HomeMy WebLinkAboutPermit Plumbing 1997-11-17RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
IELE,
225 Fifth Street
Springf leld, Oregon 97477
LOCATION OF PBOPOSED WORK:
ASSESSORS MAP:
LOT BLOCK:
Lt+
TAX LOT;
(^l-,- t-"
zlPSTATE:
VauqLnOWNER:
ADDRESS:
CITY:
DEMOLISH OTHER
(l rDESCRIBE WORK:
NEW
-
REMODEL ADDITION
+t(r "44-ll-..*
ADDBESS
tl?
No
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL;
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
USE -4u
trrv
r,nsn Y /s
. ,-dtll
# OF BDFIMS
RANGE:
ZONING CODE:
FLOOD PLAIN
WATER HEATER:
HEAT SOURCE:
coN
SECONDARY HEAT:
SOUARF. FOOTAGE:
OUAD AREA:
* OF BLDGST
OCCY GROUP:
* OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When all
plumbing work ls complete.
Slte lnspectlon - To lre made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prior to Flnal Electrical - When all
electrical work ls complete.cover.
Underslab Plumblng/ Electrlcal /
Mechanlcat - Prlor to cover.Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated,Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placemont.Wall/Celling lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to lllllng trench.Drywall - Prior to taplng.
MOBILE HOME INSPECTIONS
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stove - After lnstallation.
E Posl and B6am - Prlor to floor
lnsulatlon or decklng.Inserl - After flreplace approvsl
and lnstallatlon of unlt.
Blocking and Set.Up - When all
blocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & AJrproaclr - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.fr Sanitary Sewer - Prior to filllng
trench.Electrical Conneclion - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel,
Storm Sewer - Prior to fllllng
trench.
Water Llne - Prlor to filling
trench.
Slreet Trees - When all required
trees are planted.
Final - After all required
Inspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled.@:::! Prumbins - Prror to
JoBNUMBE"-? /62 7
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SUBDIVISION: '
PHONE:
EXPIRES ,S PHONE
E
l-_l Sidewalk & Drivewav - Aftert-' excavation ls complete, forms
and sub-base material in place.
n Fence - lVhen coi-'rpleted.
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l-l ottrer
E
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E
5
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i IS THE PBOPOSED WORK TN T
HtsroRlcAL olsTBlcT, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved bY the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
HE"
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typ
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
ACCHSEGARP.L.
N
S
E
VALUE
(A)
1'ndrrBUILDING PER
ITEM SQ.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
FT. X $/SQ. FT.
This permit is granted on the express condition that the said
construction shall, in all respects, contorm to the Ordinanceadopted by the City of Springfield, inctudlng the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Receipt Number:_
Date
Date Paid
Received By:
Plan Check Fee
AND BUILDING P
BU I LDI NG E , i5rRu cHEcK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
Resldentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
Plumblng Permlt
State Surcharge *O,o3Z Mn^,;
Total Charge (C)
FEE
FT.
FT.
N'
/3. )"
FT.
440,-+a.*lpp
PLUMBING PERMIT
ITEM
Fixtures
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accorrJance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Bullding Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 7O1.OSS wlll be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
Date
on the slte at all times during ructlon.
Xlonature
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
ft
Oemolitlon
State Surcharge
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding etectrlcat)
(A, B, C, Q and E Combined)
VALIDATION:
RECEIPTNUMBER W
DATE PAID
AMOUNT RECEIVED 6
RECEIVED BY <)
).o
Flans Reviewed -Bt-
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