HomeMy WebLinkAboutPermit Plumbing 1999-01-13RESIDENTIAL
PERMIT APPLICATION
lnspectlons: t26.gl6g
Office: 726.9159
ELO
JOB NUMBER OO FZ
225 Fifth Street
Sprirrgflelrl, Oregon gl 4?l
LOCATION OF PBOPOSED WORK:/6 5/6yt
ASSESSORS MAP:/703 3s i
TAX LOT:gpSoo
LOT:BLOCK:SUBDIVISION
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PHONE:
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ZIP:7I7'( Z
OWNER:
ADDRESS:
CITY:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW._- REMODEL
ADDRESS
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EXPTBES 'f PHONE
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CONTRACTOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
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LAND USE:
To request an inspectlon, you
made the same worklng day,
must call 726'3769. Thls is a24haur recordlng. All lnspections requested before 7:00 a.m. will belnspections requested af ter 7:00 a.m. wlll be macle the following work day.
REQUIRED INSPECTIONS
n Temporary Etectric Rough Mechanical - prior to
cover.
Final Plumbing - When allplumbing worl( is complete.
Slte lnspectlon - To lre made
after excavatlon, but prior to
settlng forms.
Rough Electrical - prior to Final Eleclrical - When allelectrical work is complete.cover,
E Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and framing lnsp.
Final Building - When allrequired lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - Aftdr forms are
erected but prlor to concrete
placemont.
Other
WalllCelling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to flltlng trench.l-_l Drywall - Prlor to taptng
Under!loor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPE TTONS
Wood Slove - After lnstallatlon.
Post and B6am - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and installatlon ol unlt.
Blocking and Set.Up - When alt
lclocking is complete.
Floor lnsulallon - Prior to Plumbing Connections - When
home has been connected to
water and sewer.
n9.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.Itary Sewer - Prlor to filllng
Storm Sewer - Prior to fi.lling
trench.
Sidewalk & Drivewav - After
excavation ls complete, forms
and sub-base material in place.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Water Line - Prlor to filling
trench.[-l Fence - When coiitpleted.
Rough Plumbing - Prior to
cover.
$treet Trees - When all required
trees are planted.
STATE:
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I-_l Final - After all required
'J inspections are approved andporches, sklrting, decks, and
ventlng have been lnstalled.
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tl
Lot Typ _
-
lnterior
--
Corner
.- Panhandle '
-
Cul-de-sac
Se
P.L.TJSE GAR ACC
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IS THE PROPOSED WOFIK
H ISTORICAL OISTRICT' OR
APP ED:
TN THE .
ONLot faces
Lot sg. ftg.
Lot coverage
TopograPhY
Total helght
THE HISTORICAL REGISTER?
-
lf yes, thls application must be slgned
arrd aPProved bY the Historlcal
Coordinator prlor to permit issuance'
This pernrit is granted on the express condition that the said
consiruction s'[-ralt, in all respects' conform to the Ordinance
"Jopt"a by the City of Springfield, including the
Development Code, regulating the constructlon and use of
ouildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances'
Plans Reviewed BY Date
BU I LDI NG
AND BUIL DING PERMIT
E,LAN CHECK
Plan Check Fee
ReceivetJ BY:
Date Paid:
Receipt Nu
BUILDING PERMIT
VALUE
(A)
t
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
Nx
FT.
FT.
FT.
/{? 1o *
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
f,,,+
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
prolect.
I further agree to ensure that all requlred lnspections are
requested at the proper time, 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
Signature
/-rsDate 7Y
on the site at all es durlng constructi
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
N0Vent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electrical)
(A,B,gQandEComblned)
03 zrsztVAI-IDATION
FIECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
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