HomeMy WebLinkAboutPermit Plumbing 1995-02-23RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PBOPOSED WOBK:
ASSESSOBS MAP:?-
LOT;
JOB NUMBER -z--
2fr,
225 Fif th Street
Sprl ng f leld, Oregon 97 477
TAX LOT 4#=
//6o za
BLOCK:SUBDIVISION
PHONE:
STATE:ZIP:
6
2n
2?a -2/a€
D=CITY:
ADDRESS:
OWNER:
ODESCRIBE WORK
ADDRESS EXPI RES PHONE
PLUMBI
ELECTRICAL:
CONTRACTOR'S NAME
MECHANICAL:
GENERAL:
CONST.
CONTRACTOR #
- OFFICE USE -
WATER HEATER:
ZONING CODE:
FLOOD PLAIN
RANGE:
QUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE FOOTAGE:
# OF BDRMS:
-
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
r OF STORIES:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m, wlll be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When atlplumblng worl< ls complete.
Slte lnspecllon - To be made
after excavation, but prlor to
settlng forms.
Rough Electrlcal - Prlor to Flnal Eleclrical - When ail
electrical work is complete.cover.
Underslab Plumblng/ Eleclrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flnal Building - When ail
requlred lnspections have been
approved and building is
com pleted,Masonry - Steel locatlon, bond
beams, groutlng,
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Underground Plumblng - Prior
to fllllng trench.
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decking.
MOBILE HOME INSPE TIONS
Post and Beam - Prior to floor
lnsulatlon or decking.
Blocking and Set.Up - When ail
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng,Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
Plumbing Connectlons - When
home has been connected to
water and sewer,w Sanitary Sewer - Prior to fllling
trench.
Slorm Sewer - Prior to fllling
trench.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base material in place.
Electrical Conneclion - When
blocking, set-up, and plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
Water Llne - Prlor to filling
trench.[-l Fence - When comptetec,
Rough Plumbing - Prior to
cover.
Streel Tree6 - When all requlred
trees are planted.
Final - After all required
inspections are approved andporches, sklrtlng, decks, andventlng have been lnstalled.rf
4>
NEW
-
FIEMODEL ADDITION DEMOLISH OTHEFI
-
tl
tl
E
E
E fl
[l Flreplace - Prlor to faclng
'J materlals and framing lnsp.
l*-l Framlng - Prlor to cover.
l-l Wall/Celllng lnsutatlon - prlor tolJ cover.
[-_l Drywall - Prlor to taping.
J I Wood Stovo - After lnstallatlon.
[--l lnsert - After flreplace approval
-
and lnstallatlon of unlt.tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
etbac
PL,HSE GAR ACC
N
S
E
I IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applicailon must be slgnedand approved by the Hlstorlcal
Coordinator prior to permlt issuance.
APPBOVED:
BUILDING PERMTT
VALUE
(A)
SO. FT. X $/SO. FI.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fea
BUILDING VALUE, PLAN CHECKAND BUILDING PERMIT
ThlS permit is granted on the express condiilon that the saidconstruction shall, in all respects, conform to the Ordlnanceadopted by the City of Springfleld, including theDevelopment Code, regulating the ctnstruction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of sald ordlnances.
Plan Check Fee: _-
DatePIans Reviewed By
Recelpt Numbe
Date Paid:
Recelved By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undevelopedproperties within Ure City limits which are being improved.
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
N0
FEE/4r*,=q
il-/ZQ-
FT.
FT.
(c)
1O--a
@Plumbing Permit
State Surcharge
Total Charge
rFrv
ADDITIONAL COMMENTS
MECHANICAL PERMIT
(D)
N0
Mechanical Permlt
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, I state and agree, that I have carefully examlnedthe completed application and do hereby cerilfy that alllnformatlon hereon is true and correct, and I f urther certlfy
that any and a[ work performed shail be done rn accordance
wlth the Ordinances of the City of Sprlngfield, and the Lawsof the State of Oregon pertainlng to tho work descrlbedhereln, and that NO OCCUpANCy will be made of anystructure without permission of the Building Safety Division.I further certify that only contractors and employees whoare ln compliance with ORS 7O1.OS5 wlll be used on thlsproject.
I further agree to ensure that all requlred inspections arerequested at the proper time, that each address rs readabre
from the street, that the permlt card ls located at the frontof the property, and the approved set of prans wilr remarn
2
on the site at all mes during constructlon
2?^
Slgnature
Date
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk -..- ft
Curbcut ._- ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and'E Combtned)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT HECEIVED
RECEIVED BY
g
a
Wood Stove/ lnsert/ Fl replace Unit
Dryer Vent
=