HomeMy WebLinkAboutPermit Plumbing 1996-01-29RESIDENTIAL
PERMIT AP roN
LOCATION OF PROPOSED
ASSESSORS MAP:
SPRI NGFIELE,
LOT: BLOCK: _
JOB NUMBER
225 Fifth Street
Sprlngfleld, Oregon gl 4ll
J.
TAX LOT
SUBDIVISION:
OWNER:
ADDR
CITY:STATE:
PHONE:
ZIP:
AD DEMOLISH OTHERITION
DESCRIBE
NEW- REMODEL
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- oFFtcE usE -
RANGE:
ZONING CODE:
FLOOD PLAINLAND USE:
# OF UNITS
OUAD AREA:
r OF BLDGS:
SECONDAFIY HEAT
SQUARF. FOOTAGE:
, OF BDRMS:
-
CONSTR. TYPE:
HEAT SOURCE:
WATER HEATEFI:-
OCCY GROUP:
* OF STORIES:
To reques
made the
t an lnspectlon, you must call 726'3769. Thls ls a24hour recordlng. All inspecilons requested before 7:00 a.m. wlll besante worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - prlor to
cover.FInal Plumbing - When ailplumblng worl( is complete.
Sile lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Eleclrical - Prior to Flnal Electrlcal - When allelectrical work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - When allmechanical work is complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When allrequired inspections have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumbing - Prior
to filllng trench.I-l Drywall - Prior to raptng
Underlloor Plumblng/ Mechanlcal
- Prior to insulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallation.
Posl and Beam - Prlor to floor
insulatlon or decking.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When allblocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcut & Alrproach - After
forms are erected but prior toplacemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.d Sanltary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub.base materlal in place.
Electrical Connection - Whenblocking, set-up, and plumblng
inspections have been approved
and the home ls connected tothe service panel.
Waler Llne - Prlor to filling
trench.[-l Fence - When compteted
Slreet Trees - When all rcquired
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrllng, decks, andventlng have been lnstalled.
r Rough Plumblng - Prlor to
cover.
NS ctions:
tl
E
E
il
fl
Lot faces
Lot sq. ftg.
Lst cgverage
Topography
Total helght
Lot Ty,e
-
lnterior
-
Gorner
-
Panhandle
-
Cul-de-sac
Setbacks
P,L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK iN THE
HISTOFIICAL DISTRICT, OB ON
THE HISTOFIICAL REGISTER?
-
It yes, this applicatlon must bo sl0n0d
and approved by the H istorlcal
Coordinator prior to permit issuance.
APPROVED:
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy lhat all
lnformatlon hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springfield, and the Laws
ol the State of Oregon pertalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Buildirrg Safety Division,
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required lnspections are
requested at the proper time, that each address is readable
that the permit card ls located at the front
and the roved set of plans will remain
du co tion.
natu re
Date
VALIDATION
RECEIPT NI
DATE PAID
AMOUNT B
BECEIVED
UMBE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
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.
Ftans Revi; d By Date
Plan Check Fee
Date Paid
Fleceipt Number
Received By:
BUILDING PERMIT
ITEM SQ. FT. X $/SO. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeVeloped
properties within the City limits which are being improved.
ITEM
Flxtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
\
(c)
FT.
N0
FT.
PLUMBING PERMIT
Plumblng Permit
Stato Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharte
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludihg electrical)
(A, B, C, D, and E Combined)*be)
BY
IVE
of
the site
ADDITIONAL COMMENTS
FT,