HomeMy WebLinkAboutPermit Plumbing 1997-11-10SPFINGFTELE)
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOS
ASSESSORS MAP:
LOT:
qr[oc(
efi,
JOB NUMBEB
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT:
SUBDIVISION:BLOCK:
PHONE:
STATE ZIP:
OWNER:
ADDRESS:
CITY:
I
DDITION DEMOLISH OTHER
DESCRIBE WOBK:
NEW- REMODEL
PLUMBING;
MECHANICAL:
-
ELECTRICAL;
ADDRESS EXPIFIES ONECONTRACTOB'S NA
GENERAL:
CONST.
CONTRACTOR #
-oF
r OF BDRMS:
ZONING CODE:
FLOOD PLAINLAND U
#oF
WATER HEATEFI
QUAD AREA:
* OF BLDGST
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
To request an inspectlon, you m Thls ls a24 hour recordlng. All inspections requested before 7:00 a.m. will be
made the same working day, lns uested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanical - Prlor to
cover.
Final Plumbing - When altplumbing work ls complete.
Slte Snspectlon - To lre made
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover,
Underslab Plumblng/ Electrical /
Mechanlcat - Prlor to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flnal Building - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, grouting.
Foundatlon - Alter forms are
erected but prlor to concrete
placement.
Other
Underground Plumblng - Prior
to fllllng trench.
MOBILE HOME INSPE TIONS
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and installatlon of unlt.
Blocking and Set.Up - When all
blocklng is complete.
Floor lnsulation - Prior to
decking.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connectlons - When
home has been connected to
water and sewer.
ffi:ey sewer - Prior to rirlins
Electrical Connection - When
blocl<ing, set.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When coi,rpleted.
Rough Plumbing - Prior to
cover.
Strset Tre€s - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
ventlng have been lnstalled.
tl
tl
E
fl
E
E
E
E
E
E
l-l Flreptace - Prlor to faclngu materlals and framlng lnsp.
J-l Framlng - Prlor to cover.
[-l waltlCelting lnsulatlon - Prlor to|J cover.
[-l orywall - Prlor to taplng.
l-l Wood Stove - After lnstallatlon.ll
E
Etl
tl
ir -'
ili
fi.i
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterior
-
Corner
-
Panhandle i
-
Cul-de-sac
KS IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this applicatlon must be slgnedand approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
SQ. FT. X $/SO. FT.
i
BUILDING PERMIT
ITEM
Main
Garage
Carport
BUTLDING VALUE, PMru CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Springfield, inctuding the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Recei pt Numbe
Date Paid:
Received By
Plan Check Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
(c)
FT.
FT.
Plumbing Permlt
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtu res
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert / Fl replace Unit
Dryer Vent
(D)
By slgnature, I state and agree, that I have caref ully examlned
the completed apptication and do hereby certlfy that all
lnformation hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accorrlance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure wlthout perrnission of the Buildirig Safety Divislon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
f-
const ructlon.mes durinon the site at all
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, Q and E Comblned)
\
DATE PAI[)
AMOUNT RECEIV
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
PL.HSE GAR ACC
N
S
E
(
Nc
il7n- -
Mechanical Permit
lssuance
State Surcharge
Total Permit
f
A^et