HomeMy WebLinkAboutPermit Plumbing 1996-9-11
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DESCRIBE WORK: p?&-f ~~;" /!!?~
REMODEL ADDITION
RESIDENTIAL
PERMIT APPLICATION
Inspecllons: 726,3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
OWNER:
ADDRE~~'
CITY:
NEW
CONTRACTOR'S NAME
GENERA' .
PLUMBING: ~~ ~_ b-'l'
/ I' r
MECHANICAl'
ELECTRICAL:
.
SPRINGFIELD 1.1...,
.
,-JOB NUMBER q({: /2 7-,~
225 Filth Street
Sprlnglleld, Oregon 97477
TAX LOT'
SUBDIVISION:
o/5"'~~
'5..:>--.
BLOCK:
~
-"
STATE:
~.
PHONE: -'22.rC .~~/
ZIP:
q;;>~ :::>
~~/~~~ y..~~....,.
,. , -
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR'
PHONE
~]>~-r%~~~
-/
EXPIRES
7/"/C:2. ..L:2f:..-9'? - h~~
,
OUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER:
- OFFICE USE _
LAND USE:_
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:__
FLOOD PLAIN: ~_
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
SOUARE FOOTAG~:
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 bo made the following work day.
D Tomporary Eloctrlc
D SHo Inspoctlon - To be mado
after excavation, but prior to
setting forms.
D U~derslilb Plumblngl EloctrlcalJ
Mochanlcal - Prior to cover.
D Footing - AHor trenches are
excavatod.
D Masonry - Steol location, bond
beams, grouting.
D
Foundation - After forms are
erected but prIor 10 concrete
placement.
p
Underground 'Plumbing - Prior
10 filling trench.
D
Underlloor Plumbing/Mechanical
- Prior to Insulation or deckIng.
D
Post and Boam - PrIor to floor
Insulation or decking.
D Floor Insulation - Prior to
decKing, ,
ri7l Sanitary Sewer - Prior to filling
l..4-J trench.
o
Storm Sewer - PrIor to filling
trench.
o
Water Llno - Prior 10 filling
trench.
o
Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
CQver. ,
o Electrical Servlco - Must be
approved to obtaIn permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D
D
Framing - Prior to cover.
Wail/Coiling Insulation - PrIor to
cover.
D Drywall - Prior to taping.
D Wood Stovo - After Installation.
D Insert - Attar fireplace approv~1
and Installation of unit.
D
Curbcut & Approach - After
forms are erected blll prior 10
placemant of concrotc.
D
Sidewalk & Drlvewav - After
excavatlon Is compiete, forms
and sub.base malerlal In place.
D
Fence - WllOn completed.
o
Strool Troos - Whon all required
trees arc planted.
D
Final Plumbing - When 011
plumbing worl< Is complel,e.
o Final Electrical - When all
electrical work Is complete.
o Finn! Mechnnlcal - When all
meChanIcal work Is complete.
D Final Building - When all
requIred Inspections have been
approved and building Is
completed.
D Other
MOBILE HOME INSPECTIONS
D BlocKing and Set.Up - When 011
blocKing Is complete.
D Plumbing Connections - When
home has been connected to
waler and sewer.
D
Electrical Connecllon - When
blocking, set.up, and plumbIng
Inspections have been approvOd
and the home Is connected to
the servIce panel.
D
Final - Alter all requIred
Inspections are approved and
porches, skirting, decks, and
ventIng havQ been lnstalled.
Lot faces
. .,. . _HE PROPOSED WORK IN THE,
, Lot Type Setbacks
I P.L. Accl '.' HISTORICAL DISTRICT, OR ON
Interior HSE GAR
IN I THE HISTORICAL REGISTER?
Corner II yes, this application must be signed
Is I and approved by lhe H ISlorlcal
Panhandle \W I CoordInator prior to permit Issuance.
Cul.de,sac
IE I APPROVED'
Lol sq, fig.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
ThIs permllls granted on the express condItion thallhe said
construction shall, In all respects, conform to the Ordinance
adopted by lhe City' of ,Springfield, including the
Development Code, regUlating the construction and use of
buildings, and may be suspended or revoked at any lime
upon violation of nny provisions of said ordInances.
Main
Carport
, "-
Pian Check Fee'
"
Date Paid:
Total Value
ReceIpt Number'
Building Permit Fee
Stale Surcharge
Received By:
TOlal Fee
(A)
-.---.-----
f:lal)s.Rc~lewcd By .
Date
,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmenl Charge Is due on all undeveloped
properties within tllO City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s) N'
Sanitary Sewer FT, t.}/J
Water FT.
Storm Sewer FT,
Mobile Home
2.~~
Plumbing Permit
PZ"
~~r. ~~
-2."7. ~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By signature, I ~tato and agreo, that I have carofully examined
tho completed appllcailon and do hereby certlly that all
Information hereon Is true and correct, and I further certlfy
that any and all work performed shall be done In accordance
with the Ordinances of the Clly of Sprlngfleld, 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 further certify that only contractors and employees who
arc In compliance with ORS 701.055 will be used on thIs
project.
Exhausl Hood
Wood Stove/lnsertlFlrcplace Unll
Dryer Vent
Mechanical Permll
Issuance
State Surcharge
Total Permit
(D)
I furlhcr agree to ensure lhat all required Inspections are
requested althe proper time, that oach address Is readable
from the street, that the permit card 15 located at the front
the property, and the ~ved set 01 plans wIll remaIn
on'lhe e at all times 8urlnQ"Co~ion,
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G I' _ r; J.../"' ,
Dale / - ~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
II
Curbcul
II
Demollllon
Total Miscellaneous Permits
tE)
VALIDATION:
RECEtPT NUMBER :;?'"3/Y'3
DATE PAID ~/- <;f::""
Slate Surcharg~
RECEIVED BY
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TOTAL AMOUNT DUE (excluding electrical) Jh /I
(A, B, C, D, and E Combined)
AMOUNT RECEIVED