HomeMy WebLinkAboutPermit Plumbing 1995-02-23BES'DENTIAL
PERIriIIT APPL'CATION
lnspections: 726.3769
0lfice:726.3759
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JOB NUMBER %;;ez =-225 Filth Street
Spring fleld, Oregon 97 477
LOCATION OF PBOPOSED WORK:
ASSESSOBS MAP:/7.02,72.31 TAX LOT:o%/
LOT:BLOCK:SUBDIVISION
OWNEB:,.}PHONE:226-2
=ADDRESS:
CITY:STATE:4_ZIP:
NEW
-
REMODEL ADDITION DEMOLISH OTHEFI
DESCRIBE WORK:
MECHANICAL;
ELECTRICAL:
ADDRESS
CONST.
CONTRACTOB ''EXPI RES PHON ECONTRACTOR'S NAME
GENERAL:
PLUMBING
# OF BDRMS
- OFFICE USE _
LAND USE:
WATER HEATEFI:
ZONING CODE:
FLOOD PLAIN
A OF UNITS:
RANGE:
OUAD AREA:
I OF BLDGST
SECONDARY HEAT:
SOUARE FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wl1 be
made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When altplumblng worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prior to
settlng forms.
Rough Electrical - Prlor to Flnal Electrical - When all
electrical work is complete.cover
Underslab Plumblng/ Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When alt
mechanical work ls complete.
Footlng - After trenches are
excavated.tf Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Building - When all
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Wall/Celllng lnsulatlon - Prlor to
cover,
Drywall - Prlor to taplng
MOBILE HOME INSPE TTONStlUnderlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Slovo - After lnstallatlon
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unit.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulatlon - Prlor to
decklng.Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Plumblng Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prior to fllling
trench.Eleclrlcal Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel,
Storm Sewer - Prior to filling
trench.
Sidewalk & Drlveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
Water Llne - Prlor to filling
trench.
Fence - When completed
Street Trees - When all requlred
trees are planted.
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
venting have been lnstalled.
[-l Rough Plumblng - Prior tolJ cover.
-
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Underground Plumblng - Prior
to fllllng trench,
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\ ISTHEP noposeo woRK tN THE .
HISTORICAL DlsTRlcT' oR ON
THE HISTORT CAL REGISTER? .-Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total helght
Lot TY'
"- lnterior
-
Corner
-
Panhandle
-
Cul'de-sac
ll yes, thls appllcatlon must be slgned
uio'rPProreO bY the Historlcal
Coordinator prlor to permit issuance'
APPROVED:
P.L.HSE GAR ACC
N
S
E
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls peimit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, includlng theDevelopment Code, regulailng the construction and use ofbuildings, and may be suspended or revoked at any tlmeupon violation of any provisions of sald ordinances.
DatePlans Revi ewed By
Receipt Numbe
Date Paid
Beceived By:
Plan Check Fee:
EMS DEVELOPMENT CHARGE (SDC)
(B)
SYST Systems Development Charge ls due on all undevelopedproperties withln tl.re City limits which are belng lmproved.
ITEM
Fix t u res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
/o.n
ftt.za--#
rfu_*Wroe
N0
FI
FI.
(c)
a'
Plumbing permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
MECHANTCAL PERMIT
(D)
N0
Mechanlcal permit
lssuance
State Surcharge
Total Permlt
Fu rnace
Exhaust Hood
Vent Fan
By slgnature, r state and agree, that r have carefuily examrnedthe completed application and do hereby cerilfy that alllnformatlon hereon ls true and correct, and I f urther certlfythat any and a[ work performed shail be done in accordancewlth the Ordinances of the Clty of Sprlngfield, and the Lawsof the state of oregon pertalnrng to tho work descrrbedhereln, and that NO OCCUPANCy wlll be made of anystructure wlthout permission of the Bulldlng Safety Divislon.I further certify that only contractors and emptoyees whoare ln compliance wlth ORS 701.055 wlll be used on thlsproject.
I further agree to ensure that all requlred lnspections are
tlme, that each address ls readable
permlt card ls located at the front
approved set of plans wlll remaln
durlng construcUon.
requesled at the proper
from the street, that the
of the property, and the
on the slte at all times
2-3-
Slgnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk ._.- ft
Curbcut _-- ft
Demolitlon
State Surcharge
Total Miscellaneous permits (E)
TOTAL AMOUNT DUE (exctudlng electricat)(A, B, C, D, and'E'Combtned)
VALIDATION:
RECEIPT NUMBER /{va€
DATE PAID 2.2
AMOUNT RECEIVED
RECEIVED BY
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