HomeMy WebLinkAboutPermit Plumbing 1992-2-10
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ADDRESS: "- '? JO 1-/19-/.5-~ ,X X:
CITY: c~pI2./-.u~.f-F~~ J ST~TE:L!X4~~~/
DESCRIBE WORK: /Y111c~#~e-/(/T O~Af;k)le f~c-e~
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT'
OWNER'
NEW
REMODEL
ADDITION
DEMOLISH
OTHER...Y~
CONTRACTOR'S NAME ADDRESS 1/1
GENERAl' .A'1"ffg' L?d~ &bU/Ie/Y ~
'){ ,/
')/
PLUMBING:
MECHANICAL:
ELECTRiCAL:
QUAD AREA:
# OF BLDGS'
OCCY GROUP'
# OF STORIES:
WATER HEATER'
-
SPRINGFIELD
~
225 Fifth Street
Springfield, Oregon 97477
JOB NUMBER
D;~o I3S
QOt ;C:;iA ~
o
1=1
~5?
~~~s
\1 a:l:2.,~CO
TAX LOT:
0/300
BLOCK:
SUBDIVISION:
PHONE:
7j/"6-562.1
. , '
ZIP:
9Y~7 J?
CON ST.
CONTRACTOR #
hf,9,S'~
EXPIRES PHONE
6~9- ~g, ?V7'95 e:;-
- OFFICE USE -
LAND USE:
Il'~ 0
1
FLOOD PLAIN:
ZONING CODE'
# OF UNITS:
CONSTR. TYPE:
# OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
HEAT SOURCE:
RANGE:
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 saJl1e working day, Inspections requested atter 7:00 a.m. will be made the following work day,
REQUIRED INSPECTIONS
o Temporary Electric
D 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 forms are
erected but prior to concrete '
placement.
o Underground Plumbing - Prior
to filling 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 filling
trench, '
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover,
o Rough Mechanical - Prior to
cover.
o
Final Plumbing - When all
plumbing work Is complete,
D Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Mechanical - When all
mechanical work Is complete.
o Fireplace - Prior to facing
materials and framing Insp.
o Final Building - When all
required Inspections have been
approved and building is
completed,
o Framing - Prior to cover,
o Other
D Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Blocking and Set-Up - When all
blocking Is complete.
o Curbcut & Approach - Atter
forms are erected but prior to
placement of concrete.
I2S1 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.
[2SJ 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,
~ Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
I
Lot faces Lot Type _ Setbacks a THE PROPOSED WORK IN T~-E ..
Lot sq, Itg. Interior I P,L. HSE GAR Accl HISTORICAL DISTRICT, OR ON
IN THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
S and approved by the Historical
Topography Panhandle Coordinator prior to permit issuance,
Total height Cul-de-sac W
E APPROVED:
I
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT. = VALUE
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 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 VaJ.,v.J2..
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.
Water
FT,
Storm Sewer
FT.
Mobile Home
I~'.DO
Total Charge'
(C)
IS ,00
/7::,
)5.15
Plumbing Permit
State Surcharge
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 Ordinancl:Js 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 furt,her certify that only contractors and employees who
are In compliance with ORS 701.055 will. b~ used on this
project.
Exhaust Hood
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Mobile Home
IOS.OO
, .:10.00
S.Js
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, ~nd the approved set of plans will remain
, 'on the site at all times ding c struction,
Total Permit
(D)
MISCELLANEOUS PERMITS
Sidewalk
ft
Date
~ -/ ()-
State Issuance
State Surcharge
Signature
. f
Curbcut
ft
Demoll tion
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
J~as
-U:LL()O
RECEIPT NUMBER
DATE PAID :::2/1/"1 I t;"i
AMOUNT RECEIVED ~ ILl 1_
lflB
~/lO
(")()
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
RECEIVED BY
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