HomeMy WebLinkAboutPermit Plumbing 1998-07-07RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
IhlGFIELO
JoB N;MBER Qfot z L
225 Fifth Street
Sprlngfleld, Oregon g7 4Zl
3-! N 73
ASSESSOFIS MAP:11o i c, lv TAX LOT:
LOT:
-
BLOCK SUBDIVISION:
PHONE:
STATE:
5
5 o ZIP:97qt 7
DoOWNER:
ADDRESS:
CITY:
3?-f ' /U ?3
c-U I C
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS EXPIRES ,. PHONE
ELECTFIICAL:
CONTRACTOB'S NAME
MECHANICAL:
GENEFIAL:
PLUMBI
CONST.
CONTRACTOB /
occY GRoUP' AwHoneEa UNDER THt$ryFftilT * OF BDBMS:
ZONING CODE:
FLOOD I)LAIN
_ OFFICE USE -
# oF sroRr ES' _€oMMEN0E+Ofi_IS ABANUoNEggffi e:
# oF BLDGS'ffiLEXplHEgt
SECONDARY HEAT
SOUARE FOOTAGE:wArER HEATEB: AI{Y 19q BAY PER|QD. FTANGE:
QUADAREA:ffi LANDUSE:
To request an lnspection, you must call 726-3769. Thls ls a24hoor recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
[--l Temporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When altplumbing worl( is complete.
SIte lnspection - To tre made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrical work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lrrsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundallon - After forms are
erected but prlor to concrete
Other
Wall/Ceiling lnsulatlon - Prlor to
cover.
und Plumbing - Prior Drywall - Prior to tapinging trench.
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or clecklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallation.
Post and Beam - Prior to floor
lnsulatlon or decking.tnsert - After flreplace approvgl
and installatlon of unlt.
[-l Btocking and Set.Up - When ail|J blocklng ls complete.
Floor lnsulation - Prlor to
decking.Curbcut & AJrproach - After
forms are erected but prior lo
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to fllling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Storrn Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation ls complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fence - When cci-'rpleted
[itreet Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plumbing - Prior to
cover.
E
E
E
E
E
E
E
tl
E
E
rl ,.
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Se ks
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK IN THE .
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPFIOVED:
BUILDING PERIVITT
VALUE
(A)
:
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SO. FT.
BUILDING VhI-UT, i5TRU CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City ol Springfield, including the
Development Code, regulating the construction and use of
ouildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Receipt Number:-
Plans Reviewed By Date
Plan Check Fee
Date Paid
Received By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
MJ , l, ut /lrf.,* /('
FEE
?.f
(c)
N.
FT.
PLUMBING PERMIT
27-'
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformation hereon is true ancl correct, and I f urther certlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout perrnission of the Buildirrg Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.O55 will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
Date
on the site at all times constru
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permi ts (E)
NoVent Fan
(D)
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Mechanical Permlt
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D and E Comblned)
7o 67(
do
fr
VALIDATION
RECEIPT NUMBER
DATE PAI[)
AMOUNT RECEIVED
RECEIVED BY
" ti:
w
FT.