HomeMy WebLinkAboutPermit Plumbing 1996-11-08SPRIl\lGFIELO
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
-.
31-
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
TAX LOT:ASSESSORS MAP:11 t'ttZ rla
LOT:BLOCK:SUBDIVISION
PHON E:
srArE: 0 t?Ll7ztP:
OWNER:
ADDRESS:
CITY:
NEW
-
REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ADDRESS
77
EXPIFIES - PHONE
ELECTRICAL:
CONTRACTOB'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
CONSI.
CONTRACTOR #
RANGF-:
* OF BDRMS:
_ OFFICE USE -
LAND USE:
WATER HEATER
ZONING CODE:
FLOOD PLAIN
I OF UNITS:
QUAD ABEA:
r OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOUFICE;
-lo request an inspection, you must call 726'3769. -i-his is a 24 hour recor<ling. All inspections requested before 7:00 a.m. wllt bemade the sarne working day, lnspections requested af ter 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumbing worl< is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
[-l Underslab Plumbing/ Etecrricat/
-
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrlcal power.
Final Mechanical - When alt
mechanical work is complete.
Footing - After trenches are
excavated.Flreplace - Prlor to facing
materlals and framing lnsp.
Final Building - When ail
required lnspeclions have beenapproved and building is
completed.Masonry - Steel locatlon, bonci
beams, groutlng.Framing - Prior to cover.
Foundatlon - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filllng trench.[l Drywall - Prior ro taping.
Underlloor Plumbing / Mechanical
- Prior to insulatlon or decking.
MOBILE HOME INSPE TIONS
Wood Stove - After lnstallation
Posl and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When allblocking ls complete.
Floor lnsulation - Prior to
decking.Curbcut & Alrprroach - After
forms are erected but prior loplacemcnt of concretcr.
Plumbing Connections - When
home lras been connected towater and sewer.
Sanitary Sewer - Prior to f illing
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excav;rtion is complete, forms
and sub-base material in place.
Electrical Connection - Whenblocking, set-up, and plumbing
inspections have been approvedand the home is connected tothe service panel.
Water Line _. Prior to filling
trench.[--l fence - When ccmpteted.
fitreel Treos - When all required
trees are planted.
Final - After all requiredinspections are approved andporchcs, skirting, decks, and
venting have been installed.
Rough Plumbing - Prior to
cover.
I
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Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
P.L.HSE GAR ACC
N
S
E
IS THE PROPOSED WORK iN THE -
HISTORICAL DISTRICT, OR ON
T'iE HISTOFIICAL REGISTER?
-
ll yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
I
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fec
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUTLDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the cxpress condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted 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 Rcviewed By Date
Receipt Numbe
Plan Check Fee:
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.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sgwer
Water
Storm Sewer
Mobile Home
FEE
?4-
,@a
2e(c)
<9
N0
FT. 6
422"@-) ---=':+>r7 t.-z
PLUMBING PERMIT
FT.
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENITS
Wood Stove/ lnsert/ Fi replace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true ancl correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertainlng to the work described
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 ORS 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 permit card ls located at the front
of the property, and the approved set of plans will remain
son the site at all times durin const ruction.
Date
Slgnatu
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
Stale Surcharge
Total Miscellaneous Perrnits (E)
TOTAL AMOUNT DUE (excluding etectricat)
(A, B, C, D, and E Combined)
VALIDATION:
REoEI PT NU M BER _-2722.r'q-_
-?-
DATE PAID
AMOUNT FIECEIVED
BECEIVED BY
,/f
FT.