HomeMy WebLinkAboutPermit Plumbing 1992-11-19II\lGFIELf,RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WO
ASSESSORS MAP:
LOT:
JOB NUMBER
225 Flfth Street
Spri ng f ield, Oregon 97 477
TAX LOT:
BLOCK:SUBDIVISION
P EOWNE
ADDR
CITY:STATE:ZIP:
ADDITION DEMOLISH OTHERNEW- REMODEL
DESCRIBE WO
ELECTRICALT
ADDRESS EXPIRES PHONECONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONST.
CONTRACTOR #
E_i'
FIANGE:
r OF BDRMS:
_ OFFICE
WATER HEATER:
ZONING CODE:
FLOOD PLAIN:
* OF UNITS:
LAND USE:QUAD AREA:
* OF BLDGST
SECONDARY HEAT
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
* OF STORIEST
To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
Temporary Eleclric
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footlng - After trenches are
excavated.Fireplaco - Prior to faclng
materlals and framlng lnsp.
Flnal Building - When att
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundation - After forms are
erected but prlor to concrete
placement.
Other
Underground Plumbing - Prior
to filling trench.
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approvql
and installation of unlt.
Blocking and Set.Up - When atl
blocking is complete.
Floor lnsulation - Prior to
decklng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to f illing
h Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Slorm Sewer - Prlor to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspectlons are approved and
porches, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
[-_l Rough Mechanicat - Prior to I Final plumbing - When ail
'J cover. lJ plumbing work is complete.
E
E
E
E
E
E
E
tl
tl
tl
E
Waler Line - Prior to filllng
trench.
f] Framlng - Prlor to cover.
n Wattrcelllng tnsulatlon - Prlor toL-J cover.
J--l Drywall - Prlor to taping.
[-l Wood Stove - After lnstallatlon.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typt
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
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.
Plans Beviewed By Date
Fleceipt Numbe
Plan Check Fee:
Date Paid
Received By:
BU!LDING PERMIT
ITEM SQ. FT. X $/SO. FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
N0
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
(D)
NoVent Fan
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certily
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building 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 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 is located at the front
the approved set of plans will remainof the propertg-and
on the site at atl. tinies n NS
Signat
Date
on.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
+A d)
I (,_L,
DE
DATE PA,ID
VALIDATION:
RECEIPT NUMBER
AMOUNT Ft
RECEIVED