HomeMy WebLinkAboutPermit Plumbing 1998-04-24RESIDENTIAL
PERMIT APPLICATION
fnspections: 126-9769
Office: 126-3759
IELI)
TuLOCATION OF PROPOSED WORK:o
ASSESSORS MAP;o G
LOT BLOCK:
JOB NUMBER Qt t 7s I
225 Fifth Street
SprlngflelcJ, Oregon gl 4ll
TAX LOI Oo o/
-
SUBDIVISION
PHONE:
STATE:
ZIP:
?v 2 L
oeR
L1 L
6 o
77<,t4Z t S<:r--l
OWNER:
ADDRESS:
CITY:
,(-/r\.r577,
ADDITION DEMOLISH OTHER 77,.tt s €ad r
DESCFIIBE WOFIK:
NEW--- REMODEL
ADDRESS
q
EXPIRES '1 PHONE
I hN!
CONTRACTOR'S NAME
PLUMBtNGT
GENERAL:
MECHANICAL:
ELECTBICAL:
CONST.
CONTRACTOR #
S\HI
'tut
r OF BDFIMS:
PLAIN
FIANGE:
QUAD AFIEA:
r OF BLDGS:
SECONDARY HEAT:
SQUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
OCCY GROUP:
I OF STORIES:
To re gu es an Inspec ti on,you MUSt calmadethesame 726-3769.Thr s ls 24 h OU r record ng AIworklngday,n S pec tio NS requested a(ler lnspections re
the following
ques ted before 7:00 a.m. wlil beday.
7:OQ a.m wi be made
R EQUIRED INSPECTIONS
Rough Mechantcal _ prior tocover.
[-J Temporary Etectric
Slte tnspecrton _ r",?:.l1do f_l Rough Electricat _ prior to3:tt?;;ln:on' but Prior to U i,luu,.
Flnal. plumbing _ When ailprumbing worl< is complete.
f-l rjnaf Etecrrlcar _ When all
-
erectrical work is complete.
H,:*:",1 il" i !t*i i 5, ::y;: " "
Footing - After trenches areexcavated.
Masonry - Steel locaflon, bondbeams, groullng.
Foundatlon - After forms areerected but prlor to concreteplacemont.
Elecldcal Service _ Must beapproyed to obtain permanentelectrlcal power.
Flreplace - prlor to facingmaterlals and framing lnspl
Framlng - prlor to cover.
Final Mechanical _ When allmechanical work is complete.
Final Building - When ailrequired.lnspecilons have beenapproved and buildinq iscompleted.
Other
Wall/Celling lnsulatlon - prlor tocover.
f--l Unaerground ptumblns - priorlJ lo fllllng trench [--l Drywall - prior to taptng.
Underlloor plumblng/ Mechanical
- Prior to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallation.
Post and Beam - prlor to floorlnsulatlon or decking.lnsert - After fireplace approvqland Installatlon of unlt.
[-l Blocking and Set.Up - When all
-
btocklng ls complete.
Floor lnsulation - Prlor to
decl<lng.Curbcut & AJrproach - After
forms are erected but prior toplacement of concrete.
Plumbing Connectlons - Whenhome has been connected towater and sewer.
Sewer - Prior to filling
tre h.Electrical Connection - Whenblocklng, set-up, and plumbing
lnspections have been approvedand the home is connected tothe servlce panel.
rm Sewer - Prior to tilling
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base mar.erial in place.ch
Water Line - Prlor to lilling
trench.
Fence - When coillPleted.
Bough Plumbing - Prlor to
cover.
Str€et Trees - When all requlred
trees are Planted.
Final - Atter all required
inspectlons are approved and
porches, sklrting, decks, and
ventlng have been lnstalled.
a
lt
Err E
tl
E
P.L.HSE GAR Acc
N
S
i----le
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot TYPe
-
lnterior
-_ Corner
--_ Panhandle'
-
Cul'de-sac
l.l
IS THE PROPO SED WORK tN THE
HISTORICAL DISTR ICT, OR ON
THE HISTORICAL B EGISTER?
lf yes, this applicatlon must be slgned
onO
'"PPror"O bY the H istorlcal
Coordinator prior to permit issuance'
APPROVED:
VALIDATION:
RECEIPT NUMBER __4T58/_-
DATE PAI[)1-,>4-7 (
AMOUNT RECEIVED
DatePlans Revi ewed BY
KcHEcNLAEVALUGNUDLBTMRPGNLDBDUNA dsaithethationondcnoheexpresstedSgranSperrnThiinanceOrdhetoconformresalpectsnshalstructioncontheudnncsdnefiSpngoCivehbyadoedptseofndUatrucionconSntheatiCodsreguoDevelpmenimeatnyrevokedordedSUbespenmayandtdibUngs,rdo nances.of alS donsslrovlpany
ReceiPt Number:
Fleceived BY:
upon violation of
Plan Check Fee:
Date Paid:
BUILDING PERNilIT VALUESO. FT.
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
X $/SO. FT.
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CH
(B)
ARGE (SDC)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
state surcha rce f 0'8 Aln'-t-
PLUMBING PERMIT
FEE
N1
${r
Plumbing Permit
Total Charge
FT.
FT.
FT
$at, -(c)
J5,
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true ancl correct' and I lurther certlty
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertaining to the work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure without perrnission of the Buildirrg Safety Division'
I further certily that only contractors and employees who
are in compliance with ORS 701'055 will be used on this
proiect.
I further agree to ensure that all required inspections are
reguested at the proper tlme, that each address ls readable
from tlre street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
^ 2 /-qrf
&
$^r.
lgnature
on the s all times duri tion.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --.- ft
Curbcut
--
ft
Demolition
State Surcharge
Tolal Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)RECEIVEO BY
a