HomeMy WebLinkAboutPlan Review Plumbing 1996-03-18RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
tor:
PFrIh.CiFIELI)
BLOCK:
TAX LOT >aa
SUBDIVISION: -
PHONE:
STATE:ZlPie-7
OWNER:
ADDRESS:
CITY:
DESCRIBE WORK:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
ADDRESS EXPIRES PHONE
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
* OF BDRMS:
_ OFFICE USE _
RANGE:
QUAD AREA:
I OF BLDGS:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARF. FOOTAGE:
LAND USE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE
HEAT SOURCE:
# OF UNITS:
----
To request an inspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the safile worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
[-l Temporary Electric Rough Mechanical - Prlor to
cover.I---l Final Plumbing - When ailtJ plumblng worl( ls complete.
Site lnspection - To be made
af ter excavatlon, but prior tosetting forms.
Rough Electrical - Prior to Final Electrlcal - When allelectrical work is complete.cover.
Electrlcal Servlce - Must be
approved to obtain permanent
electrlcal power.
Flnal Mechanlcal - When allmechanical work ls complete.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When ail
required lnspectlons have beenapproved and building is
completed.
l-l Framlng - Prtor to cover.
Wall/Celling lnsulallon - Prlor to
cover.
Underground Plumbing - Prior
to filllng trench.l--.l Drywatl - Prlor to taptng
Underlloor Plumbing/ Mechanical
- Prior to lnsulatlon or decking.
MOBILE HOME INSPECTIONS
Wood Stove - After lnstallatlon.
Post and Beam - Prior to floor
lnsulation or decking.lnsert - After flreplace approval
and installatlon of unlt.
Blocking and Set.Up - When ailblocklng ls complete.
Floor lnsulation - Prior to
decklng.Curbcul & Alrproaclr - After
forms are erected but prior to
placemcnt of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrlcal Connecllon - When
blocking, set.up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Slwer - Prlor to filling
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filling
trench.[-l Fence - When completed
Slreel Trees - When all required
trees are planted.
Final - After all required
lnspections are approved andporches, sklrting, decks, andventing have been installed.
Rough Plumbing - Prior to
cover.
JoB NUMBE " %a?Z?
225 Fifth Street
Springfleld, Oregon g7477
I
/?v 9-=<-//
7 ',- ^a
f*-
WATER HEATER:
E
[-l Underslab Ptumblng/ Electrical/
-
Mechanlcal - Prior to cover.
[l Footlng - After trenches arelJ excavated.
[-_l Masonry - Steet tocatlon, bond
-
beams, groutlng.
l--l Foundatlon - After forms are
-
erected but prior to concrete
placement.r
E tl
[---l other
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type .
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
,S THE PROPOSED WOBK iN THE
HISTORICAL OISTRICT, OR ON
THE HISTOFIICAL REGISTER?
-
lf yes, this applicatlon must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPBOVED:
HSE GAR ACCP.L.
N
S
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordlnance
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 Uy Date
Plan Check Fee
Date Paid
Receipt Number
Received By:
VALUE
(A)
X $/SQ. FT.
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SQ. FT.
Main
Systems Development Charge is due on all undeveloped
properties within tlre City linrits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
Fr.44 ,fe
FEE
No
-^-ez-,-Bz.o'
FT.
FT.
r,
(c)
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By slgnature, I state and agree, that I have caref ully examlned
the completed application and do hereby certify that all
lnformation hereon is true and correct, and I f urther certify
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 pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll 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 the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Date a- /K* 16
Slgndture
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-_
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
-@--
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrica tl<2-e
(A, B, C, Q and E Comblned)