HomeMy WebLinkAboutPermit Plumbing 1995-06-13RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
IELE,
LOCATION OF PROPOSED WORK:o
ASSESSORS MAP:
LOT:BLOCK:
2a
JOB NUMBEB
225 Fifth Street
Springfteld, Oregon 97477
TAX LOT:
SUBDIVISION
STATE ZIP:
{PHoNET 7 /6-+2}...
CITY:
ADDRESS:
OWNER:
ADDITION DEMOLISH OTHER
DESCRIBE WORI(
NEW-- REMODEL
ADDRESS
EXPIRES PHONE
CONTRACTOR'S NAME
MECHANICAL
ELECTRICAL
CONST.
CONTRACIOR #
G EN ERA L:
PLUMBING
- OFFICE USE -
N OF BDRMS:
WATER FiEATER
LAND USE:QUAD AREA:
# OF BLDGS
SECONDARY HEAT:
SOUARE FOOTAGE:FIANGE:
OCCY GROUP
# OF STORIES
ZONING CODE:
CONSTR. TYPE
HEAT SOUFICE:
# OF UNITS:
To request an tnspection, you must call 726_3769. Thimade the sanre working day, lnspections requested
l-l Temporary Etectric
s ls a 24 hour recordlng, All lnspec,ons requested before 7:00 a.mafter 7:00 a.m. will be made the following work day,
REOUIRED INSPECTIONS
Rough Mechanlcal - prlor tocover.
wlll be
Final Plumbing - When ailplumblng worl( ls complete,
Sile lnspection - To be made
af ler excavation, but prior tosetting forrns,
I-_l Understab plumbing/ Electricat/
-
Mechanical - prioi to cover.
Rough Electrlcal - prior tocover.
Electrlcal Servlce - Must beapproved to obtaln permanent
olectrlcal power.
Flreplace - prlor to faclngmaterlals and framlng lnsp.
Framlng - prlor to cover.
Wall/Celling lnsulatlon - prior lo
[--| Finat Etecrricat - When alt'+ electrical work ls complete.
I--l rtnat Mechanlcat - When ail
-
mechanlcal work ls complete.
Flnal Buildlng - When ailrequlred lnspectlons have beenapproved and buildlng iscompteted,
Eleclrical Conneclion - When
p_t9_cxl1g, set.up, ano ptumOrnglnspoctions have been approvedand the home is connected tothe service panel.
Final - After all requiredinspections are approved andporches, sklrilng, decks, andventlng have been lnstalled.
Foollng - Af ter trenches are
excavated.
Masonry - Steel locatlon, boncJbeams, grouting.
Foundatlon - After forms areerected but prior to concreteplacemen t.
Underground plumbing - prior
to filllng trench.
Underlloor plumbing / Mechanlcal
- Prior to lnsulation or decklng.
Pgst and Beany.- prlor to floorlnsulatlon or decklng.
Floor lnsulation - prior to
dec ki ng.
Sanitary Sewer - prior to filling
lrench.
Slorm Sewer - prior to filllngtrench,
Water Line - prior to fillingtrench.
Rough Plumbing - prior to
cover,
l-l orywail - prtor to taping,
l--l Wood Stovo - Afrer tnstailailon.
[-_l lnsert - After ftreptace approval
-
and installatlon of unlt.
Curbcut & Approach - Aftertorms are erected but prior toplacemont of concrete.
Sidewalk & Drlveway - Afterexcavatlon ls complete, formsand sub.base material in place.
Fence - When completed.
Stroel Trses - When all requlredtrees are planted.
Othsr
MOBILE HOME INSPE TIONS
I Alocking and Set.Up - When ail
-
btocking ls complete.
Plumbing Connections _ Whenhome has been connected towater and sewer,
cover.
B
., ,. t'
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL BEGISTER?
-
l{ yes, this application must be slgned
and approved by the Historlcal
Coordinator prior to pennit issuance.
APPROVED:
P.L.HSE GAR ACC
N
S
E
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILD]NG PERMIT
This permit is granted on the cxpress cor'rdition that the said
construction shall, in all respects, conform to the Ofdinance
adopted by thc City of Springficld, including the
Development Cocie, regulating the coostruction and use of
bulldings, and may lrc suspended or revol<cd at any time
upon violation of any provisions of said ordinances.
Plans Rcviewed t3y Date
Plan Check Fee
Date Paid
Recei pt Number:--.
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthin the City linrlts which are being improved.
ITEM
Fixtures
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
*=54re-fi 4r?,((,)
No
FT.
a-r<. j
-1>.
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDTTIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngf ield, and the Laws
of the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY witt be made of any
structure wlthout permission of the Bulldirrg Safety Dlvislon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 will be used on thls
prolect.
I f urther agree to ensure that all required lnspections are
requested at the proper tlme, that each address is readable
from the street, that the permlt card ls located at the f ront
of the property, and the approved set of plans will remaln
Slgnatu re
J arze-,/3Date
on the slte at all time uring const on.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut f t
Oemolltlon
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludinq electrical)
(A, B, C, D, and E Comblned)
2->*@
DATE PAID
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
BECEIPT NUMBER
FT. ?2