HomeMy WebLinkAboutPermit Plumbing 1995-02-16RESIDENTIAL
PERMIT APPLICATION
Ins
ott
pectfons: l2}4169
ice: 726.3759
LOCATION OF PROPOSED WOFIK;z.
JoB NUMBER aZ/E
225 Fifth Street
Sprlngfleld, Oregon g7 417
SPR IhrG FIELD tpe
ASSESSORS MAP:
LOT TAX LOT:
BLOCKT
PHONE:
STATE:
ztP
CITY:
ADDRESS:
OWNER:
OTHEB
a_ADDITION DEMOLISH
DESCRIBE WOFIK
NEW- REMODEL
CONST.
CONTFIACTOR #
ADDRESS
EXPIBES PHONE
CONTRACTOR'S NAME
ELECTBICAL:
MECHANICAL:
PLUMBING;
GENERAL:
- OFFICE USE -
FLOOD PLAIN
FIANGE:
WATER HEATER;
ZONING CODE;
E OF BDRMS:
LAND USE:
,fl OF UNITS
OUAD AREA:
I OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP;
I OF STORIES:
SECONDABY HEAT:
SOUARE FOOTAGE:
To request an lnspecilon, you must calmade the same worklng day, lnspectio
726-3769.Thls s 24 rec o rd ng Ansregutedaf ter o NS req U es ted be fo 7:OOES7:OO a.m.wl ll be m ade h
re a.m beowlnsworkday,
[--l femporary Electrtc
REQUIRED INSPECTION
fl RouOh Mechantcat - prior toq cover.
S
Slte lnspectlon - ToIlgt;;i;ii-J;,;,io?,?iiio" f i..,:r,.n
Erecrrrcar - prror tosetting forms.
Final. plumbing _ When ailprumbtng work ls complete.
FJnal Electrlcal - When allerectrlcal work ls complete.
F,lnal Mechanical _ When allmechanlcal work ls complete.
U-nderslab plumblng / Electrical /Mechanlcal - prloi to cover.
Footlng - After trenches areexcavated.
Masonry - Stoel locatlon, bondbeams, grouflng.
Eleclrlcal Servlce - Must beapproved to obtaln permanent
etectrlcal power.
l--l Flreptace - prtor to factng
-
materlals and framlng lnspl
l-l framlng - prtor to cover.
Flnal Building - When ailrequlred lnspectlons have beenapproved and bullding iscompleted.
Foundallon - After forms areerected but prlor to concreteplacemsnt.
Othor
Wall/Colllng lnsulallon - prlor locover.
[--l UnOerground p]umbtng - prior
-
lo fllllng trench.
n Underltoor Plumblng/Mechanlcal
Prlor to lnsulatlon or decklng,
Drywall - Prlor to taptng
MOBILE HOME INSPECTTONS
Wood Stovo - After lnstallatlon
Posl and Beam - Prlor lo floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
l-_l Alocking and Ser.Up - When ail
-
blocklng is complete.
Floor lnsulatlon - Prlor to
decl<lng.Curbcut & Approach - After
forms are erected but prlor loplacement of concrete.
Plumbing Connectlons - Whenhome has been connected to
water and sewer,
Sanltary Sewer - Prlor to f llling
trench.
Storm Sewer - Prlor to fllling
trench,
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Electrlcal Connectlon - When
blocklng, set.up, and plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Water Llne - Prlor to filling
trench,
Fence - When completed.
Rough Plumblng - Prlor to
cover.
Stroel Trees - When all requlred
trees are planted.
Flnal - After all required
lnspections are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
w
(
a hour
I ns pect
lt
EEfl
E
E E
.,.
' ':.
"-:.
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total helght
Lot T'
-
lnterior
-
Corner
-
Panhandle
-
Cul'de-sac
IS THE PROPOSED WORK TN THE .
HrsroRlcAL olsTFtlcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, thls applicatlon must be slgned
and approved bY the Historlcal
Coordinator prlor to permlt issuance.
APPROVED:
HSE GAR ACCP.L.
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDTNG PERMIT
Thls pefmit is granted on the express condltlon that the sald
consiructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfleld, includlng the
Development Code, regulating the constructlon and use ol
bulldlngs, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordlnances'
Plan Check Fee:
--------
Recel pt Number:_-=--
Plans Reviewed BY Date
Date Pald
Received BY
VALUE
(A)
BUILDING PERMIT
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
SO. FT. X S/SQ. FT.ITEM
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties wlthin tlre City limlts which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTSPLUMBING PERMIT
FEE
N0 .-au--k--
FT.
FT.
re
(c)
Plumblng Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done ln accordance
wlth the Ordinances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvlslon.
I further certlfy that only contractors and employees who
are ln compliance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensuro that all requlred lnspectlons are
requested at the proper tlme, 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
Date 2.-
on the slte at all times durlng nstructlon.
/(. 1q
Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (Fl
VALIDATION:
BECEIPT NUMBER
DATE PAIO
AMOUNT RECEIVEDTOTAL AMOUNT DUE (excluding elecrricat)(A, B, C, D, and'E'Combtned)RECEIVED BY
7/6 ^2,
ITEM
Flxtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home