HomeMy WebLinkAboutPermit Plumbing 1996-06-26$
IELD
)e
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
;4)s6/RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
LOCATION OF PBOPOSED WORK:
ASSESSOFIS MAP:3 TAX LOT:
BLOCK:SUBDIVISION:
--
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
n Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When alt
lumbing worl< is complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundallon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prlor
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decking.
Post and Beam - Prlor to floor
lnsulation or decklng.
Floor lnsulatlon - Prior to
decklng.
Sanitary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to filllng
trench.
Bough Ptumbing - Prior to
cover.
cover.
Electrical Servlce - Must be
approved to obtain permanent
electrlcal power.
Flnal Electrlcal - When all
electrical work is complete.
Final Mechanlcal - When all
mechanical work ls complete.
Flnal Buildlng - When alt
required lnspectlons have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When all
blocklng ls complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set.up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porchos, skirting, decks, and
ventlng have been lnstalled.
l-l Flreplace - Prtor to factng
-
materlals and framing lnsp.
N,::XLrne
- Prror to rirrins
Framlng - Prlor to cover.
Wall/Celllng lnsulatlon - Prlor to
cover.
l-_l Drywall - Prlor to taplng
Wood Stovo - After lnstallatlon
lnsert - After flreplace approvgl
and lnstallatlon of unlt.
Curbcut & Alrproach - After
forms are erected but prior to
placemcnt of concrete.
Fence - lVhen completed
Street Trees - When all requlred
trees are planted.
PHONE:
STATE:ZIP:9 7 V 7)
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
UYt
R.o n EXPIRES PHONE
e LL
*
-Z
r-n 9
ADDRESS
ELECTRICAL
MECHANICAL:
GENERAL:
PLUMBING:
CONST.
CONTRACTOR ,Or'o noqr
P r Eura.1
5 -z_
CONTRACTOR'S NAME
_ OFF]CE USE _
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
RANGE:
OUAD AREA:
r OF BLDGS:
SECONDAFIY HEAT:
SQUARF. FOOTAGE:
d OF BDRMS: _CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
+
rorz6Oe
E
E
E
E
tl
[-l Sidewalk & Drlveway - After
'J excavation ls complete, forms
and sub-base material in place.
E
cp
OCCY GROUP:
E OF STORIES:
E E
GAR ACCP.L.HSE
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ.,-
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
ks IS THE PROPOSED WORK iN THE
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
ll yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
VALUE
(A)
X $/SQ, FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO. FT,
Main
Garage
Carport
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 Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Revlewed By Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
State Surcharge / 25 * ,75
Total Charge (C)
FEE
5.@<,50
Z4
do
FT.
FT.
FT.
PLUMBING PERMIT
No
ADDTTIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is lrue and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the Clty of Springfield, and the Laws
of the State of Oregon perlaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildlng Safety Division.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of
Signature
Date
will remaln
on the site at s dt{ring constructio
.L6
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surcharge
Sldewalk
--
ft
Curbcut -- ft
Demolition
State Surchargg
(E)
No
Total Mlscellaneous pennit s
Vent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permlt
TOTAL AMOUNT OUE(A,B,qQandECom (excluding electricalt
blned)?7*
VALIDATION:
RECEIPT NUMBER
DATE PAID
&
z
AMOUNT RECEIVED
FIECEIVED BY