HomeMy WebLinkAboutPermit Plumbing 1994-09-22ESIDENTIAL
ERMIT APPLICATION
lnspectlons: 226.9269
Offlce:72AAZS9
LOCATION OF PROPOSED WORK:
B
P
ASSESSORS MAP:
TA _ v6b
225 Flfth Street
Sprlngfleld, Oregon 974
TAX LOT oz)<DnoV24u,2
LOn BLOCK:SUBDIVISION:
PHONE:
STAf,E:ZIP:
d
L
n-t^-CITY:
ADDRESS:
OWNER;
a1 l.{ t?
I
OESCRIBE WORK:
ADDBESS
b b-
EXPIRES PHONE
CONTRACTOR'S NAME
GENERAL:
I OF BDRMS:
MECHANICAL:
ELECTRICAL:
FLOOD PLAIN
CONST.
CONTRACTOR #
OUAD AREA:
r OF BLDGS:
OCGY GROUP:
* OF STORIES:SECONDARY HEAT
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
- oFFtcE usE _
LAND USE:
# OF UNITS: _
WATER HEATER:
ZONING CODE: _.
To request an lnspecflon, you must call 726.3269. Thl
made the same worklng day, lnspecilons requested
ls ls a 24 hour recordrng. Ail Inspecilons requested before 7:00 a.m. wilr beafter 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
n l&'"',: Mechanrcat - prror to tl fil;lr?[T.i?fl,;#ffil"ii:
Rough Electrlcal - prlor to Flnal Electrlcal - rvl,hen allelectrlcal work ls complete.t
l-l Temporary Elecrrtc
l-l Slte tnspectlon - To be macteu after excavailon, but prlor tosottlng lorms.
n Understab ptumblng/Etectrtcat/
-
Mechanlcal - prlor to cover.
ll Footlng - After tfenches are
-
excavated.
n Masonry - Steel locatlon, bondu baams, groutlng.
tf
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
[l Flreptace - prtor to faclng
-
materlals and framlng lnsp.
[-l Framlng - prlor to cover.
WalllC'elllng tn
cover.
i
sJl"tlon - prlor to
[-_l orywatt - prtor to taptng.
l-l Wood Stove - After lnsrailatton.
l-l tnsert - After flreplace approval
-
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor toplacoment of concrete.
[-l Slaewalk & DrlvewaylJ excavatlon ls complo
cover.
- After
to, forms
and sub-base materlal ln place.
Fence - When completed.
Slreel Trees - When all requlred
trees are planted.
Flnal Mechanlcal - When allmechanlcal work ls complete.
Flnal Bulldlng - When altrequlred lnspecilons have beenapproved and bulldlng lscompleted.
Other
MOBILE HOME TNSPE TIONS
l-l Blocklng and Set.Up - Whep ail.4 blocklng ls complete.
tl
tl
E
[l Sanllary Sewer - Prlor to filnng
-
trench.
Foundallon - After forms are
erected but prlor to concrete
plac6ment.
Underground Plumblng - prlor
to fllllng trench
Undsrlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulallon - Prlor to
decklng.
Storm Sewor - Prlor to flltlng
trench.
Water Llne - Prlor to flltlng
trench.
Rough Plumblng - Prlor to
cover.
Plumblng Connecttons - Whenhome has been connected towater and sewer.
Electrlcal Connectlon - When
blocklng, set.up, and plurpblng
lnspectlons have been approved
and the home ls connected tothe servlce panel.
Flnal - After all requlred
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
JoBNUMBER q4trlbo
69-
t
ItPLUMBING:
tl
tl
tl
GAR ACC'P.L,HSE
N
S
E
Lot faces
Lot sq. ftg.
Lot covorago
Topography
Total [elght
Lot Typ€
-
lnterior
-
Cgrner
-
Panhandle
-
Cul-de-sac
BUILDING PERMIT
ITEM SO, FT. X $/SQ. FT, = VALUE
(A)
Total Value
Buildlng Permit Fee
State Surcharge
Total Fee
lv!ain
Gaqage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permlt ls granted on the express condltlon that the sald
construction shall, ln all resp€cts, conform to the Ordlnance
adopted by the City , of Sprlngf ield, includlng the
Development Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon vlolatlon of any provlslons of sald ordlnances.
Plans Reviewed By Date
Recelpt Numbe
Plan Gheck Fee:
Date Pald:
Becelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
propertles wlthln tho City limits which are being lmproved.
ITEM
Flxturest
Besldentlai Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
state.surcha rnu (Olo 5+a-+< *3$ il^l
FEE
No
2r.67)Plumblng Permit
L6b
Total Charge
01)
FT.
(c)
,Z;7 .DO
PLUMBING PERMIT ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
(D)
NoVent Fan
Mechanical Permlt
lssuahce
State:surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done ln accordance
wlth the Ordlnances of the Clty of Sprlngfleld, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANGy wlll be made of any
structure wlthout permisslon of the Bulldlng Safety Dlvislon.
I further certlty that only contractors and employees who
are ln compllance with ORS 701.05S wlll be used on thls
prolect.
I further agree to ensuro that all requlred lnspections 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 proporty, and tho approved set of plans wlll remaln
Slgnatu re
Date
on the slte at all ti s durlng construcilon.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (exctudtng etectrical)
(A, B, C, Q and E Comblned)
VALIDATION
5D
BECEIPT NUMBER trt y
ZLDATE PAID
AMOUNT REC
BECEIVED BY
.S THE PFIOPOSED WORK TN THE -' HtsroBlcAL DlsrRlfi, oR oN
,., TH E H ISTOBICAL FIEGISTER?
ll yes, thls appllcatlon must be slgned
and approved bY the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
FT.
FT,