HomeMy WebLinkAboutPermit Plumbing 1992-8-23
RESIDENTIAL ',_
PERMIT ~PPLlCATION
Inspections: 726.3769
Office: 726.3759
- .
JOB NUMBE~\C'AC\?
SPRINGFIELD
LOCATION OF PROPOSED WORK' S~O
/ 7 0 ~ ..=2.2 J 2.
ASSESSORS MAP'
LOT:
OWNER: r'"7;;;hn n~_
ADDRESS' 339.3.r=;
CITY: ('. Y'"e <;; CJI <-J I (
or:
ICtllU
'1 I
Y
BLOCK:
.(X
225 Fifth Street
Springfield, Oregon 97477
SUBDIVISION'
TAX LOT:
t)() ~(') 0
~w~
STATE:
CJ~_
DESCRIBE WORK:
(" ()V1".:-J. /.A.J Ct ~ V-
JI',...,
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL' /"?L,JYJ,.Y--
PLUMBING'
MECHANICAL'
ELECTRICAl'
QUAD AREA:
. OF BLDGS:
OCCY GROUP'
. OF STORIES:
WATER HEATER'
DEMOLISH
OTHER
PHONF'
~cr 5-.t~ 97 7
ZIP: CJ7y 2<-
ADDRESS
CONST.
CONTRACTOR'
PHONE
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCF'
RANGF'
EXPIRES
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS'
SECONDARY HEAT:
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.
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 MasC?nry - Steel location, bond
beams, grouting.
0" Foundation - After forms are
erected but prior to concrete
placement.
~rgrOUnd Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to insulation or decking.
o
,
Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
O Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prlor to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
o Fence -When completed.
. ,
..
, ~ ~.. .
o Street Tr,ees - Wh"en al1"required
trees are planted. .
o
Final Plumbing - When all
plumbing work is complete.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
. required Inspections have been
approved and building is
completed.
DOthe"
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbi,ng
inspections have been approved'
and the home is connected'to .
the service panel.
o Final - After all required
. inspections are approved and
,.. porches', 'skirting, decks, and
.ventlng have been .Installed.
Lot faces Lot Type _ Setbacks "E PROPOSED WORK IN THE
Lot sq. ftg. Interior I P.L. HSE GARIACCI HISTORICAL DISTRICT, OR ON
IN I I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit issuance.
Total height Cul-de.sac IE I
APPROVED'
BUILDING PERMIT
ITEM SQ. FT. X $/SQ. FT
VALUE
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.
Main
Garage
Carport
Pian 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
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) NO
Sanitary Sewer
FT
FTSO
f) ~90
Water
Storm Sewer
FT
Mobile Home
Total Charge
(C)
f{;S.U'-'
\. ~L'j
t'2~,~
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 Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY w"ill 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 StovellnsertlFireplace 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 property, and the approved set of plans will remain
on the Sit~at a times during construction. .
Signature .1.-<-.-1... J?/_~'1<:J
f' /
Date :.- d.~ - Cf/
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
nr ?5
LJ l'1,r
VALIDATION:./) /\ q 1')
RECEIPT NUMBER CY ( U'<<.
DATE PAin R .?~?, . y) -, 1..f":::
. AMOUNT RECEIVF~ _ (i (Y (f) h'-...J
CJ) / !;;)r7L.J
RSCEIVED BY
State Surcharge
Total Miscellaneous Permits "(E)
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