HomeMy WebLinkAboutPermit Plumbing 1998-02-17RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
IELr,
JoB NUMBEa ?F@/
225 Fifth Street
Spri ng f leld, Oregon 97 477
LOCATION OF PBOPOSED WOBK:+r + 3 S+ruJ-
ASSESSORS MAP:l"z o L a"+ 07 (o TAX LOT
BLOCK:SUBDIVISION:
-
LOT
PHONE:
ZIP:STATE:
7//-/7/7
girv:
,{owruent
'&ooness'
NEW
-
REMODEL ADDITION DEMOLISH OTHER
--
bescnree woRK:
ADDRESS EXPIRES : PHONECONTRACTOR'S NAME
ELECTRICAL:
CONST.
CONTFIACTOR #
GENERAL:
PLUMBING
RANGE:
- OFFICE USE -
LAND USE:
WATER HEATER:
FLOOD PLAINOUAD AREA:
r OF BLDGS:
SECONDARY HEAT:
SQUARF. FOOTAGE:
# OF BDRMS: _OCCY GROUP:
I OF STORIES:
ZONING CODE: _
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS: __-
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections 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.
REOUIRED.INSPECTIONS
Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When altplumbing worl< is complete.
[-l Site lnspectlon - To tre made|J after excavatlon, but prior to
settlng lorms.
l-l Rough Electrical - Prior tot---J cover.Final Electrlcal - When all
electrical work is complete.
tl Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Electrical Servlce - Must be
approved to obtaln permanent
electrical power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When alt
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placement.tl WalllCelling lnsulatlon - Prlor to
cover.
tl Underground Plumblng - Prlor Drywall - Prlor to taping.to filllng trench
MOBILE HOME INSPECTIONSUnderlloor Plumblng/ Mechanlcal
- Prior to Insulatlon or decklng.Wood Stovo - After lnstallatlon.
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approvql
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
tPlumbing Connectlons - When
home has been connected to
water and sewer.
Floor lnsulalion - Prior to
decking.Curbcut & Alrproaclr - After
forms are erected but prior to
placement of concrete.Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prlor to filllng
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base materlal in place.
Water Llne - Prlor to filling
trench.
Fence - When cofipleted.
Slreet Trees - When all requlred
trees are planted.
Final - After all required
lnspections are approved and
porches, sklrting, decks, and
ventlng have been installed.
V
Rough Plumbing - Prlor to
cover.
(
MECHANICAL:
-
n temporary Etectrlc
E
tl
E
fl
tl
I-_l other
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type '-
-
lnterior
--
Corner
-
Panhandle :'
-
Cul-de-sac
i -IS THE PROPOSED WORK TN THE.. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
ll yes, this application must be slgned
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUTLDING PERMIT
ITEM
Main I
Garage
Carport
SO. FT. X $/SQ. FT.
This permit is granted on the cxpress condition that the said
construction shall, in all respects, conform to the Ordinance
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.
Plan Check Fee:
---
Plans Reviewed By Date
Recei pt Numbe
BUILDI
AND B
E,
PE
NG NLA Hc cE KLU
U L D GN ITMR
Date Paid:
Received By:
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
Mobile Home
FEE
O4a
oa>
_e,"9rv
(c)
FT.
N'
FT.
u2.Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtures
. FT.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accorrJance
with the Ordinanccs 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 without perrnission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with OBS 701.055 will 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
Slgnatu
on the site at ti during cons
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolitlon
State Surcharge
Total Miscellaneous Permits (E)
NoVent Fan
(D)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Mechanical Permit
lssuance
State Surcharge
Total Permit
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined)
>
./
9Z/)-DATE PAI[)
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBEB
o^rc z1 7-F g/'
CITY OF OREGON'
225 ..FIH[E,STREET
sPRfitb&ti$Lb, oREGoN e
lng, and do88 not roqulrs sPscilic lond r.tor,r
approvd.
zontne AJ)G-
O*r@
)
EXTDI-
THIS PEHMIT IS NOT
FOR
3.
Uro oo
lhl(iF'ili:Lo
ATI'ENTION:O regon law requires you to
ity
I tems Cos t
$ 8s.00
The
zoni
1.
Ovne
A
LEGAL DE PTI3/
PTION
Permits are non-transferable anci expireif vork is not started vithin 180 daysof issuar:ce or i f r.,ork is suspended f or
180 days.
2. COIirIRACTOR INSTALLATION ONLY
Electrical Contractor F)ZXO.r.l E\EJ,
Addres s
city C f?+<usre,lt Yhone {4?,?ZQIO
; Supe
I
rvisor License I'tumber 3bll44
Expiration Da t." tOlt/1q
Expiration Daie tlrulqq
200 amps or less
201 amps to 400 amps _401 amps to 600 amps
-601 amps to i.000 amp:s
over 1000 amps/voIts
-Reconnect Only
200 amps''or less
20L amps to 400 amps
-Over 401 to 600 amps
over 600 amps or 10008fis
Temporary Services or Feeders
Installation, ALteration or Relocation
1000 sq.ft. or less
Each addi tional 500sq. ft or portion
thereo f
Each Manuf'd Home or
-Modular Dwelling
Service or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fe€r
TOTAL
Sum
B
$ 1s.00
Z $ 4o.oo fi
ee rBtt affi-
s 50.00s 60.00
s100.00
s130.00
$300.00
$ 40.00
40. 00
55.00
80.00
$
$
s
s
c
ture of Supervis
U,
clan
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit -1- $ 2.00
Address
Ci ty Photre
aLOVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
Mi scel]aneous (Service/feeder
-Eaeh installation
Pump or irrigation $
Sign/outline Lighting- S
Limited Energy/Res
-
$
n
5
not includerl)
40.00
40. 00
20.00
36.00
RECEIVED r,U
may
Constr Conrr . nu^Ve, b[z81Ll