HomeMy WebLinkAboutPermit Plumbing 1994-1-12
Inspections: 726-3769
Office: 726-3759
LOCATI~N OF PROPO~D W~'h ^ ~~
ASSESSORS MAP: ~ 1 D~(-1-\ ~..._
RESIDENTIAL
PERMIT APPLICATION
I LOT:
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SPRINGFIELD
QSDC35 \
225 Fifth Street
Springfield, Oregon 97477
JOB NUMBER
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TAX LOT: 1)Qffi.)
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BLOCK:
SUBDIVISION:
OWNER ~~ In.. \ - ~i'Q ,
ADDRESS' '6f1~ - ( \n<-m~
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STATE: 1l~ .J
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DESCRIBE WORKI U" Ui\hl DZ\ \ .lrR) \:."D. J;-)\..
NEW REMOD\L ADDITIO~ ~MOLlSH OTHER
CONST.
CONTRACTOR #
CITY'
CONTRACTOR'S NAME
GENERAL:
PLUMBING:(~Qj2' j
MECHANICAl' "
ELECTRICAL:
~4aD
zlP:awy 1
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PHONE:
,
ADDRESS
EXPIRES
PHONE
;;... OFFICE USE -
QUAD AREA: LAND USE: - .\ FLOOD PLAIN:
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# OF BLDGS' # OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR, TYPE: # OF BDRMS:
# OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGF' SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. Thfs 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,
o Temporary Electric
o Site Inspection -: To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.' '
o Masonry ..,... Steel location, bond
, beamS, grouting,
o Foundation- After fo'rms are
, erected but prior to concrete
placement.
D Underground Plumbing - Prior
to fiiling trench,
o ,Underfloor Plumbing/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 filling
trench,
o Storm Sewer - Prior to flillng
trench.
o Water Line - Prior to fiiling
trench. ,
o Rough Plumbing - Prior to
cover,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover, '
o Final Plumbing - When ail
plumbing work is complete.
D Rough Electrical - Prior to
cover.
D Final Electrical -When all
electrical work is complete,
0, Electrical Service - Must be
approved to obtain permanent
electrical power, '
o Final Mechanical - When all
mechanical work Is complete, '
D Fireplace - Prior to facing
, materials and framing Insp.
o Final Building -- When ail
, requi~ed inspections have been
approved and building is
completed.
o Framing - Prior to cover.
0' Other
o Wall/C'elling Insulation - Prior to
cover.
o DrYwall - Prior to taping,
MOBILE HOME INSPECTIONS
o Wood Stove - After i~stailation,'
o Insert - After fireplace approval
and Installation of unit.
o Blocking and Set-Up - When all
blocking Is complete,
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
o Plumbing Connections - When
home has been connected to
water and sewer.
o Sidewalk & Driveway - After
, excavation is complete, forms
, and sub-base material in place.
o Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Fence';'" When completed. '
o Street Trees -:- When all required
trees are planted. \ ,
, , '
o Final - After all required
inspections are approved and
. porches, skirtln'g, decks, and
venting have been,lnstalled,
lot faces lot Type. Setbacks
lot sq, ftg, ' Interior P.L. HSE GAR ACC
lot coverage Corner N
Is I
Topography Panhandle
Iw I,
Total height Cul-de-sac
IE I
, ,.. 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,
APPROVED:
BUILDING PERMIT
ITEM SO, FT, X $/SO. FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
,
This permit is granted on the express condition that the said
, '
construction shall, in all.respects, conforlT,l 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,
Garage
Carport
Plan Check Fee:
Date Paid:
Total Value
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
ADDITIONAL COMMENTS
Fixtures
~,~
FEE 0
~.O'
ITEM
Residential Bath(s) NO
Sanitary Sewer FT,
Water FT,
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
~.CC)
180
(c)0J,~
MECHANICAL PERMIT
Furnace
Vent Fan
NO
By signature,1 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/lnsert/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 prope t , a he a proved et of plans will remain
on the site a II imes d ring co truction,
$ignatu~ ·
Date , '
! '-
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
. .
Demolition
4~:'C~~::-
State Surcharge
VALIDATION:
I"" / ~
RECEIPT NUMBER I, J U
DATE PAID /- /62 -Lf<1
AMOUNT R,~ r;~. .~)
RECEIVED ,,;..L::() -) - -
/1 -
-J
:;~<
Total Miscellaneous Permits (E)
...
TOTAL AMOUNT DUE (excluding electrical) '-:....Bl0C)
(A, B, C, D, and E Combined)