HomeMy WebLinkAboutPermit Plumbing 1999-07-12SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspect
Office:
LOCATION OF PBOPOSE
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:lons: 726-3769
726.3759
JOB NUMBER
225 Fifth Street
Spri ng fleld, Oregon 97 477
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ADDRESS:
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DESCR]BE WORK:
ADDRESS EXPIHES .O PHONE
ELECTRICAL:
CONTBACTOR'S NAME
MECHANICAL:
PLUMBING:
GENEBAL:
CONST,
CONTRACTOR #
FLOOD PLAIN:
ANYTEODN
THISPEBMITSHALL
requires you to
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_ OFFICE USE _
ATTENTION:Oregon taw
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WAT E R H E AT E R : Senlerjs-l-ggg-*a p - 2 A 44 F A N G F- :
regon lity Notification
SQUARE FOOTAGE: _
PEROD:ECONDARY
FOR
HEAT:
To request an !nspectlon, you rnust cali 72C-3769. This is a 24 hour recoicling. Aii inspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. will be macje the following work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
al Plumblng - When altplumbing worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
setting forms.
Rough Eleclrlcal - Prior to Flnal Eleclrlcal - When att
electrical work ls complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Eleclrical Servlce - Must be
approved to obtaln permanent
eleclrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Bulldlng - When ail
required lnspectlons have been
approved and building is -compteted. - !,Orlt/Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete WalllCelling lnsulatlon - Prlor tot.cover.
nderground Plumblng - Prior Drywall - Prlor to taplngto fllllng trench
MOBILE HOME INSPECTTONSUnderlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.Wood Stove - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or clecklng.lnsert - After flreplace approval
and installatlon of unlt.
Blocking and Set-Up - When ail
blocklng ls complete.
Floor lnsulation - Prior to Plumbing Connections - When
home lras been connected to
water and sewer.
ng.Curbcut & Approaclr - After
forms are erected but prior to
placement of concrete.Itary Sewer - Prior to fllling
trench.
Slorm Sewar - Prior to fllllng
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material in place.
Electrical Conneclion - When
blocking, set-up, and plumblng
inspections have been approved
and the home ls connected tothe servlce panel.
Water Llne - Prlor to filling
trench.
Fence - When ccirtpleted
Slre€t Trees - When all requlred
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventing have been lnstalled.
Rough Plumbing - Prior to
cover.
rl
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E
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-- Panhandle I
-
Cul-de-sac
ks c THE PFIOPOSED WORK tN THE ". HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
arrd approved by the Historlcal
Coordinator prior to permit lssuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
(A)
FT.
MIT t
X $/SQ. FT.
BUILDING PER
ITEM SQ.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUTLDING VALUE, i5Mru CHECK
AND BUILDING PERMIT
This pernrit 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.
Fleceipt Number:_
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being lmproved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
N'{0*
FEE
F'T.
FT.
a,t
(c)
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust l'lood By slgnature, I state and agree, that I have carefully examined
the completed application and do hereby certlfy that all
information hereon is true ancl correct, and I lurther cerflfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, 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 Bulldlrlg Sefety Dlvlelon.
I further certify that only contraotors ancl amployaes who
are ln compllance with ORS 701.O55 wlll be used on thls
proiect.
I further agree to ensure that all required lnspections 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 remaln
on the site at all times during construction.
Date
Signature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
VAI-IDATION
c
RECEIPT NUMBER O3 /8o
7 q7DATE PAII)
AMOUNT RECEIVED
BECEIVED BY
(B)
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