HomeMy WebLinkAboutPermit Plumbing 1996-11-12
LOCATION
ASSESSORS MAP:
LOT:
SPRINGFIELD
..
.!
BLOCI<:
JOB' NUMBER __~ \Q ~3~,_
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: D3~Cf )
SUBDIVISION:
OWNEA ~T l~,~ Yr\ mL~ \ ~.-. )\\ "".. [)'(Itn~. P HC)NE: (\, \ . f!9,Q ~ f
ADDA:'S ,\SS ~O~f:_-' __Q\ .
CI1;Y~\~~-b1- ----- STArE ~ CD -ZIP; CV\L\~B
DESCRIBE WORI<:\:_~~ Q~.c)J~~J:::D.J\\ !) -\JJte '>
NEW REMODEL \ ADDITION DEMOLISH ~__ OTHER
CONTRACTOR'S NAME
ADDRESS
CONST.
CONTRACTOR It
EXPIRES ... PHONE
;~:::,:~\\~ ~)j~OO ~~1-Dfu~d3ij ztt?~
MECHANICAL: D Cff)
. I I . --
ELECTRICAL:
QUAD AREA'
It OF BLDGS:
OCCY GROUP:
It OF STORIES:
IJ
WATER HEATER:
- OFFICE USE -
LAND USE:
It OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE:
" 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, Inspections requested after 7:00 a.m. will be made the following worl< day,
o Temporary El,ectric
o
Site Inspection - To be made
after excavation, but prior to
selling forms.
o
Underslab Plumbing I ElectricalJ
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundation - After forms are
erected but prior to concrete
placement.
'0
Underground Plumbing - Prior
to filling trench.
o
Underfloor Plumbing I Mechanical
- Prior to Insulation or decl<lng.
D
Post and Beam - Prior to floor
Insulation or decl<lng,
: ~o, In,ul""on
eking.
Sanitary Sewer -
trench.
Prior to
Prior to tilling
l
o
Storm Sewer - Prior to filling
trench.
o
Water Line - Prior to filling
trench.
o
Rough Plumbing - Prior to
cover,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
,0
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.
D
Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approvlll
and installation 01 unit.
D
Curbcut & Appro<ich - After
lorms are erocted but prior to
placement of concrete,
D Sidewalk & Drivewav - After
excavation Is complete, lorms
and sub,base material In place,
D
Fence - Wilen completed.
o
Stree.t Trees - When all required
trees are planted.
D
Final Plumbing - When all
plumbing worl< Is complete,
D
Final Electrical - When all
electrical worl< is complete,
o
Final Mechnnlcal - When all
mechanical worl~ Is complete.
D
Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
, '
D
Blocking and Set-Up - When all
blocl<lnD Is complete.
o
Plumbing Connections - When
home has been connected to
water and sewer,
o
Electrical Connection - When
blocking, sel-up, and plumbing
Inspections have been approved
and tile home Is connected to
the service panel.
o
Final - After all required
inspections are approved and
porches, sl<lrtlng, decks, and
venting have been Installed,
lot faces
lot sq. ftg.
lot coverage
Topography
Total helg11t
lot Type
Interior
Corner
Panhandle
Cul,de-sac
BUILDING PERMIT
ITEM
SQ, FT.
Main
Garage
Carport
Total Value
Building Permit Fcc
Stale Surcharge
Total Fcc
X $ISQ, FT.
(A)
I P.l,
VA lU E
"
; :
N
Setbacks
IHSE GARIACC
1- I
J I
IS 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.
S
W
E . .
APPROVED'
BUILDING VALUE,' PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, in 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 (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
NO
FT.'\ tj)
Sanitary Sewer
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Tolal Charge
MECHANICAL PERMIT
(C)
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stovellnserl/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLAN EOUS, PERMITS
Mobile Home
State Issuance'
State Surcharge
Sidewalk
ft
Curbcut
It
Demolition
State Surcharge
FEE
005~
c\l~ pU
cO.09
!-) f}~ cD
, -----.
Tofal'Mhcellaneous Pci}nits (E) _
TOTAL-AMOUNT DUE (~XCIUC!ing electriCal)cQ'j~0_
(A, B. C. D, and E COml)incd)
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 certl fy 1I1at only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
IJ
'"
ture
.14/;~lu
VALIDATION: (1)
RECEIPT NUMBEl ~'~l
DATE PAID . \ I . . ~ '
AMOUNT nECElvto _ /1 ~
, FlECEIVED BY ~\. ~
~ -,--,'------- \