HomeMy WebLinkAboutPermit Plumbing 1995-02-137b5
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
SPFrINGFIELE'
JOB NUMBER
225 Fif th Street
Sprlngfleld, Orego
1X;o <
LOCATION OF PBOPOSED WORK:e
ASSESSOBS MAP:
LOT:- BLOCK:SUBDIVISION:.-
NEW
-
REMODEL ADDITION DEMOLISH OTHER
PHONE:
STATE:
OWNER:
CITY:
DESCRIBE WORK:
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL;
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
r OF BDRMS:
- OFFICE USE -
QUAD AREA:
I OF BLDGS;
FLOOD PLAIN;
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAGE:
LAND USE:
OCCY GBOUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
WATER HEATEB:BANGE:
To request an lnspectlon, you must call 726-3769, Thls ls a24hour recordlng. All lnspectlons requested before 7:OO a.m. wlll bemade the same worklng day, lnspectlons requested after 7:00 a.m, wlll be made the followlng work day,
REQUIRED INSPECTIONS
f] remRorary Electrtc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng work ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
sottlng forms,
Rough Electrlcal - Prlor to Flnal Eleclrlcal - When all
electrlcal work ls complete,cover.
n Understab Plumblng/ Electrlcal /rJ 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.Flreplace - Prlor to faclng
materlals and (ramlng lnsp.
Framlng - Prlor to cover.
Flnal Building - When alt
requlred lnspectlons have been
approved and bulldlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placemont.
Other
Wall/Celllng lnsulatlon - Prlor to
cover.
l--l Underground Plumbing - prioru to fllllng trench.Drywall - Prlor to taplng
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Slovo - After lnstallation
Posl and Beam - Prlor to floor
lnsulatlon or decklng,[--l lnsert - After f lreplace approvql
-
and lnstallatlon of unlt.
Blocklng and Sot.Up - When ailblocklng ls complete.
Floor lnsulatlon - Prlor to
decklng,Curbcut & Approach - After
forms are erected bUt prior toplacomcnt of concrete,
Plumbing Connectlons - When
home has been connected to
water and sewer,
w Sanltary Sewer - Prior to fllling
trench,
Storm Sewer - Prlor to fllllng
trench,
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Electrical Connectlon - When
blocklng, set.up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel,
[--l Water Llne - Prlor to filtinglJ trench.
Fence - When completed
Rough Plumblng - Prlor to
cover.
Street Trees - When all requlred
trees are planted,
Final - After all required
inspectlons are approved andporchos, sklrting, decks, and
ventlng have been lnstalled.
/^-o7 ^=a;*q> rAX Lor: e/a*a
47. zrp, a27??ADDRESS:
il tl
E
E
Lot faces
Lot sq, ftg.
Lot coverage
Topography
Total helght
Lot Type
\7
-
lnterior
-
Corner
-
Panhandle
-
Cul-de.sac
PL.HSE GAR ACC
N
S
E
Yts THE PROPOSED WORK IN THE
HISTORICAL DISTRIST, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, thls appllcailon must be slgnedand approved by the Historlcal
Coordlnator prlor to permit lssuance.
BUILDING PERMTT
VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
P!J.ID_|NG VALUE, PLAN CHECKAND BUILDING PENUIT
ThlS pelmit is granled on the express conditlon that the saldconstruction shall, ln all respects, conform to the Ordlnanceadopted by the City of Spiingfleld, tnctudlng theDevelopment Code, regulating ine ",-on"tilcilon and use ofbulldlngs, and may be suspended or revoked at any tlmeupon violation of any provisions of sald ordlnances.
Plan Check Fee: .__-
Date Pald:
Flecelpt Number:
Plans ewed By Date
Fleceived By:
s DEVELOPMENT CHARGE (SDC)
(t,,l
SYSTEM Systems Development Charge ls duo on all undevelopedproperties wlthin tlre City limits which are being lmproved.
ITEM
Flxtures
Resldenilal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
No
-2a-
7,
(c)
FI
FT.
a
&2
Plumblng permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
-
Al0
Mechanical permlt
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe corhpleted appllcailon and do hereby cerflfy that alllnformatlon hereon is true and correct, and I turther cerilfythat any and all work performed shall be done in accordancewlth the Ordlnances of the Clty of Sprlngfleld, and the Lawsof the state of oregon pertarnrng to the work descrrbedhereln, and that NO OCCUPANCy wlll be made of anystructure wlthout permission of the Bulldlng Safety Divlslon.I further certify that only contractors anOlmptoyees whoare ln compliance wlth ORS 7O1.OSS wlll be used on thlsproJect.
I further agree to ensure that all requlred lnsrequested at the proper ilme, that each add
from the street, that the permlt card lsof the property, and the approved set
pectlons are
ress ls readable
located at the front
of plans wlll remalnon the slte at all times durin co lon
Date
Slgnatu
4-,2-; -?s*
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk _.._- ft
Curbcut --- ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID er*
AMOUNT RECEIVEDfOTAL AMOUNT DUE (exctudtng electricat)(A, B, C, Q and'E Combtned)RECEIVED BY
{-3-
*a
APPHOVED: _
SO. FT. X $/SO. FT.
FT-
-
.%
/12e-