HomeMy WebLinkAboutPermit Plumbing 1991-3-22
RESIDENTIAL
PERMIT APPLICATION
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SPRINGFIELD
LOCATION OF PROPOSED WORK: r:?$ '3
AS,SESS()R? M~P: 1?-~5?-"2.5''''~ 3.
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LOT:
OWNER:
ADDRESS:
CITY:
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'BLOCK:
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'''JOB NUMBEH9/0:2~
7
225 Fifth Street
Springfield, Oregon 97477
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SUBDIVISION:
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PHON E:
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ZIP:
DESCRIBE WORK.i'1f..;--/~&:~~
NEW REMODEL ADDITION
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CONTRACTOR'S NAME
GENERAl . Ct~~.
pLUMBING.:
MECHANICAL:
ELECTRICAl'
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR #
PHONE
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cove~ .
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical. power.
D
Fireplace - Prior to facing
materials and framing Insp.
EXPIRES
- 'OFFICE USE -
QUAD AREA: LAND USF' FLOOD PLAIN:
# OF BLDGS' # OF UNITS: ZONING CODE:
OCCYGROUP: CONSTR. TYPE: # OF BDRMS:
# OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGI=' 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 work day.
D Temporary Electric
o Si.telnspection -: To be made
. after excavation, but prior to
setting forms.
D Underslab Plumbing/ Electricall
Mechanical - Prior to cover.
D Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D; Foundation - After forms are
erected but prior to concrete
placement.
r17l Underground Plumbing - Prior
1A.J to filling trench.
D' Underfloor Plumbing/Mechanical
....., Prior to insulation or decking.
D Post and Beam - Prior to floo~
insulation o'r decking. .
D Floor Insulation - Prior to
decki ng.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench.
D Rough Plumbing - Prior .to
cover.
D
Framing - Prior to cover.
D Wall/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
. .~.; ~:';'..
. D Wood Stove -; After installation.
D Insert - After fireplace approval
and installation of unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation is complete, forms
, and sul?-base material in place.
D Fence..;... When completed.
o Street:rrees -'When alr'required
trees are planted. .,
D Final Plumbing - When all
plumbing work is complete.
D 'Final Electrical - When all
electrical work is complete.
D Final Mechanical - When all
mechanical work is complete.
D Final Building - When all
required inspections have been
approved and building is
completed.
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service paneL '.
D Final - After all required.
. inspections are'.approved and
" p'orches, 'skirting, 'decks, an'd
venting have been installed. .'
Lot coverage
Lot Type , Setbacks THE PROPOSED WORK IN THE
Interior I P.L. HSEGAR Accl HISTORICAL DISTRiCt; OR ON
IN I THE HISTORICAL REGISTER?
Corner If yes, this application must be signed
Panhandle I~ I' and approved by the Historical
Iw I Coordinator prior to permit issuance.
Cul-de-sac IE I
APPROVED:
Lot faces
Lot sq. ftg.
Topography
Total height
ITEM
SO. FT.
X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Main
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 th.e
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.
Garage
Carport
Plan Check Fee:
Date Paid:
Total Val ue
Receipt Number.
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT.
FT. ~ S'CJ /
3S:~
Water
Storm Sewer
FT.
Mobile Home
Total Charge
(C)
"2 s-: ~
/- ~S-
r
~."2S
Plumbing Permit
State Su rcharge
MECHANICAL PERMIT
Furnace
Vent Fan
NO
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.
Exhaust Hood
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Su rcharge
Total Permit
(D)
I further agree to ensure that all required inspections are
requested at the proper time; that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at 'all times during construction.
Signaturp;B.L(;- ~
~a~e3- ;t 3- ~ /CJCJ I
MISCELLANEOUS PERMITS
Mobile Home'
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Su rcharge
o VALIDATION:
Total Miscellaneous Permits (E)
RECEIPT NUMBER 1~,5. ~~~
... '5r--
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TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined) ,
DATE PAID
AMOUNT RECEIVED.........?~ 2S n.. .
RECEIVED. BY <<~~~
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