HomeMy WebLinkAboutPermit Plumbing 1999-01-21SPR TNGFTELI)RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
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JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97 477
TAX LOT:c 4s-o'vASSESSOBS MAP;l7 o) 3G s/
LOT BLOCK:SUBDIVISION:
PHONE:
cRr ztPSTATECITY:
ADDRESS:
OWNER:
I.IEW f BEMODEL ADDITION DEMOLISH OTHER
M<r^: 9o-Yr Lir^..^-DESCRIBE WORK:
GENERAL:
ELECTRICALl
ADDRESS EXPTRES ,;1 PHONECONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR ''
ZONING CODE:
# OF BDRMS:
-
SECONDAFIY HEAT:--
WATER HEATER:RANGF-:
FLOOD I)LAIN
SOUARE. FOOTAGE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recording. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
Final Plumbing - When all
plumblng work is complete.
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E
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.
Foollng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Undorground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Boam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulation - Prior to
decklng.
Stonn Sewer - Prior to fllling
trench.
Water Llne - Frlor trr filling
trench.
Rough Plumbing - Prlor to
cover.
l--l Rough Electrical - Prior toU cover.
Electrical Service - Must be
approved to obtaln permanent
electrical power.
ll Flreplace - Prlor to faclngu materlals and framing lnsp.
l-l Framlng - Prlor to cover.
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Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work ls complete.
Final Building - When all
required lnspectlons have been
approved and building is
completed.
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocking is complete.
Plumbing Connections - When
home lras 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 servlce panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
Wall/Celling lnsulatlon - Prlor to
cover.
Drywall - Prlor to taping
lnsert - After flreplace approvql
and installatlon of unit.
Curbcut & Alrproaclr - After
forms are erected but Prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is comPlete, forms
and sub-base material in Place.
Street Trees - When all requlred
trees are planted.
clor ooq3
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aT)o,^o f\-Dne-SPLUMBING:
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[--l ottrer
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Wood Stovo - After lnstallation.
[-.l Fence - When ccirrPleted'
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6:*::;"Sewer - Prior to nrrins
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P.L.HSE GAR ACC
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. :S THE PROPOSED WORK TN THE -
HISTORICAL DISTBIST, OR ON
THE HISTORICAL REGISTER? ---
ll yes, this applicatlon must be signed
aild aPProved bY the Historical
Coordinator prlor to permit issuance.
APPBOVED:
ksLot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typt
-
lnterlor
__ Corner
.- Panhandle I
-
Cul-de-sac
BUILDING PERMIT
VALUE
(A)
,*
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
This pernrit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfietd, 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 Reviewed By Date
Recei pt Numbe
BU I LDI NG
AND BUIL
E c ECH KANL
D N G P MR T
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 Sgwer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N.
#tta ,
4;- Laa
Fr. la0
(c)+))
Plumbing Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without permission of the Building Safety Division.
I further certily that only contractors and employees who
are in compliance with OFIS 7O1.O5S wlll be used on this
prolect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of ptans will remain
on the s ruction.
$,n"
\.*"
atu re
(_
I times during
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Total Mlscellaneous Perrnits (E)
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
MECHANICAL PERMIT
Furnace
Exhaust Hood
l-Jr- q ?
LA
DATE PAID
AMOUNT HECEIVED
RECEIVED BY
VAI-IDATION:
RECEIPT NUMBER
FT.
FT.
TorAL AMOUNT DUE (excluding electricat)
-=_-
(A, B, q D, and E Comblned)
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