HomeMy WebLinkAboutPermit Plumbing 1999-07-21RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Office: 726-3759
LOCATION OF PROPOSED
SPRINGFIELD
JOB NUMBER r
225 Fifth Street
Sprlng(leld, Oregon 97477
TAX LOT:0O7a o
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WORK:,4 ,-//u LlzLASSESSORS MAP:
LOI:BLOCK:SUBDIVISION:
ZIP:STATE:g7q 7*
pHoNE: 5<//- ^L' RyA5OWNER:
ADDRESS:
CITY:
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL ADDITIO
ELECTRICAL:
ADDRESS EXPIRES 4r PHONECONTRACTOR'S NAME
GENERAL:
MECHANICAL:
PLUMBING:
CONST.
CONTRACTOR #
telephoneS]GdIEg NotificdlEfrrr
P
IS
- oFFTCNGTICE:res you tuon taw requlTION:Oreg THISPERMTTSHALLEXPUSE:
rules are ATITHORIZED UNDERTHCenter.Thoseto g5/-ffi UNITS:
COMMENCEDORthe ru[6rplrR. rypE:_INYTBODITPERIOD. T OF BDRMS:
#oF SOUBCE:SECONDARY HEAX
). RANGE:SQUARF. FOOTAGE;
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested betore 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the followlng work day.
REQUIRED INSPECTIONS
l-l femporary Etectric Rough Mechanlcal - Prlor to
cover.
Flnal Plunrblng - When allplumblng worl< ls complete.
Slte lnspectlon - To lre made
after excavation, but prlor to
setting forms.
l-l Rough Electrical - Prlor toI--J cover.Flnal Electrlcal - When ail
electrical work ls complete.
E Underslab Ptumblng/ Eloctrical /
Mechanlcat - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanlcal - When all
mechanlcal worl< ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When alt
required lnspectlons have been
approved and bullding is
completecl.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prior to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celling lnsulatlon - Prlor to
cover.
Underground PluJnblng - Prior
to fllllng trench.Drywall - Prlor to taplng.
E
tl
Underlloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.
MOBILE HOME INSPECTIONS
Wood Stovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.E lnsert - After flreplace approval
and lnstallatlon of unlt.
l-l Btocking and Set.Up - When alt
-
blocklng ls complete.
Floor lnsulalion - Prlor to Plumbing Connectlons - When
home has been connected to
water and sewer;
ng Curbcut & Alrproaclr - After
forms are erected but prior to
placoment of concrete,itary Sewer - Prior to fllllng
trench Electrlcal Connection - When
blocklng, eet.up, and plumblng
lnrpcotlona hava beon approved
and the home ls connected to
the servlce panel.
Storin Sawer - Prlor to lllllng
trench.
[-_I SldEwalk & Drlveway - Afteru oxcav[tlon l! comploto, forma
and sub-base materlal ln place.
Water Llne - Prlor trc filling
trench.
Fence - lvhen collpleted.
ROugh Plumbing - Prior to
covcr,D Str€et Troes - Whcn all roqulred
trgor ars plented,
Flnal - After all required
lnspectlons are approved andporchos, sklrtlng, decks, andventlng heve beEn lnqtelled,tl
}\, R
center.
E E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Ty,
-
lnterior
-
Corner
Panhandle l
-
Cul-de-sac
P.L.HSE GAR ACC'
N
S
E
. IS THE PROPOSED WORK TN THE.. HISTORICAL DIsTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved bY the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
ffiffri li (
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
FT. X $/SQ. FT.
BUILDING PER
ITEM SQ.
Main
Garage
Carport
This permit is granted on the express conditlon that the sald
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Dovelopment Code, regulating the construction and use ol
bulldings, and may be suspended or revoked at any tlm€
upon vlolation of any provlelonr of rrlC ordlnanoer,
Plans Reviewed By
,
E
Date
Recoipt Nu
Date Paid:
Beceived By:
Plan Cheek Fee:
!,1
PLAN CH ECK
RMIT
BUTLDING TAI.ISE
AND BUILDING P
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limlts which are being improved.
ITEM
Flxtures
Resldential Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
FEE
N'
,L)
2.75'a
L),, a5
ClJ
75
(c)
7r
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permlt
lssuance
State Surcharge
Total Permit
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 cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
hereln, and that NO OCCUPANCY will be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.
I further certify that only contractors and employees who
are In compliance with ORS 701.O55 wlll be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper tlme, 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
on the site all times durlng construction
)-
Signature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
tt
Demolltlon
State Surcharge
Total Mlscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
0
RECEIVED BY
ff
qtVAI-IDATION:
AMOUNT RECEIVED
RECEIPT NUMBER
DATE PAII)
i
FT.
FT.
I