HomeMy WebLinkAboutPermit Plumbing 1997-02-28RESIDENTIAL
PERMIT APPLICATION
lns_pections: 726.3769utrlce: 126.3lSg
LOCATION OF PROPOSED WO t/0 2g*4 5r-
SPrt crrtgloIN
JOB NUMBER
225 Fif th Street
Springfi etcl, Oregon g7 471
ASSESSORS MAP:-7 C lL
LOT;
OWNET-I:
ADDRESS:
CITY;
TAX LOIBLOCK:
ADDRESS
DEMOLISH OTHER
CONSIcoNiRACroR #
inspecilons
the followln
SUBDIVISION:
EXPI}tES
FLOOD I)LAIN:
ZONTNG CODE: ----r OF BDRMS;
SECONDARY HEAT:
SQUARE FOOTAGE:
OESCRIBE WORK
NEW..- REMODEL
CONTRACTOF'S NAME
GENERAL:
PLUMBING
MECHANICAL:
ELECTRICAL;
QUAD AREA:
I OF BLDGS:
OCCY GBOUP;
E OF STORIES:
WATER HEATER
Io request an lnspecil
rnade the sanre worki
ADD ITION
PHONE
_ OFFICE USE _
LAND USE:
Y OF UNITS:
CONSIB, TYPE:
HEAT SOURCE:
RANGE:
on, you must call 126.3269. Thls is a 24 hourng day, lnspections reque sted af ter 7:00 a.m wlll be made
recording. All
leque.sted before 7:00 a.m. will beI work day.
-__
R EQUIRED INSPECTIONS
I:.in-n Mechanicat - prior tocover.
5iff i ft TJ:nn, ;"y.1 ;i: fl l
5,T;J,,:'":"[:;l', ; yff t il]
Fina.l Mechanical _ When allmechanical worl( ls ctmptete.
F^inal_Building _ When all
lu^1y,_."d .l nspec tions have been
-a?proyed and buildino iscompleted_
[-l lemporary Etecrric
Site lnspeclion _ To
:inm ;,1'il,;,i'r?;il:t' D:"",ir,.t Erecrricar - prior ro
I-l U.nOerslab ptumbing/ Etectricat/ t_
-
Mechanicat _ prioi'to'Iiuul.,, E Ejectrical Servlce _ Must be
:i*l?tT 1,".;:::' " perrnanen t
II:p,,":u - prlor to facinsmaterlals and framing lnspi
Framlng - prlor to cover.
l-l W-.aillCeiling Insutation _ prior to
-
cover_
l-l Drywail - prior to taping
f Wood Stovo - Afrer Instailatlon
lnserl - After flreplace approvqland installation of unit.
Curbcut & A1:proach _ Afterrorms are erected but prior topracemcnt of concretc.
Sidewalk & Driveway - Af terexcaviltion ls complcte, formsand suLr.base material in place.
Fence - lVhen completed.
L9:ll"q - After trenches areexcavated.
M-asonry - Steel locailon, bondbearns, groutino.
F_o_undatlon - After forms areerecled but prlor to concretepracement.
Underground plumbing _ priorto fllllng trench.
Underlloor plumbing/ Mechanical
- t nor to Insulatlon Or decking.
Post. and Beam - prlor to f loorrnsutailon or decking.
Floor lnsulation - prior todecki n g.
Sanitary Sewer - prior to f ilting
trench.
Slorm Sewer - Prior to f ilting
trench.
MOBILE HOME INSPE TIONS
f-l alocking and Set.Up _ When ail
-
blocklng is comptete.
Plumbing Connections _ Whenhome has been cor.tnected towater and sewer.
Electrical Connecfion _ Whenp]9:Iiig, ser.up, and ptumbinsrnspections havo becn approvedand the home is connected tothe service panel.
Othor
Final - After all requiredinspections are approved andporchcs, sl<lrting, dect(s, andventing have been instailed.
Waler Line - Prlor to filling
trench,
Rough Plunrbing - Prior to
cover.
:itreet Treos - When all required
trees are planted.
PHONE:
ztP
STATE:?7
t.-
l5
tr
E
tl
E E
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
-
lnterior
-_
Corner
-
Panhandle
-
Cul'de'sac
Se
P.L.HSE GAR ACC
N
S
E
r> THE PROPOSED WORK iN TH E
HISTORICAL DISTRICT' OR ON
THE HISTOBICAL REGISTER?
-
It yes, this application must be signed
a,rd aPProved bY the Historlcal
Coordinator prior to permit issuance'
APPBOVED:
BUILDING VALUE, PLAN CHECK
ANo autLDING PERMIT
Ttris pcrrrlit is grarrted on tlte cxpress conclition that the said
"onrirrction
sJrall, in all respects' conform to the Ordinance
"i.pi"J uv the Citv of Springfield' i.ncluding the
Development Cocle, regulating ihe.Construction and use of
[riloi"-s", and may uJ suspenoed or revoked at any time
u pon uiof uti"n of any provisions of said ordinances'
DatePlansRcviewed BY
Plan Check Fee:
Date Paid:
ReceiPt Numbcr
Feceived BY:
BUILDING PERMIT
VALUE
(A)
SO. FT. X S/SO. FT'ITEM
Main
Garage
Carport
Total Value
Builcling Permit Fee
State Surcharge
Total Fec
Systems Development Charge is due on all undeveloped
properties within tlrc City linrits which are being improved'SYSTEMS DEVELOPMENT CHARGE
(B)
(sDC)
ADDITIONAL COMMENTS
ITEM
Fixtures
Besidential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
FT.50
FT.
FT.
(c)
Plumblng Permit
State Surcharge
Total Charge
Wood Stove/ lnsert / Flreplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
Nt 0
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state anrl agree, that I have caref ully examlned
the completed application and do hereby certify that all
ln(ormationhereonistrueanclcorrect,andlfurthercertlfy
that any and all work performed shall be done in accordance
with the Ordinanccs of the City of Springlield, and the Laws
of the State of Oregon pertainlng to thc work descrlbed
herein, and that NO OCCUPANCY will be made of any
structure wlthout pertnission of the Bulldirlg Safety Divislon'
I lurther certi{y that only contractors and employees who
are in cornpliance with OBS 701.055 will be used on thls
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from tlre street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
Slg natu re
>/>t lqDate
Y"L a
on the site during constructionaltmes
MISCELLANEOUS PERMlTS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Miscellaneous Pennits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, Q and E Combined)
VALIDATION:
BECEIPT NUMBER 21181-rw7[fDATE PAID
AMOUNT RECEIVED
RECEIVED BY
mNl---
l,r{
,-{ -n,i,D
Mechanical Permit
lssuance
State Surcharge
Total Permlt