HomeMy WebLinkAboutPermit Plumbing 1993-6-14
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
,LOCATION OF PROPOSED WORK' 51 2.7
ASSESSORS MAP: I ~ DZ-D? 2..3
LOT'
CITY'
:.
SPRINGFIELD
-'--'
11- ,
~ J~B NU;"'BER C{ 3o~9
225 Fifth Street ,
Springfield. Oregon 97477 "
TAX LOT' 0 30ZlC) ,
BLOCK'
. SUBDIVISION'
STAT'"
',~
O~NER' (I,ll) VQt7 M a wi ~ Vl tJ.- Qe~a.(' :.
ADDRESS: 1 '&'10 0 Pmn e e-r rKw-J .J:::- if=.2D
~~
,
DESCRIBE WORK'
r:.u,l",(
~ ~Jn~p '.,d.~.;ftoVl ."
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERA' .
PLUMBING'~ nMtd--e( y1.e...
MECHANICAl'
ELECTRICAL:
DEMOLISH'
OTHER:
PHON'"
0~3- 7//4
.. Z.IP:
c;'7U.J...7 '
.<;':.:.
'.
.'
ADDRESS
CONST..
, CONTRAq<?f'!,'.,
,"
'-',.....
PD 8vC' / b 7 S,&TFs{U.i!.5
y 2.'8't:; 0
~-(b-tf3
. ''C7::J': &:7,,6
". ..
.'
- OFFICE USE -
QUAD AREA'
. OF SLDGS'
OCCY GROUP:
. OF STORIES'
WATER HEATER'
LAND USE:
. OF UNITS:
CONSTR, TYPE:
HEAT SOURCE:_
RANGF'
FLOOD PLAIN:
Z.ONING CODE:
. OF SDRMS'
SECONDARY HEAT'
SQUARE FOOTAGE:
. .' .. .
To r~quest an Inspe<<;:t1on, you must call 726-3769. This Is a 24'hour ~ecordl':lg. All 'lnspectl.ons requested before 7:00 a.m."wJII,oe
made the same working day. IQspe~tlons requested after 7:00 a.m. wlll.be'made the following work day. .
, REQUIRED.INSPECTIONS
o Temporary Electric.
o Site Inspection - To be made
after .excavatlon, but prior to
" setting forms.
o
Underslab PlumblngJ ElectricalJ'
Mechanical - Prior to ,cover.
o Footing - After trenches are
excavated.' .
tJ
Masonry - Sfeel location, bond"
bea",:!s, grouting.'
, '
O Foundation - After forms' are
',' " erected but' prior to concrete
.' placement.
. 0 Underground Plumbing':'" Prior
. to filling trench. .
. 0 Underlloor Plumbing/Mechanical
.:.' _ Prior to Insulation or decking.
o Post and Beam -, Prlo~ to floor
. Insulation or decking. . '
L
<
o Floor Insulation. - Prlor to
. decking.. " .
'. ~'Sanltary Sewer - Prior to filling
~rench.
, '
r~'f"
'. \.
I,. .
Ik
f:,;....
t<. ::.\
l,:::'
i(.~
l1:::
d.'.
,.
0' Storm Sewer -, Prior t'o 'fllling
trench.
o Water line -' Prior to filling
'. trench, .
~ Rough Plumbing. ~ P~lor to
~ cover. '
o Rough Mech~nlcal ~ ~rior to
cover. . .
o Rough Electrical"':' Prlorto
cover., . .
o Electrical Service - .Must be
_ approved to obtain permanent
. electrical p,ower. '
o Fireplace - Prior to.faclng
ma~erlals and (ramlng Insp.
o Framing - :rlor i? co~~r.
o Wail/Ceiling Insulation - Prior to .
cover. . :
o Drvwall - Prior to taping,
o ,Wood Stove .~ Af,V~~r Irl,stallation.'
o Insert - After flrepl~ce ap'proval
anddnstallation of unjt.
o 'Curbcut & Approach -' After
forms are erected but prlor..to
placement of concr,et.~.
o Sidewalk & Driveway :~'After
excavation Is complete, forms
and sub.bas~' materi~l, 'in place. .'
o Fence.- Wh~n c9mpI7te~.
D Street 'Trees .~_ Wryen ?1I required
trees are planted, :. .
, ~ Final Plumbing - When all"
~Iu'mblng work is c'omple.t.e.
D Final Electrical - When all
electrlcal work is comp!ete.
o Final Mechanical - When all
. mechanical work is complete.
. .0 Final Building - When"all. ....
required Inspections have been'
approved and building 'is
completed.
o Other
MOBILE HOME INSPECTI()NS
"
o Blocking and Set.Up ~. When.,all
. blocking Is compl,cte. '.
D Plumbing Conn.ections' -:- When
home has been connected to -
water and sewer. .
'0 Electrical Connection ~ When
': ,blocking, set-up, and plumbing.
in~pections havl.3 been .approved
an'd the' home is connected to
the service panel.
o
Flnai - After all requir'ed
inspections are approved and:.
porches, skirting, decks. and
venting have been insialled.
Lot faces Lot TYP!', Setbacks .;S THE PROPOSED WORK tN THE
I P.L. I I I I '-'.-.
Lot sq. Itg. Interior HSE GAR ACC HISTORICAL DISTRICT, OR ON
IN 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 iss':lance.
Total height Cul-de.sac IE I
APPROVEP'
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, 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
Receipt Number'
Building Permit Fee
Total Fee
(A)
Received By:
Plans <<~d By
Date
State Surcharge
(B)
Systems Development Charge is due' on all undeveloped
properties within tho City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
Fixtures /
Residential Bath(s) N'
Sanitary Sewer FT, ..c. ,C:;V
Water FT.
Storm Sewer FT.
Mobile Home
FEE
//.?
;?,<:;iN
State Surcharge
Total Charge
(C)
1~~
;]S'
~(b~7 J
Plumbing Permit
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully examined,
the completed application and do hereby certify that all
tnformalion 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 .descrlbed
herein, and that NO OCCUPANCY wilt be made of any
structure without permission of the Building Safety Division.
I further certify that only conlractors find employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all'required inspcctfops arc
requested at the proper time, that each address Is readable
from t~e street, that the permit card Is lo~ated at the front
of the property, and the approved set at plans will remain
on the,slte~mes during co~tion, '
'ySlgnature(~JI~ (~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Date
Curbcut
It
Demolition
State Surcharge
VALIDATION:
RECEI~T NUMBER
DATE PAID
'~C,7
in -I'~ -$'.s
_~);;LJ-
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
~f,..7S'
AMOUNT RECEIVED
.RECEIVEO BY