HomeMy WebLinkAboutPermit Plumbing 1993-10-18
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SPRINGFIELD
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~ESIDENTIAL
~ERMIT APPLICATION
JOB NUMBER
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nspections: 726.3769
)ffice: 726-3759
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225 Fifth Street
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
, TAX LOT: c:::> YO.9'2 e:z:,
LOT:
BLOCK:
SUBDIVISION:
ADDRESS:
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DESCRIBE WORK: /:,:?~~~
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REMODEL
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PHONE:
7Y/- ~~ //
OWNER:
CITY:
STATE:
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~~5...
ZIP:
~?~?8
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90',' ~~ ~ ~7'
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NEW
ADDITION
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR"
I'
CONTRACTOR'S NAME
GENERAL:
EXPIRES
PHONE
PLUMBING:
~~d'~;ZS-
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MECHANICAL:
ELECTRICAL:
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
" OF BLDGS: " OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: " OF BDRMS:
" OF STORI ES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: 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,
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical - Prior to
cover.
o
Final Plumbing - When all
plumbing work is complete.
D
Site Inspection - To be made
after excavation, but prior to
setting forms,
D Rough Eleclrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
o
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
o
Electrical Service - Must be
approved to obtain permanent
electrical power.
o
Final Mechanical - When all
mechanical work is complete.
o
Footing - After trenches are
excavated,
o Fireplace - Prior to facing
materials and framing Insp,
o
Final Building - When all
required Inspections have been
approved and building is
completed.
o
Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to cover.
o Other
o Foundation - After forms are
erected but prior to concrete
placement.
o Wall/Ceiling Insulation - Prior to
cover,
o
Underground Plumbing - Prior
to filling trench,
o Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
D
Underfloor Plumbing/ Mechanical
- Prior to insulation or decking,
o Wood Stove - After installation.
o
Post and Beam - Prior to floor
insulation or decking.
o Insert - After fireplace approval
and installation of unit.
o Blocking and Set-Up - When all
blocking is complete,
,
o
Floor Insulation - Prior to
decki ng.
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 Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench, '
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.
~ Water Line - Prior to filling
trench.
o
Fence - When completed,
o
Rough Plumbing - Prior to
cover.
D
Street Trees - When all required
trees are planted,
o Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
~
-
Lot faces Lot Type Setbacks
Lot sq, ltg. Interior I P.L HSE GAR ACC I
IN
Lot coverage Corner
Is
Topography Panhandle
Iw
Total height Cul-de.sac
IE
, _ 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 SQ. FT. X $/SQ, FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
This permit is granted on the express condition that the said
constwction'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.
Garage
Carport
Plan Ch8Ck 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
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) NO
Sanitary Sewer FT.
41~ r
Water FT.
.
Storm Sewer FT.
Mobile Home
~~
Plumbing Permit
State Surcharge
Total Charge
(C)
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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 Safely 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 Surcharge
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 properly, and the approved set of plans will remain
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Date
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MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
lt
Curbcut
lt
, Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
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DATE PAID /49;7'8 --9"3
AMOUNT RECEIVED ;:z..~..:;:2S
RECEIVED BY a- 3, - ..
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RECEIPT NUMBER
Total Miscellaneous Permits (E)