HomeMy WebLinkAboutPermit Plumbing 1994-05-09\ ResrornnAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
?/oc;1JOB NUMBER
225 Flfth Street
Spring fleld, Oregon 97 477
TAX LOT @
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ASSESSOBS MAP:/7os zs z 1
LOT
-
BLOCK:SUBDIVISION:
ZIP:
T
E O
PHONE:343 -593 q
77rc /
oWruen:
CITY:STATE:
VEADDRESS:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCBIBE WORK:
ADDRESS EXPIRES PHONE
/N
CONTRACTOR'S NAME
GENERAL:
T PLUMBING:
MECHANICAL:
ELECTRICAL;
CONST,
CONTRA TOR #
* OF BDRMS:
- OFFICE USE -
LAND USE:
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
RANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GBOUP:
* OF STORIEST
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a,m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
I Temeorary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When all
plumblng work ls complete.
Site lnspection - To be made
after excavatlon, but prior to
setting forms.
Rough Electrlcal - Prior to Flnal Electrlcal - When all
electrlcal work ls complete,cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bullding - When all
requlred lnspectlons have been
approved and bulldlng ls
completed.Masonry - Steel locatlon, bond
beams, groutlng.
l-l Frarnlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.Wdlf Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.l--l orywall - Prlor to taplng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng,E Blocklng and Set.Up - When all
blocklng ls complete.lnserl - After flreplace approval
and lnstallatlon of unlt.
Floor lnsulalion - Prior 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.
Sanitary Sewer - Prlor to filling
trench.Electrlcal Connection - When
blocklng, set-up, and plumblng
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Slorm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls cornplete, forrns
and sub-base materlal ln place.
Waler Llne - Prlor to filling
trench.I*_l Fence - When completed.
Slreet Trees - When all requlred
trees are planted,
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumb,lng - Prior to
cover.
# OF UNITS:
-
fl
E
E
E
E
tl
E
[---l olherll
E
E
tl
E
E
E
,t if
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
IHE PBOPOSED WORK TN THE -. HISTORICAL DISTBIGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
s
W
E
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
VALUE
(A)
X $/SQ. FT.
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express conditlon that the said
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfield, includlng the
Development Code, regulating the construction and use ofbulldlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordlnances.
ewed ByPI Date
Plan Check Fee:
Recelved By:
Date Paid:
Receipt Nu
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Deveiopment Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Flxtures
Resldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
N0
'2.'7&?
FEE
FT.
(c)
FT, Z: {OFT 2-;&e
..7i*/=l- Z_oo
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and. do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
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 pertainlng to the work described
hereln, and that NO OCCUPANCy will be made of any
structure wlthout permission of the Building Safety Divislon.
I further certily that only contractors and employees who
are ln compllance with ORS 701.055 will be used on thls
prolect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
Date
and the approved set of plans will remaln
X,nn
mes duri cons
of the
on the slte
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, q D, and E Comblned)
d'o
DATE PAID 5-7 -,
/Z
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
l
FT,