HomeMy WebLinkAboutPermit Plumbing 1997-10-09RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
IELE)
JOB NUMBER Qt t4 83
225 Fifth Street
Springfleld, Oregon 97477
LOCATION OF PROPOSED WORK:r )tD IU,3( sp
ASSESSORS MAP:laD)Vo VL{O L(c+ o o
TAX LOT:
LOT
-
BLOCK:SUBDIVISION
OWNER:PHONE:
ADDRESS:o
LPd o {z-Q zttz aCITY:STATE:ZIP:
OESCRIBE WORK:
NEW- REMODEL ADDITION DEMOLISH OTHER
CONTBACTOR'S NAME ADDRESS
CONST.
CONTRACTOR /EXPIRES ,S PHONE
GENERAL: --
PLUMBING:11-7 o
MECHANICAL:
ELECTRICAL:
- OFFICE USE _
OUAD AREA:
I OF BLDGS:
LAND USE:FLOOD PLAIN
# OF UNITS:
--
ZONING CODE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
WATEB HEATER
SECONDARY HEAT:
SOUARE FOOTAGE:
To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED TNSPECTIONS
Temporary Etectric Rough Mechanlcal - Prlor to
cover.
Inal Plumblng - When alt
plumbing worl( ls complete.
Slte lnspectlon - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrlcal - When all
electrical work is complete.cover.
Underslab Plumblngl Electrical /
Mechanlcal - 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.l-l Flreplace - Prlor to faclng|J materlals and framlng lnsp.
Final Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover,
Foundatlon - After forms are
erected but prlor to concrete
placement.E Wall/Celllng tnsutatlon - Prlor to
cover.
Underground Plumbing - Prior
to lllllng trench.l-_.l Drywall - Prlor to taplng
MOBILE HOME INSPE TIONS
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unlt.
Blocking and Set.Up - When atl
blocklng ls complete.
Floor lnsulalion - Prlor to
decklng.Curbcut & Approaclr - After
forms are erected but prlor to
placement of concrete.
Plumbing Connections - When
home lras been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Electrical Connection - When
blocking, set.up, and plumblng
lnspections have been approved
and the home ls connected to
the service panel.
Storm Sewer - Prior to fllllng
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material ln place.
Water Llne - Prlor to filling
trench.
Fencs - lVhen coirrpleted.
Rough Plumbing - Prlor to
cover.
$lreet Trses - When all required
trees are planted,
Final - After all required
inspectlons are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
E
, OF BDRMS:
--RANGE:
E
E
E
E
D
E
E
E
E
tl
E
E
fl
E
fl
I--l otherll
n
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Type
-
lnterior
-
Corner
-
Panhandle !
-
Cul-de-sac
Setbac IS THE PFIOPOSED WORK TN THE "HISTORICAL DISTRIfi, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC'
N
S
E
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
rrltr i '':; t
FT. X $/SQ. FT.
BUILDING PER
ITEM SO.
Main
Garage
Carport
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use of
bulldings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
BUTLDING TAIUE,
Plans Reviewed By Date
Plan Check Fee:
LAN CHECK
Date Paid:
Receipt Num
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Fixtures
Flesldentlal Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Moblle Home
FEE
% r+<
It. )o(c)
u"""-[>-
tq
Nt
FT.
R"
PLUMBING PERMIT
FT.
Plumblng Permlt
State Surcharge t- O ,O 3
Total Charge
- FT.
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerflfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy wilt be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required lnspections 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
'Slgnatu
Date
plans will remaln
n
0-
on the site at all ti ctlon.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (exctuding electricat)
(A,B,qQandEComblned)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
0 -oq-
RECEIVED BY C1iu
-7
)c)
Mechanical Permit
lssuance
State Surcharge
Total Permlt