HomeMy WebLinkAboutPermit Plumbing 1996-5-28
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DESC~IBE WORK: ~Jll
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK'
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ASSESSORS MAP:
LOT'
OWNER:
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SPRINGFIELD
,
.
9' 5'1.392-
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BLOCK:
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
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CITY'
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL'
STATE:
DEMOLISH
OTHER
ZIP: 789 CJ"5
ADDRESS
CONST.
CONTRACTOR'
PHONE
PLUMBING:
7h 4C..
zu....,/.:.. #?",~,7:C:P
,
MECHANICAl'
ELECTRICAl'
. - OFFICE USE -
EXPIRES
:'--.>.... \
QUAD AREA- LAND USF' .... ' FLOOD PLAIN'
. OF BLDGS: . '. OF 1)NITS: ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT. SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE:_ SQUARE FOOTAGE:
To request an Inspection, you must call 726-3769, ThIs Is a 24 hour recording. AlIlnspectlons requcst.ed 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
D 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 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 Underlloor PlumblnglMechanlcal
_ Prior to Insulation or deckln~.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulatlon- Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Pr1e:r to filling
. trench.
.. \. '..1 '... ..'
O Water Line -' Pilono .fIInng
trench. .~. " ~.,
.: . ".;' '-.-
~ROU9h Plumbing -. P~lor to
cover.
'- .
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o Rough Mechanical :..: Prior to.
cover. I '."
'~"'\'
. , .
o Rough Electrical -:- Prior 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 WaIl/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - Atter In~ta"atlon.
o Insert - Atter fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of CQncrotc.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Fence - When "completed.
o Street TroGS - Wh~n all required
trees are planted. -.J... ....,\
. '::;."
~. .~
Final Plumbing - When all
plumbing W9"r\< Is complet.c.
o Final Electrical - When all
electrical work Is complete.
o
Final Mochanlcal - When all
mechanIcal work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
OOth.r
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 plumbing
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
venting have been Installed.
',,1
Lot faces
. ,-
Lot,sq. fig,
,
LotT.'
Interior
" . I;'.; '\f;: \".
',: "
.. IS 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.
Topography
Total height
Panhandle
I P.L.
IN
Is
Iw
"lL-2\'
. Setbacks
'HSE'GAR'ACcl
I
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,
"
Lot coverage
Corne r
Cul-de-sac. .
. - .' ~
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT.
VALUE
\ ... '. .'.
BUILDING VALUE. PLAN CHECK
AND BUILDING PERMIT
"
APPROV~D:.
"
This permit Is granted on the express condition that the said
construction shall, lnail resp.ects, conform to, the Ordinance
adopted -by' the Cily of 'Sprlngfleld. including the
. .......t,..". ,,_" '. .
Deve.lopme'nt Coae;re'gulatinirthe cqnstructlon and use of
buildings. and may be suspended or revoked at any time
upon violation of any provisions "oi'said o,.dlnances.
,
Main.. \'....
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Garage
,.
-. '\-..
I,
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Carport....
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~ Plan Check Fee:
'-..:?', ~ '\ '-..:."\ :-"\., ::._, .....
. > Date Paid:
. t.,
./ \:-,;,. \.:. ~
Total Val ue
Building Permit Fee
Receipt Numbcr'
Statc Surcharge
Received By;
SYSTEMS DEVELOPMENT CHARGE (SDC)
(6)
I
PlaQs,,",F!cvl~wed ~y
~ .,
Date
III
. ,
Total Fee
(A)
Systems Development Charge Is duo on all undeveloped
properties within tho City limits which are beIng Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
Fixtures
/
FEE
/?;?;",,,v .
Residential Bath(s) .
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
J C;.d->O
/.2..D
/h,:;'O
Plumbing Permit
State Surcharge
,7 J 1" .--IF..
(C(' ~,
Total Charge
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By signature, I state and agree, that I have carofully 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 Ordinanc~s of the City of Springfield. and the Laws
of the State of Oregon perlalnlng to tho work described
herein, and that NO OCCUPANCY will 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 Stovellnserl/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensuro that all required Inspections are
requested at the proper time, thai each address Is readable
from tho street, that the permit card Is located at the front
of the property, and the approved set 01 plans will remain
)( on the site at during construction.
./' Slgnaturp
MISCELLANEOUS PERMITS
Mobile Homo
State Issuance
State Surcharge
Sidewalk
fI
Date
Curbcut
ft
Demolition
State Surcharg~
VALIDATION:
RECEIPT NUMBER
2/~72-
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.~
~
Total Miscellaneous Permits (E)
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A. 6, C. D. and E Combined)
/t- ~6
AMOUNT RECEIVED
RECEIVED BY _
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