HomeMy WebLinkAboutPermit Plumbing 1999-10-15SP;lINGFIELDRESIDENTIAL
PERMIT APPLICATION ?? r 7zz
lnspect
Office:e$,
ions: 726-3769
726.3759
.,OB NUMBER
225 Fifth Street
Sprlrrg(leld, Oregon 97477
LOCATION OF PBOPOSED WO N"/1 z
ASSESSORS MAP:/70 /r{TAX LOT:o7 0o
LOT BLOCK:SUBDIVISION
PHONE:
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O<STATE ZIP:7)'./ )>
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LJ UT
CITY:
ADDRESS:
OWNER:
de^u r c_ .<;n.le*l*</u-
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW- BEMODEL
ELECTRICAL:
-
ADDRESS
/<) b'12 Y7- 7'2 N,
EXPIBES '1 PHONECONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
- oFFtcE USE -
ouAD AREA: NOTICE: LAND USE: FTTr-' "'r- "'
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# oF sroRlES: ---AIIAq€0€AY+ER|OD. HEAr souRCE:
r OF BDRMS: _
RANGF-:
calling
num
SQUARE FOOTAGE:
SECOI!DARY HEAT:
To request an lnspection, you must call 726-3769. Thls ls a24nour recordlng. All lnspections requested before 7:00 a.m. will be
made the same worklng day, lnspections requested af ter 7:00 a.m. wlll be macJe the followlng work day.
REQUIRED !NSPECTIONS
l-l Rough Mechanical - Prior tolJ cover.
Temporary Electrlc
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumblng/ Electrical /
Mechanlcat - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumbing - Prior
to filllng trench.
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decking.
Post and Beam - Prlor to floor
insulatlon or decklng.
FIoor lnsulation - Prior to
decking.
Sanltary Sewer - Prior to filling
trench,
Slorm Sewer - Pr'ior to fllling
trench.
ch
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtaln permanent
electrlcal power.
lnsert - After fire;:lace approval
and lnstallatlon ol unlt.
Curbcut & Approach - After
forms are er(lcted but prior to
placemen t of concretc-..
Sidewall< & Driveway - After
excavation is complete, forms
and sub-base material in place.
Slreel Trees - When all requlred
trees are planted.
Final Plumbing - When all
plumblng worl< ls complete.
Finat Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
Final Building - When all
required lnspections have been
approved and building is
completed.
Other
MOBILE HOME INSPE TTONS
Blocking and Set.Up - When all
blocklng is cornplete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved andporchcs, skirting, decks, andventlng have been lnstalled.
Line - Prior to filling [--l fence - lvhen cciripleted.
Rough Plumbing - Prior to
cover.
i.
WATER HEATER:
E tl
l-l Flreplace - Prlor to faclng
-
materlals and framing lnsp.
I--l Framlng - Prior to cover.
I-l Walt/Ceiling lnsulatlon - Prlor tot-J cover.
l--.l Drywall - Prlor to taplng.
| | Wood Stove - After lnstallatlon.
fl
tl
tl
Lot faces .
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
ln terior
--
Corner
..- Panhandle
-
Cul-de-sac
Setbac
PL.HSE GAR ACC
N
S
E
IS THE PROPOSED WOBK IN THE .
HISTORICAL DISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this application must be signed
arrd approved by the Historical
Coordinator prlor to permit issuance.
APPFIOVED:
VALUE
(A)
X $/SQ, FT.
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ, FT.
Main
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERT/IIT
This pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, 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.
Plans Reviewed By Date
Recei pt Numbe
Plan Check Fee:
Date Paid
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties wlthin the City linrits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N.
zfa
___21?
27.ft
FT, 37
(c)
{'
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
stats suroharge
Totel Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certlfy that all
information hereon is true and correct, and I turther certify
that any and all work performed shall be done in accorrJance
with the Ordinanccs of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.05S will be used on this
proiect.
I further agree to ensure that all requirod lnspections are
requested at the proper time, that each address ls readable
from tl'ro atreet, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
Date
on the site at all times du g constructlon
to /t r /zt
Signatu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneoug Perrnits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
t1
?.()
1f1t t
ff/l
)7.EIVED c
DATE PAII')
VAI-IDATION:
RECEIPT NUMBER
AMOUNT BEC
RECEIVED BY
FT.
. FT.