HomeMy WebLinkAboutPermit Plumbing 1997-07-21RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726.3759
LOCATION OF PROPOSED
ASSESSORS MAP:
LOT
SPrlII\rGFIELE,
b?th*
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT:1
SUBDIVISION: -_--BLOCK:
OWNER:
CITY:
ADD
PHONE:
STATE:ZIP:
L
OE
ADDITION DEMOLISH OTHER
DESCRIBE WORK;
NEW- REMODEL
ADDRESS EXPIRES i PHONECONTRACTOR'S NAME
GENEBAL:
ELEfiBICAL:
MECHANICAL:
PLUMBING:
coNsT.
CONTRACTOR #
- OFFICE USE -
QUAD AREA:
,T OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
# OF BDRMS: _OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:FLOOO PLAIN:
WATER HEAIER:RANGE:
# OF UNITS:
-
ZONING CODE:
To request an lnspectlon, you must call 726'3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll bemade the same worklng day, lnspectlons reguested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Eleclrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When allplumblng worl< is complete.
Slte lnspectlon - To be mado
after excavatlon, but prlor tosettlng forms.
Hough Eleclrical - Prior to Final Electrical - When all
electrlcal work is complete.cover.
E Underslab Plumblng/ Electrlcal /
Mechanlcal - Prlor to cover.Eteclrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work is complete.
tl Footlng - After trenches are
excavated.Flnal Buildlng - When all
requlred lnspectlons have beenapproved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
tl
D
Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.WallrCeltlng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prlor l---l Drywall - Prtor to taptng.to lllllng trench
Underlloor Plumblngl Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE I.IOME INSPECTIONS
Wood Stove - Afler lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set-Up - When allblocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.
l-l Storm Sewer - Prlor to filting
-
trench.
Sidewalk & Drlveway - After
excavation is completc, forms
and sub-base material ln place.
Electrical Connection - When
blocking, set.up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.tl Water Llne - Prlor to filling
trench.
Fence - When coiilpleted.
Slreel Trees - When all required
trees are planted.
l--l Final - After ail required.J lnspeclions are approved andporches, skirting, decks, andventing have been lnstalled.
[-l Rough Plumbing - Prior tolJ cover.
m
frL/ll
TB
tl
tl
l---l other
tl
tl
n
PL.HSE GAR ACC
N
S
E
W_-
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
__ Corner
-
Panhandle I
-
Cul-de-sac
IS THE PROPOSED WORK iN THE .
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Historical
Coordinator prlor to permit issuance.
APPROVED:
BUILDING PERMTT
ITEM SO. FT.
Main
Garage
VALUE
(A)
t
Carport
Tolal Value
Building Permit Fee
State Surcharge
Total Fee
x $/so. FT.
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 Springfleld, 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
,I
Pt
E
Plan Check Fee:
Date Paid
Received By:
LAN CHECK
RMIT
.'']
BUILDING VALUE
AND BUTLDING P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
stato surcha,sut 370 C\ Admi-vt
FEE
Plumblng Permit
Total Charge
15.ro
(c)
FT.
N1
PLUMBING PERMIT
25.N)
I ,e€--?+5- -27,UU
ADDITIONAL COMMENTS
,l\AlV<6A^..---FOR
EXPIRE IF
PEBM|T,S
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
MECHANICAL PERMIT
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnaco
Exhaust Hood
Vent Fan
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 in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without permission of the Buildirrg Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701,05S wlll be used on this
prolect.
I further agree to ensure that all reguired lnspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
...., ,vr/,,nr ftrHIOD.
Signature
Date
of the property, and the proved set of plans ll remaln
du g constru
/)
on the site at all ti
MISCELLANEOUS PEBMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Miscellaneous Permils (E)
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, D, and E Combined)
q7D-2t-tyo
VALIDATION:
UMBER
AMOUNT RECEIVED
RECEIVED BY
1-2t-
BECEIPT N
DATE PAII)
ru StaWwy
FT.
N0