porchcs, sklrtlng, decl(s, and
ventlng have been lnstalled.
LAND USE:
tl
tl
tl
fl
E
tl
E
fl
D
E
n
E
tl
tl
tl
n
tl
Lot faces
Lot sg. ftg,
Lot coverage
Topography
Total height
Lot TyJ
.J
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks IS THE PBOPOSED WOBK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
ll yes, thls applicatlon must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
Thls permit is granted on the express conditlon that the said
constructlon shall, ln all respects, conform to lhe Ordinanceadopted by the City of Springfleld, including the
Development Code, regulating the construction and use ofbulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Pald
Fleceipt Number:_
Received By
Plans v Date
Systems Development Charge is due on all undeveloped
propertles wlthln tlro City limits which are being improved.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlnedthe completed appllcailon and do hereby certlfy that all
lnformatlon hereon ls true anct correct, and I f urther cerilfy
that any and arr work performed shafi be done in accordance
wlth the Ordinances of the Clty of Sprlngf ield, and the Lawsof the State of Oregon pertalnlng to the work described
hereln, and that NO OCCUPANCy will be made of any
struqture wlthout perrnission of the Bulldlng Safety Division,I further certlfy that only contractors and emptoyees who
are ln compliance with ORS 701.055 will be used on thisprolect.
'I.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMTT
I lurther agree to ensure that all required inspections are
requested at the prgper ume, that each address is readable
from the street, that the pormrt card rs rocatecr at the frontol the property, and the approved set of prans wirr remain
the slte
n atu re
at all times
/brL,/
duri constructlon
HSE GAR
N
S
VALUE
(A)
x s/sQ. r--r.
Total Value
Building Permit Fee
State Surcharge
Total Fcc
BUILDING PERMIT
ITEM SO. FT,
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Scwer
Moblle Home
FEE
(c)
,aa
Aal,
N0
FT.
P LU M BING PERMIT
FT.
FT.
Plumblng Permlt
State Surcharge
Total Charge
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
Mcchanical Permil
lssuance
State Surcharge
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surcharge
Sidewalk ---_- ft
Curbcut
-
fr
Demolition
State Surcharge
1t
Total Miscellaneous perrnits (E)
TOTAL AMOUNT DUE (excluding.electricat)
(A, B, C, D, and E Combtned) "
DATE PAID
VALIDATION:
RECEIPT NUMBER
AMOUNT REC
RECEIVED BY
Date