HomeMy WebLinkAboutPermit Plumbing 1994-07-07ELE,RESIDENTIAL
PEBMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
LOCATION OF PROPOSED K:
ASSESSOBS MAP:
LOT
7-
,Qfr,
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon 97 477
TAX LOT
SUBDIVISION:BLOCK:
OWNER:
CITY:
ADD
STATE:ZIP:
E
EBADDITION DEMOLISHNEW- REMODEL
DESCRIBE WO
MECHANICALI
ADDRESS EXPIRES PHONE
CONST.
CONTRACTOR #
ELEfiRICAL:
CONTRACTOR'S NAME
GENERAL:
PLUMBING
BANGE:
,I OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOUHCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. Atl lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
l--l Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumblng work ls complete.
E Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrlcal - Prior to Flnal Electrical - When all
electrical work is complete,cover.
Underslab Plumblng/ Electrlcal/
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.[-l Flreplace - Prlor to faclnglJ materlals and framlng lnsp.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bullding ls
completed.Masonry - Steel locatlon, bond
beams, groutlng,
fl Framlng - Prlor to cover.
Foundalton - After forms are
erected but prlor to concrete
placement.
Other
WaltlCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[--l Drywall - Prlor to taplng.
MOBILE HOME INSPECTIONSEUnderltoor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.tl Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocklng and Set.Up - When all
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor to
placement of concrete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrical Connectlon - When
blocklng, set-up, and plumblng
lnspections have been approved
and the home ls connected to
the servlce panel.
Storm Sewer - Prlor to filling
trench.
Sldewalk & Drlveway - After
excavation ls complete, forms
and sub-base materlal in place.
Llne - Prlor to filling Fence - When completed.
trench.
Streel Treea - When all requlred
trees are planted.Rough Plumblng - Prlor to
cover.
E
E
E
fl
E
tl
E
[--l Final - After all requiredtJ lnspections are approved and
porches, sklrting, decks, and
ventlng have been Installed.
,1
''t'+,ijr it
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type -
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
ks i- lS THE PROPOSED WORK rN THE -. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
W
E
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Ivtain
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls 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, includlng the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances.
Receipt Number:-
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
oo
?SI q)(c)
FT.
N0
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed appticatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout permission of the Bulldlng Safety Divislon.
I further certlfy that only contractors and employees who
are ln compllance with ORS 7Oi.OS5 wlll be used on fhlsproject.
I further agree to ensure that all requlred inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
the property, and the approved set of plans will remaln
the slte at all times during construcilon.
re
Date
MISCELLANEOUS PERMITS
Mobile Home
State fssuance
State Surcharge
Sldewalk -.-- ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A, B, C, Q and E Combtned)
\
DATE PAID
RECEIVED
AMOUNT
VALIDATION:
RECEIPT NUMBE