HomeMy WebLinkAboutPermit Plumbing 1992-10-23
~~~~I~NI~bcATION -e ~SPRIN~.::,~LD~'IJ:i f ',.'~' "~,i ~2205BFNlfUthMsBtEreRet q Q \ ()~
Inspections: 726.3769',
Office: 726.3759 .. . } . Springfield, Oregon 97477
LOCATION OF PROPOSEDXJORK: AI~(J (\fJ (.A.&.oob
ASSESSORS MAP" (I fO'?> ~ TAX LOT' n!:S:5DO
~<A ~ ~~ m p.. PHONE:
l- . =-.. "(~)
. STATE: . '
LOT:
OWNER:
NEW
CONTRACTOR'S NAME
GENERA' . flI N\ r-
PLUMBING: l'Jr\/) fJrrV} il.:tlJ1U..-J
MECHANIC:~'~
ELECTRICAl'
BLOC~'
--
SUBDIVISION:
I 14-{-4-101 C'"
ZIP:..Y7+ 7<-?'J
ADDRESS
CONST.
CONTRACTOR #
EXPIRES
PHONE
r9i-~ IJ )0'1Y~f, 4~~~~
/[) ,q,q.s
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-. OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN'
. OF BLDGS: N OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: # OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAGE:
To roquest an Inspection, you must call 7213.3769, This 15 a 24 hour recording. All Inspections requested before 7:00 a,m. will be
made the same working day. Inspections requested arter 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumblngl Electricall
Mechanical - Prior to cover.
o
Fooling - After trenches are
excavated.
o
Masonry - Steol locatIon, bond
beams, grouting.
o
Foundation - Atter forms arc
erected but prIor to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumblngl Mechanical
_ PrIor to Insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
o
Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to filOng
trench.
o
Storm Sewer - PrIor to filling
trench.
o Weter Llno - Prior to IIll1ng
trench.
o Rough Plumbing - Prior to
cover.
o Electrical Connection - When
blocking, set.up, and .plumblng
Inspections jhave been' approved
and the' home IS"connected to
. t.he servlc.e panel.
, .
,'. J ~... ~ .
~;Fln.1 ,':::'!-After,all~requlred,
S 1i' W' "11 '" ':I,ld",,, '.\.,-" i,!~~P~g'!I~_~k~'li'!"I1!;!~~P..tO~'1.d,.and. :
treet rees - hen a requ ra ' Y'-, '!~ porcnes.r.S rt ng.~de.CKS\' and
trees are planted. ventIng 'have' been,lnstalled:
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
I~ Electrical Service - Must be
approved to obtaIn permanent
electrical power.
o
Fireplace - Prior to facing
matorlals and framing Insp.
o
Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - Atter I~stallatlon.
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 sub.base material In place.
o Fence - When completed.
o
o Final Plumbing - When all
plumbing work Is complete.
o Final Electrical - When all
electrical work is complete.
o
Final Mechanical - When all
mechanical work is complete.
o Final Building '- When all
required Inspections have been
approved and building Is
completed.
DO'her
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
, .
o PlumbIng Connections - When
home has been connected to
water and sewer.
Lot,f,a"ce,s. '1 .- , Lot Ty,p~.. . ',': .
I ' \ " .- ,._",,1 I,.' "~I I'" '"l-" ~ ... "
,~_,;Jll", 0.. .;. ." l.., '", 'I." ~,' HSE GAR
<Lq<'~q. f~g.1-':; 'I' _ .' l'~:" ;::.'-:,'lnterk)r,...;.:'." ':,;" r.L;;,''> ..,." , ' . . ..
,\'+:-j ~j ~'" ,:,~~:.'~:-:;...: .::~,~i''''-'I~~',;i::~.:C': "",' 'j!:;:'''':r;'-~':..
Lot coverage ~ 1, .... -; ~,'c8rner .~r'J: . _;" '"
. ~', :1' '~ ' . - r-;'. . .:1 ~ :.:' :1-:':-";:- ',. J.~ '.'
Topo'gr~PhY: ~",,' .~ 'P';~h~~dle . I:
Total height Cul.de.sac
LL-~__
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT-
SO,'FT.'
\~.::~
ITEM
X $/SO. FT.
Main
"
Garage
.
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERIVIIT
ITEM
Fixtures l2 ~ \\)..01)..,
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State ,Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsertfFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Totah Permit ; .
(D)':<'~'j;
~'.;: .,. , . .. '
MISCELLANEOUSlPi:RM!TS:
1 .' " . . ' ", ",:. ~., .
MObll,e Home .\' I' '. "~'.. ,..~ : '.:
State "Issuance
State Surcharge
Sidewalk
It
Cu rbcu t
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
.':: '~',:, .!".:: . > .... ..' ~ t-_ " ,
TOTAl AMQUNT'DUE'(ex9'udlng'electrlcal)
(A, B. C; 0, and E Combined) . "
.
_ ___ ____ ____~_._u_
FEE r:;)
leO,
I 00 (j)
~.cD
lo~.CU
Setbacks
I~ THE PROPOSED WORK IN THE
~ISTORleAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
. ',.
""
~.' ,
Ace I
I
I
If.yes"thls application rryust be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED:
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
edopted by the Clly 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 cerllfy tllat 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 thai NO OCCUPANCY will be made 01 any
structure without permiSSion of the BuHdlng Safety Division.
I further certlfy 018t only contractors and employees who
are In compliance wittl ORS 701.055 wIll be used on this
project.
I further agree to ensure that all requIred inspections are
reQu~sted at the proper time, that each address Is readable
from the street, that the perm c rd Is located at the front
of the property, and he ap ov (j set of plans will remain
on the site at all es d ri
Slgnat~
Datp t
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construn7J
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VALIDATION: 0::::b .A.
RECEIPT NUMflAR , - --., _I'
DATE PAIDj( JnI:i5 -c...rZtS
AMOUNT REC~~VE I c? ,-). U
RECEIVED BY (j\{lA.-/
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