HomeMy WebLinkAboutPermit Plumbing 1993-11-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP'
LOT:
.
SPRINGFIELD
BLOCK'
OWNE~ ~(~\~(J(\~ \
ADDRF""" \~\5)\""~\~
CITY-C:~\-~ ('~
-"\)
DESCRIBE WORK:
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAl'
ELECTRICAl'
'- ~Q. \\"\2)
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
Q~
. OF STORIES:
WATER HEATER'
.-
g 9N\ r4
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
m,qrs
PHONe'
STATE:
(lliot\~
\,
ZIP:
Ch~\l
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR #
PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cove~ .
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o FIreplace - Prior to facing'
materials and framing Insp.
o Framing - PrIor to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - ~fter i~sta"at'lon.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
- forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
. excavation Is complete, forms
and ~ub.base material In place.
o Fence - When completed.
o Street Trees - When 'all required
trees are planted.
EXPIRES'
FLOOD PLAIN:, ::-\
ZONING CODE: ill~.J
# OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection. you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day. '
- OFFICE USE -
LAND USE: \ \ \ \
# OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
Winal Plumbing - When all
;:, :Iumblng work I.s complete.
o Final Electrical - When all
electrical work Is complete.
o
FInal Mechanical - When all
mechanical work Is complete.
o Temporary Electric
o Site Inspection --To be made
after excavatIon, but prior to
setting forms.
o
Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
- erected-but, prior to concrete
placeme~t.
o
Underground Plumbing - Prior
to filling trench.
o
Underlleor Plumblngl Mechanical
-.Prior to Insulatfon or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
o Floor'lnsulatlon - PrIor to .
decking.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench. .
o Water Line - Prior to filling
trench.
~ Rough Plumbing - Prior to
I cover.
\
I
o
Final Building -'- When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Sat-Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer. .
o Electrical Connection - When
blocking. set-up.' and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Setbacks
I P.L. HSE GAR ACC
IN
Is
Iw
IE
Lot faces
~
Lot Type
Lot sq. Itg.
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-de-sac
BUILDING PERMIT
ITEM sa. FT. x $/sa. FT.
VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM ~ FE(x)
Fixtures cDn.
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit !-)O ,OU
State Surcharge '.GO
Total Charge (C) ~ICD
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stoveflnsertl Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
'.
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) c<l-I. DC)
(A, B, C, D, and E Combined)
· (tit THE PROPOSED WORK IN THE
....HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit 'Issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the express condition that the said
constructlon shalt,ln 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:
Date Paid:
Receipt Number"
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further 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 pertainIng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission 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
project.
I further agree to ensure that all required Inspections are
requested th roper time: that each address Is readable
from the s reet, th t the permit card Is located at the front
of the pro erty, and he approved set of plans will remain
onthe,slt at all tlm s dur~nstructlon. ,
Slg~ " f_&~
Datel //. :2+.-97
I '
~:~;::::Mr1R liD j ()
DATE PAID \ .~ .C-f_ ~
AMOUNT RE~i'> ~ !.
RECEIVED p( '/)\ [)f\ )