HomeMy WebLinkAboutPermit Plumbing 1997-11-04RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
SPRINGFIELE,
gJOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:
LOT BLOCK:
TAX LOT
SUBDIVISION
PHONE:
ZIP:STATE:CITY:
ADDRESS:
OWNER:
OTHERH
DESCRIBE WORK:
NEW
-
REMODEL ADDITION
Sckl
ADDRESS EXPIRES .1 PHONE
trt
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
t80
t,Y4(
/8
BANGF.:
DFIMS:
WATER HEATER:
LAND USE:
C OF UNITS:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls is a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
I TemRorary Eleclrlc f--l Rough Mechanlcal - Prior to fl Final Plumbins - When alllJ cover. lJ plumbing work ls complete.
Site lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.
Electrlcal Service - Must be
approved to obtain permanent
electrical power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l--l Framing - Prlor to cover.
OtherFoundatlon - After forms are
erected but prlor to concrete
placement.WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to lilllng trench.l-_l Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prior to floor
lnsulatlon or decking.lnsert - After fireplace approvgl
and installation of unlt.
Blocking and Set-Up - When all
blocking is complete.
Ftoor lnsulation - Prior to
decking.Curbcut & AJrproach - After
forms are erected bUt prior to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Pr'ior to filling
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.h.
waler Line - Prlor to filling
trench.
Fence - lVhen coinpleted
Rough Plumbing - Prior to
cover.
Stre€t Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
E
a
E
tl
tl
E
tl
:-.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Tyg
-
lnterior
* Corner
-
Panhandle \'
-
Cul-de-sac
IS THE PROPOSED WORK TN THE .
HlsroRtcAL DtsTRtcT, oR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this applicatlon must be slgnedand approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
BUILDING PEREIIT
VALUE
(A)
SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
':, 't
X $/SQ. FT.AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Recelpt Numbe
BUILDING LUE,LAN CHECK
Date Paid
Received By:
Plan Check Fee:
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 Sgwer
Water
Slorm Sewer
Moblle Home
'!J1t LIL{
FEE
ffi
0
o\'i
(c)
FT.
N.
FT.
*.rto
PLUMBING PERMIT
FT.
Plumbing Permit
State Surcharg. *A ,
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Division.I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be used on thlsproiect.
I further agree to ensure that all required inspections 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 remain
d
Slgnature
Date
construcon the site at all
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut -_- ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (excluding electricat)(A, B, C, D, and E Combined)
VALIDATION:
REcErPr NUMBER & 79 t t
51 46
4AJ 77b4,"-- /qDATE PAID
AMOUNT RECEIVED
RECEIVED BY
't