HomeMy WebLinkAboutPermit Plumbing 1992-9-21
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Orlice: 726.3759 .
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TAX LOT: ~?c.r ~
SPRINGFIELD
LOCATION OF PROPOSED WORK: -1.3 tI'<€.
. ;A.sSESSORS MAP: I?-t:> '"5' .~ ~-......, "?
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LOT:
OWNER: ~~~~
ADDRESS: - '~~~~,
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DESCRIBE WORI<:: ,~?~?E
CITY:
NEW
REMODEL
CONTRACTOR'S NAME
BLOCK:
c:SR4'.Y
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STATE:
ADDITION
DEMOLISH
OTHEFl __
JOB NUMBER _2_~8~
225 Fiftll Street.
Springfield, Oregon 97477
SUBDIVISION:
PHONE:
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ADDRESS
CONST
CONTRACTOR /I
PHONE
GENERAL:
PLUMBING: -t:/~~ ,~L."" ·
MECHANICAL:
ELECTRICAL:
QUAD AREA:
1/ OF BLDGS:
OCCY GROUP:
1/ OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND LlSE:
II OF UNITS:
CONSTR. TYPE:_,
HEAT SOURCE:"',~.-,,-
RANGE:
EXPIRES
FLOOD PLAIN: ....
ZONING CODE:
1/ OF BDRMS:
SECONDARY I-{EAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. This is a 24 hour recordin~l. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:09 a;I,T1: will be made the foll?~,,!~ng work day.
,
REQUIRED INSPECTIONS
o Temporary Electric
o
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbing/ Electrical!
Mechani<::,a! - Prior to cover.
D
Footing - After trenches are
excavated.
[J
Masonry - Slcel location, bond
beams, groul i ng. "
;.
o
Foundation - After forms al'e
erected but prior to concrete.
placement.
o
Underground Plumbing - Prior
to filling trench.
D. Undertloor Plumbing/Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to floor
insulation or decking. .
o Floor Insulation - Prior t6 ...'
. decking.
o
Sanitary Sewer - P'rior to filling
trencll.
o
Storm Sewer - Prior to filling
trench.
r7Yl Water Line,""- Prior lofilling
L.lV trench. '_ .
D Rough Plumbing - Prior 10
cover.
'," :r~ ... .
. 0 Rough Mechanical - r-?~ior to
cover. . ,
o Rough Electrical-:'- Prioi' to
cover.
D Electrical Service - Mus! be
approved to obtain permanent
electrical power.
o
'Fireplace - Prior to facing
materials and fralll,ino In::'!>.
.EI
Framing - Prior 1<.> C<)VCI'.
o Wall/Ceiling Insulation - F'ri<,)r 10
cover.
o Drywall - Prior to tapin~J.
o Wood Stove - After installation.
D Insert - After fireplace approval
and installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
o Fence - When completed.
D
Street Trees - When ~dl reql.lilcd
trees are planted.
[Z1'Final Plumbing - When all
plumbing work is coniplete.
[J
Final Electrical - When all
electrical work is complete.
I~
Final Mechanical - When 811
mechanlC81 worl< is complete.
[-=:I
Final Building - When.cdl
required inspection:;; have been
approved and buildinu i::-,
c()lnplelflc1.
I' "--j
Oilier
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - Whe~ all
bl.ocking is complete.
D Plumbing Connections - When
home has been con nected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plumbing
inspections Ilave' been approved
. and the home. Is connected to
1I1e service panel.
1=1
Final - After all required
inspections ale approved <tne!
porches, sl<irtin~l, e!ecl\:;, cllld
venting have been inslallf~cl.
Lot !<lCVS
Lot Typu
Lot sq. ftg.
Interior
Lot coverage
Corne.
TopograptlY
Panhandle
Total height
Cul,du,sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garauu
CiHporl
Total Value
Building Pelndt Fee
State SurcharfJe
Total Fee
(A)
Sutbacks
.HE 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.
P.l. HSE GAR ACC
N
S
W
E
VALUE
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
Mobile HOllie
~~L_ 2~~ ~cF~/u'.~;'~~
Plumbing Permit 75= ---
I, 2:>-
2~.~
PLUMBING PERMIT
ITEM
Fixtures
Hesidl,ntidl 11."11(") N"
~(lni tary SeWt ~I
FT
WaleI'
IT-;]O
FT.
'Storm Sewer
State Surcharge
Total Charoe
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent F3n
NO
Wood Stove/lnserl/Firepl3ce Unit
Dryer Vent
Mvctlilflic31 I '''Imi t
Issuancu
State Surctwrue
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk _,_____ It
Curbcut
It
Demol i ti on
State Surcharoe
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluc1ino electricill)
(A, n, C, 0, itlHI [ Combinc:rf)
,-
FEE
';Zt!)."
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition ttlat 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
ullon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number:~
neceived 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 wittlOut permission of the Building Safety Division.
I furttwr certify tt13t only contractors and employees wtlO
cue in compliance with ORS 701.055 will be used on tllis
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that tile 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.
Sign3ture ~ -.bI\.64-
Date _9JdJ-L9 2___~~
VALIDATION:
RECEIPT NUMBER_
625"7
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DATE PAID
AMOUNT RECEIVED
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