HomeMy WebLinkAboutPermit Plumbing 1996-8-29
Inspections: 726.3769
o (fice:, 726,3759
LOCATION ~F PROPOSED )3RA.: \t)Q {)
ASSESSOF3SMAP: via (jllY\~
OWNER\ ~'(\('.l1:\\\()\N\<LC:J.., - _ ~\ PHONE: ~ ~\ -l32.7D
ADD:ct~., ~fJ?-O.' ( .~n\." 01\. f\\QiJ, l~, IJ_'l, lliQ€\tw\ .
CITY~1\.lf\~a~ll-~_ -_-. STATE ,~-75.".~ ZIP' lt1411
DESCRIBE wOR~c\r\.i\lfW'i -8/6/ ~tf\ ~~(h LfJ. r ~\() f'!2f(1oJ'IL
NEW REM~D~ADDITION DEMOLlSH\\ <;rHER'
CONST,
CONTRACTOR It
RESIDENTIAL ,
PERMIT APPLICATION
LOT:
CONTRACTOR'S NAME
GENERAL: \(\ (\ I\~
PLUMBING: \\)\ \ )\ UlJ{)
MECHANICAL:
ELECTRICAL:
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:~J08 NUMBER
C\ '1) 77
"225 Filth Street
Springfield. Oregon 97477
TAX LOT:
\O\Ot)
SLOCK:
SUBDIVISION:
ADDRESS
EXPIRES
PHONE
- OFFICE USE -
QUAD AREA:
It OF SLOGS:
OCCY GROUP:
It OF STORIES:
WATER HEATER:
LAND USE:
FLOOD PLAIN:
1/ OF UNITS:
ZONING CODE:
, CONSTR, TYPE:
It OF SDRMS:
HEAT SOURCE:
R ^ N G E:
, , SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726,3769, Ttlls 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. w,111 be,made the following wor'k day,
REQUIRED INSPECTIONS
D Temporary Electric
D
Site Inspection ~ To be made
after excavation, but prior to
setting forms,
D Underslab Plumblngl Electrlcal(
MechanIcal - Prior to cover,
D
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond'
beams, groutln'g.
o
Foundallon - After forms 'are
erected but prior to concrete
placement.
D Underground PlumbIng - Prior
to filling trench,
o
Underlloor Plumbing I Mechanical
- Prior to Insu/atlon or deckIng,
o
Post and Beam -.,; ,Prior ,to floor
Insulation or decking,
o Floor Insulation - Prior to
decking,
~nltary Sewer - Prior to filling
trench,
o
Storm Sewer - Prior to filling
trench,
o
Wa,ter Line - Prlorto'filllng'
trench.
D
Rough Plumbing - Prior to
cover,
o
Rough Mechanical - Prlor't~
cover,
D
Final PlumbIng - When all
plumbing w()rl< Is complete.
o
Rough Electrical
cover,
Prior to
D Final EleclrlcaJ - When all
electrical work Is complete,
o
D
Final Mechanical - When all
mechanIcal work Is complete,
Electrical ServIce - Must be
approved to obtain per,manent,
electrical power,
o
D
Final Building - When all
required Inspections have been
approved and building Is
completed,
Fireplace - Prior to ,faCing
materlals and framing Insp,
o
Framing' - Prior to COver,
o
Other
o Wail/Ceiling Insulation ':"- Pi"Jor-to
cover, " .
o Drywall ~. Prlo,r to taping, '
o Wood Stove -'- After Installation,
MOBJLE HOME INSPECTIONS
D Inserl - After fireplace approval
and Installation 01, unlt:,'
o
Blocking and Set.Up - When all
blocking Is complete.
o
o
Plumbing Connections - When
home has been connected to
water and sewer,
Curbcut & Approach":"'" After
forms are erected but prior to
placemont of concrete. '
D
o
Electr(cal Connection - When
blocking, set,up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
Sidew.alk & Driveway - After
excavation Is complete, forms
and sub.base material In place,
, 0 Fenc;e -'- ,Wilen completed,
',0
Final - After all required
Inspections are 'approved and
porches, skirting, decks, and
venting have been Installed.
,D
~,treel Treos - Wh0n all required
trees are planted, ' ,
'\,
" .
.,...,-
Lot faces
Lot Type
Lot sq, ftg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM
SQ, FT,
X $/SQ, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
'I
{
Setbacks
I I
P,L. HSE GAR ACC
N
Is
\W
IE
VA LU E
'.
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) NO
Sanitary S~wer FT, ~
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge -\390
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/lnserl/Flreptace 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 Surchargf)
FEE
a)
40.
laJ
:;X)'
( .91)
Total Miscellaneous Permits ~E) , .
. , - ~-J... n/)
TOTALAMOUNT DUE (excludl~; electrical) ,'~~
(A, B, C, 0, and E Combined)
.3 THE PROPOSED WORK IN THE,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
ai1d approved by the Historical
Coordinator prior to permit issuance,
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 Is due on all undeveioped
properties within the City Iimlls 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 pcrlormed shall be done In accordance
with the Ordinances of the City of Springfield; and the Laws
of the State 01 Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wlthoutperlllisslon of the Building Safety Division,
-I lurther certify that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I further agree 10 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 th property, and the approved set of plans will remain
e site at all times during construction.
. ()~ {~
.. S gnalure
i
,
,
VALIDATION: ~~f\
RECEIPT NUMBn-. . o..[jJ
DATE PAID C)!}. Ie
AMOUNT REC~D.. ,1E).?~)
RECEIVED ByCJ)(.fJ)_) ,
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