HomeMy WebLinkAboutPermit Plumbing 1996-04-22RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED
ASSESSORS MAP:
LOT:
SPrlINGFIELE)5#JOB NUMBER
q
BLOCK:
225 Fif th Street
Springf leld, Oregon 97 477
l
TAX LOT
SUBDIVISION: -
OWNER
ADDR
CITY:STATE
PHONE:
ZIP:
DEMOLISH OTHERADDITION
DESCRIBE WOR
NEW-- REMODEL
\-l44lr:
MECHANICAL:
-
ADDRESS EXPIRES PHON E
ELECTRICAL;
CONTRACTOR'S NAME CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- OFFTCE USE -
LAND USE:
# OF BDRMS:
RANGE:
FLOOD PLAIN
* OF UNITS:
QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SQUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a24hour recording. All lnspections requested before 7:00 a.m. wlll bemade the same working day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REQUIRED INSPECTIONS
[l Temporary Etectric Rough Mechanlcal - Prior to
cover.
Final Plumbing - When altplumbing worl< is complete.
Slte lnspectlon - To be made
after excavation, but prlor to
setting forms.
[-l Rough Electrical - Prior tolJ cover.Flnal Electrlcal - When all
electrlcal work is complete.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work is complete.
Footlng - After trenches are
excavated.Flreptace - Prlor to faclng
materlals and framlng lnsp.
Final Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting,Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.WalllCelllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor
to filllng trench.[-l Drywall - Prior to taptng
Underlloor Plumblng/ Mechanlcal
- Prior to Insulatlon or decklng,
MOBILE HOME INSPECTIONS
Wood Stove - After lnstallatlon
Post and Beam - Prlor to floor
lnsulation or decking.lnsert - After fireplace approvql
and installatlon of unlt.
Blocking and Set.Up - When all.
blocking ls complete.
Floor lnsulation - Prlor to
decking.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanilary Sewer - Prior to fllllng
trench.Eleclrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storm Sewer - Prior to filling
trench.
Water Line - Prlor to filllng
trench.l-l Fence - When compteted
Slreel Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventlng have been installed.
a
Rough Plumbing - Prior to
cover.
WATER HEATER:
ZONING CODE: __
ll
[---l other
[-l SiAewalk & Driveway - AftertJ excavation is complete, forms
and sub-base material in place.
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
_- Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK iN THE ,
HrsToRrcAL DTSTRTCL OR ON
THE HISTOBICAL REGISTER?
-
lf yes, thls application must be signed
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
X $/SO. FT,
G arage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SO, FT,
Main This 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, 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.
Plan Check Fee: .-,-
Receipt Number:-
Plans Reviewed By Date
Date Paid
Received By:
BUILDING VALUE
AND BUILDING P
, PLAN CHECK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fix t u res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
,7n(c)
No
FT.
FT.
FT.
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify 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 Springfleld, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
struclure without permission of the Building Safety Divislon.
I further certily that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
e approved set of plans will remain
Slgnature
Date
of the property, and
duri g constructlon.on the site at all
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
-_
ft
Demolition
State Surcharge
Total Miscellaneous Perrni ts (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Comblned)
R D-.
DATE PAID
VALIDATION:
FIECEIPT NUM
AMOUNT REC
FIECEIVED BY