HomeMy WebLinkAboutPermit Plumbing 1994-10-19RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 720.3769
Offlce: 726.3759
LOCATION OF PROPOSED WOFIK:
Q./ l'(!/ oJOB NUMBER
225 Flfth Street
Sprlngfleld, Ore1on 91417
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ASSESSORS MAP:l")OZ ZG L{3
TAX LOT:
LoT: BLOCK:SUBDIVtStON; _
Cr,a,2tLPHONE:
STATE:ztP ?
OWNER:
ADDRESS:
CITY:
aLv,s
NEW- REMODEL ADDITION DEMOLISH OTHER
\/LY <c<-f)-)^(9-.y'<<_€-e-tlDESCRIBE WORK:
ADDRESS EXPIRES PHONE
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Vz
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CONTBACTOR'S NAME
{d cttPLUMBING:
GENERAL:
MECHANICAL:
ELECTRlCAL:
CONST.
CONTRACTOR ,,
- OFF]CE USE -
LAND USE:
, OF UNITS:
-
WATER HEATER:
* OF BDFTMS:
RANGE:
OUAD AREA:
r OF BLDGS:
OCCY GROUP:
I OF STORIES:
SECONDARY HEAT:
SOUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
FLOOD PLAIN:
ZONING CODE: _.
To request an lnspectlon, you must call 726-3769. Thls lsmade the same worklng day, lnspecilons requested afte
l_l Slte tnspectlon - To be made|J after excavatlon, but prlor tosettlng forms,
n Underslab plumblng/Electrlcal/
-
Mechanlcal - prlor to cover.
n Masonry - Steel locatlon, bond|J beams, groutlng,
l-l Foundatton - After forms are
-
erected but prlor to concreteplacement.
f-l Underground ptumblng - prtoru to fllllng trench.
n Underltoor Ptumblng/Mechanlcal
Prlor to lnsulatlon or decklng.
Temporary Electrlc
Footlng - After trenches are
excavated.
Posl and Beam - prlor to floorlnsulatlon or decklng.
Floor lnsulatlon - prlor to
decklng.
h Plumblng - Prlor to
Etectrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
fl Flreptace - prtor to factng
-
materlals and framlng lnsp.
fl
E I
WatltCblfing tnst]tatlon - prtor to
Framlng - Prlor to cover.
Flnal Plumblng - When allplumblng work ls complete,
Flnal Mechanlcal - When allmechanlcal work ls complete.
Flnal Bulldlng - When allrequlred lnspecilons have beenapproved and bullding lscompleted.
Other
MOBILE HOME INSPE TIONS
[-l elocklng and Ser.Up - Whel ail
-
blocklng ls compleie.
Plumblng Connectlons - Whenhome has been connected towater and sewer,
a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll ber 7:00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
Rough Mechanlcal - prlor to
cover.
Rough Electrlcal - prlor to Flnal Electrlcal - When altelectrical work is complete.s
covor.
cover.
n Drywail - prtor to taptng.
n Wooa Stove - After lnstailatlon.
I_l tnsert - After ftreptace approval
-
ancl lnstallaflon of unlt.
[-l Sanltary Sewer - prtor ro fililng|J trench.
Curbcut & Approach - Afterforms are erected but prlor toplacoment of concrete.
[--l Storm Sewer - prlor to fililng
-
trench.
Sldewalk & Drlveway - Afterexcavatlon ls complete, formsand sub.base materlal ln place.
Fence - When completed.Water Llne - Prlor to fllllng
trench.tl
Electrlcal Conneclion - Whenblocklng, set.up, and plurpblnglnspections have been approvedand the home ls connected tothe servlce panel.
[-l Street Trees - When ail requtred
-
trees are planted.
Final - After all requiredlnspectlons are approved andporches, sklrUng, decks, andventlng have been lnstalled.
\ ---
I 7
1
tl
,. IJ":;,iji,l;
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total tlelght
Lot Typ' .
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
P,L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK TN THE -' HrsroRtcAL DlsTRlgr, oR oN,.THE HISTORICAL REGISTER?
lf yes, thls appllcatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permlt issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condltlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfleld, includlng the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provlsions of sald ordlnances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Pald
Recelved By:
VALUE
(A)
X $/SQ. FT.
Main
Carport
Galage
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties wlthln the City limlts which are being lmproved.
ITEM
Flxturest.
Besldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
Plumblng Permlt
Stato Surcha ,nu ,l fu
31 -ooTotal Charge
N0
FT.
FT.
(c)
2E oo
-r<- OOdLv -
I,LS..1S Z.60
PLUMBING PERMIT ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuahce
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood 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
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 701.055 wlll bo used on thls
prolect.
I further agree to ensure that all requlred 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 remaln
q
lon
Slgnature
Date
on the site I times durlng
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, Q and E Comblned)
6o oo
<-/
AMOUNT BECE IV
DATE PAID
)t5/3n
FTECEIVED BY
VALIDATION:
BECEIPT NUMBER/()- /?-?
1r
FT.40