HomeMy WebLinkAboutPermit Plumbing 1994-12-19R
P
ESIDENTIAL
ERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 726-3759
ELO
JOB NUMBER
225 Fifth Street
Sprlngfleld, Orcgon gl 4Zl
8tLOCATION OF PROPOSED WORK:
ASSESSORS MAP:TAX LOT
SUBDIVISION:
OWNER:
CITY:
AD
S'TATE:
PHONE:
ZIP:
NEW- REMODEL ADDITION DEMoL|SH OTHER
DESCRIBE WORK:
PHON EooNTBACTOR ' EXPTFES
CONTRACTOR'S NAME
ELECTRICAL:
MECHANICAL:
PLUMBlNG:
GENERAL:
ADDRESS
I
RANGE:
- OFFICE USE -
r OF BDRMS:
FLOOD PLAIN:QUAD AREA:
r OF BLDGS:
WATER HEAIEFI:
-
OCCY GROUP:
* OF STORIES:SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
, OF UNITS:ZONING CODE:-
To request an lnspectlon
made the same worklng
, you must call 726-3769. Thls ls a 24 hour recordlng, All lnspectlons requested before 7:00 a.m. wlll beday, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day.
Temporary Electrlc
REQUIRED INSPECTTONS
[-l Rough Mechantcat - prtor to
-
cover.
Slte lnspectlon - To be made
after excavatlon, but prlor tosettlng forms.
Rough Electrlcal - prlor to Flnal Electrlcal - \fuhen allelectrlcal work ls complete..cover.
Underslab Plumblng/ Electrlcal /Mechanlcal - Prlor lo cover.Electrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
Flnal Mechanlcat - When ailmechanlcal work ls complete.tl Footlng - After trenches are
excavated.I
ll flreptace - prtor to factng
-
materlals and framlng lnsp.
[-l Framlng - prlor to cover.
Flnal Bulldlng - When allrequlred lnspectlons have beenapploved and bullding is
completed.l-l Masonry - Steel locatlon, bond
-
beams, groutlng.
Foundatlon - After formg are
erected but prlor to concrete
placemont.n WalltCelllng tnsulatlon - prtor..to|J cover.
t] l'd'ffi,i:iii,liJn',"orng - Prror f_l Drywan - prror to taprno
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.
MOBILE HOME TNSPE TIONS
Wood Stove - Aft6r lnstatlatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.I-l lnsert - After flreplace approvqtu and lnstallatlon of unlt.
l-l Btocklng and Ser.Up - Whep ail
-
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prlor toplacement of concrete.
Plumblng Connecllons - When
home has been connected to
water and sewgr.
Sanltary Sewer - Prlor to filllng
trench.Electrlcal Conneiction - When
blocking, Set.up, and plurpblng
lnspections have been approved
and the home ls connected tothe servlce panel.
Storm Sewer - Prlor to fllllng
trench.
Sldewalk & Drlveway - After
excavatlon ls completo, forms
and sub-base materlal ln place.
Fence - When completed.er Llne - Prlor to fllllng
trench Flnal - After all required
lnspectlons are adproved andporches, sklrtlng, decks, andventlng have been lnstalled.
Streel Trees - When all requlred
trees are planted.
Rough Plumblng - Prlor to
cover.
tl
tl
tl
E
tl
[-l Flnal Ptumbtng - When ail'J plumblng work ls complete.
f---l otner
r
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total lelght
Lot Typ€
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
P,L.HSE GAR ACC
N
S
W
E
Setbacks
(A)
X .$/SO. FT. VALUE
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING PE'RMIT
ITEM SQ. FT.
Main
Gaqage
Carport
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit ls granted on the express conditlon that the said
constructlon shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfleld, including the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any tlme
upon violation of any provisions of sald ordinances.
Plans Fleviewed By Dato
Plan Check Fee:
Date Paid:
Receipt Num
Becelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls dus on all undevoloped
properties wlthln the City llmits which are being lmproved.
ITEM
Flxturest
Residentlal Bath(s)
Sanltary Sewer
Water
Storm Sevrer
Moblle Home
FEE
Plumblng Pormit
State Surcharse a 3%
Total Charge
N0
FT.trq
(c)
at\-o
.q.o0€30
PLUMBING PERMIT ADDITIONAL COMMENTS
(D)
Mechanlcal Permit
lssuahce
State Surcharge
Total Permit
By slgnature, I state and agree, that I have caref ully examlned
the completed appllcation and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordlnances of the City of Sprtngfield, 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 Bullding Safety Dlvislon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
project.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls looated at the front
of the property, and the approved set
Date
pl
o
Slgnatu
wlll remaln
e site at times durlng cons
MISCELLANEOUS PERMTTS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A,B,gQandEComblned)RECEIVED BY
AMOUNT RECE
DATE PAID
VALIDATION:
BECEIPT NUMBER
.S THE PROPOSEO WOBK TN THE .
HISTOBICAL DISTRIGT, OFI ON
THE HISTORICAL FIEGISTER?
-
lf yes, thls applicatlon must be slgned
and approved by the Hlstorlcal
Coordinator prlor to permlt lssuance.
APPROVED:
.t_; 1,1..ti;t
FT.
-
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent