HomeMy WebLinkAboutPermit Plumbing 1996-7-30
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
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SPRINCFIELD
.
JOB NUMBER <7e;;'&l ~
225 Fifth Street
Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: _ q-'3"'7_,r:?/;'h~/~... .~.
ASSESSORS MAP: 17-.6'3-<'/-'""3' / TAX LOT:
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LOT'
OWNER:
ADDRESS'
CITY'
BLOCK:
STATE: _~ _
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SUBDIVISION'
PHONE:
ZIP:
""7":> c../? -,
DESCRIBE WORK: 4:;-r .:~..... '?~? i.'!C>/ "ct:>~ 5;"'7" /_,-~
NEW REMODEL ADDITION DEMOLISH OTHER
CONTRACT~~E
GENERA" ~""'i-)<
, . . - ,'" '...
PLUMBING:
MECHANICA' '
ELECTRICAl'
QUAD AREA'
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER:
5,- - -=0- ~~" j.
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ADDRESS
CONST.
CONTRACTOR'
PHONE
- OFFICE USE -
LAND USE:_
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: __
EXPIRES
FLOOD PLAIN:
ZONING CODE:__
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:_
To request an Inspection, you must catl 726,3769. This Is a 24 hour recording, All Inspections requested belore 7:00 a,m, will be
made the same workIng day. Inspections requested after 7:00 a.m. '!Jill be made the following worl<" aay.
o Temporary Electric
D Slto Inspoctlon - To be made
after excavatIon, but prIor 10
setting forms.
o Uriderslab Plumblng/Electrlcal/
Mochanlcal - Prior 10 cover.
D Fooling - After trenches are
oxcavated.
o Masonry - Steel location, bond
beams, grouting.
o
Foundation -' After forms are
erected but prior to concrete
placement.
p
Underground Plumbing - Prior
to rllllng trench,
o
Underrloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and Boam - Prior to floor,
Insulation or deckIng. \ \
t.... o. \~ .
.
o Floor Insulation .~ Frlor to
decking. ,-' '_
o Sanitary S,owcr - Prior to filling
trench. i.l
r7Vl Storm Sewor - Prior to filling
~ trench. l
O Water L1no - PrIor 10 fi!llng
'trench. .... : ...
o Rough Plumbing - Prior-to
cover.
REQUIRED INSPECTIONS
...::-" '
o Rough Mochankal::"" Prior to
cover. !. .
D Rough Electrical - Prior to
cover.
o Electrical Servlco - Must be
approved to obtain permanent
electrical power,
o
Flreplaco - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Coiling Insulation - Prior to
cover.
o Drywall - Prior 10 taping,
o Wood Stovo - After InstallatIon.
o Insert - After fireplace approval
and Installation of unIt.
,0
Curbcut & Approach - After
forms are erected but prIor 10
placemont of concrete.,.
o Sidewalk & Drlvew3Y - Afler
excavation Is complete, forms
and sub.base material In place.
o Fence - ,-,Vt1On completed.
o Streot Treos - When ~~It rcqu,lrcd
trees are planted.
o Final Plumbing - When nil
plumbing worl( is completo.
, ,
o Final Elcctrlcrtl - When all
electrical work Is completo.
o
Flnnl Mcchnnlcal - Whon all
mechanical worl( Is complete.
o
Flnnl Building - Whon all
rOQuired Inspections have been
approved and building Is
complctod.
o Othor
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When all
blocking Is complete.
o
Plumbing Connections - When
homo has been connected 10
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home Is connected to
Ihe servIce panel.
o Final - After all required
Inspections are approved and
porChes, skirting, decks, and
ventlng have been Installed.
Lot faces lol Type . Selbacks i. THE PROPOSED WORK IN THE,
I P,l, ' HSE ' GAR' ACC I HISTORICAL DISTRICT, OR ON
lol sq, fig, Intorlor IN THE HISTORICAL REGISTER?
Corner II yes, this application must be signed
Lot coverage Is I
and approved by the Historical
Topography Panhandle Iw Coordinator prior to permit Issuance.
Total height CuI-de-sac
IE APPROVED:
BUILDING PERMIT
ITEM SO, FT, X $/SO, FT. : VALUE
Main
Garage
"
Carport
TotDI Value
Building Permit Fee
Stale Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT,
Water FT,
Storm Sewer FT, ~2'-S-
Mobile Home
FEE
~-
Plumbing Permit
~-
- ~:~~
5'''7. <r ~
'i=s
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
Slate Issuance
State Surcharge
Sidewalk
II
Curbcut
I
/.0./ 5"
It
Demolition
Slate Surchargp
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) ,~"7, ~
(A, B, C, D, and E Combined)
BUILDING VALliE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the express condition thatlhe said
construction shall, In all respects, conform to the OrdInance
adopted ,by Ihe City ,01 Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any lime
upon violation of any provisIons of saId ordinances.
Plan Check Fee:
Dale Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is duo on all undeveloped
properties within the City limllS which are being Improved.
ADDITIONAL COMMENTS
By signature, I stale and agree, Ihall have carefully examined
the completed application and do hereby certify thaI all
Information horeon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
wllh the Ordinances 01 the City 01 Springfield, end the laws
01 the State 01 Oregon perlalnlng to the work described
heroin, and that NO OCCUPANCY will be made of any
streclure wllhout permission ollhe Bulidlng Salety Division,
I rurther eartHy that only contractors and employees who
aro In compliance wllh ORS 701,055 will bo used on this
project.
I further agree to ensure that all required Inspectlons are
roquested at the proper tIme, that oach address Is readable
from tho slreet, that the permit card Is located at the front
of the property, ond the approved set of plans will remain
on the silo at all times during const~n.
Slgnaturo .x1~ Ij-'" ~
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7-~o-9b
Date
VALIDATION:
RECEIPT NUMBER
DATE PAin ,/,
AMOUNT RECEIVED
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RECEIVED BY
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