HomeMy WebLinkAboutPermit Plumbing 1992-9-21
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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SPRINGFIELD
LOCATION OF PROPOSED WORK: I..k:LQ
ASSESSORS MAP: \., ('J:( :::l"") 4 j
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DESCRIBE WORK: rv 2ll............h
LOT'
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OWNER:
ADDRESS:
CITY:
NEW
REMODEL
CONTRACTOR'S NAME
BLOCK'
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JOB NUMBER.-::::J ~J
I~(J
225 Filth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
()~C)o I
PHONE:
l'-f/~ 1-1Ql
STArE: __QA,_____ ZIP: _g:J~JJ_
Ort'IEn_.
ADDRESS
CON~"'T.
CONTHACTOH .
EXPIIlES
I"HONE
GENERA' '
PLUMBING: ~,,~',>C'L~"~ 4>k L--_:J 0,0
I .) :t.{L r'.k 4t,.".,.A(
ADDITION ~MOLlSH
MECHANICAl'
ELECTRICAl'
,
QUAD AREA'
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
WATER HEATER'
w. ~cR.u~_~..fl:J~.P")
_ _. _ ld3_-l':lN:..
tI J/.lc.0S iii" 19~__
- OFFICE USE -
LAND USE:
H OF UNITS:
CONSTR. TYPE:
HEAr SOURCE:
RANG'"
FLOOD PLAIN: .____
ZONING CODE:__
. OF BDRMS:
SECONDAIW HEAl;
SQUARE FOOTAGE:
To request an Inspecllon, you must call 726-3769. This Is a 24 hour recordlnu. All inspecllons requested before 7:00 :1.111, will be
made the same workIng day, Inspections requested arler 7:00 a.m. will be made the followIng work dllY.
o Temporary Electric
o Sito Inspection - To be mado
after excavation, hut prior to
setting forms.
o Underslab Plumbing/Electrical I
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
placemenl.
o
Underground Plumbing - Prior
to filling trench.
o Underlloor PlumblnglMechanicnl
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insula lion - Prior to
decking.
o Sanitary Sewer - Prior to fil/int)
trench.
o Slorm Sewer - Prior to filling
trench.
o Waler line - Prior to filling
trench.
~OU9h Plumbing - Prior to
cover. .
REQUIRED INSPECTIONS
o Rough Mechanical - Prior 10
co....er.
o Rough Electrical - Pliul' ll)
cover.
o Electrical Service - Mu:;1 be
approved to obtain pcrrnnncnl
electrical power.
o Fireplace - Prior to fnelnu
materials and framing Insp.
o Framing - Prior to cover.
o WalllCeiling Insulation - Prior to
co....er.
o Drywall - Prior to lapinn.
o Wood SIO....O - After instnllillion.
o Insert - After fireplace ilPptoval
and instal/allon of unll.
o Curbcut & Approach - After
forms are erected bul prior to
placement of concrete.
o Sidewalk & Dri....eway - Aller
. excavation Is complete, forms
and sub-base material in plilce.
o Fenco - When completed.
o Streol Trees - When all ICqlli1cd
trees arc planled.
[2r!,~inal Plumbing - When :111
plulTlbinU worl< is complete.
CI Finnl Electric,.1 - Wilen nit
electrical WOllt is cQmplete.
C) Final Mechanical - When nil
mecllanical work is completc.
CI Final Buildiny - WhIm all
fCquired Inspections have been
approved nnd buildinU is
GOll1plcte<l.
1=IOlller
MOBILE HOME INSPECTIONS
o OIocking find Set.Up - When nil
blocking Is cornplct(~.
I I Plumbing Connections - When
Ilorne has been connected to
water and sewer.
D
Elccllical Conncction - When
blocking, sel-up, and plumbIng
inspections have been approved
onu the home is connected 10
the service p.1ncl.
o Final - After 011 rCQuired
Inspections arc approved and
porches. skirting, (leeks, anti
venting have been installed.
Lot face:;
LOI TYI..
Lot sq, fig,
Interior
Lot coverage
Corner
Topography
PanhamJle
Total height
Cul-de.sac
BUILDING PERMIT
ITEM SO, FT. X $/SO, FT.
Main
Garage
Carpor I
Tolal Value
BuildinD Permit Fee
Stale SurcllarDo
Tolal Fcc
fA)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
...!:.h.. HSE GAR ACC
~---
~---
~---
~'-__ APPROVED"
BUILDING VALUE, PLAN CHECK
VALUE AND BUILDING PERMIT
Fixtures
FEE
L~ __LS~a()
Residential Balh(s)
N'
Sanitary Sewer
FT.
Water
FT,
FT,
'Storm Sewer
Mobile Home
PlumbIng Permit
Stale Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hooel
Vent Fan
N'
Wood StovellnsertlFireplace Unit
Dryer Vent
MeChanical Perllli I
Issuance
Slate Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
fI
Curbcul
II
Demolition
State Surcharge
1<:'.(')0
___~.:J_~_
lc::.,~
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrICal).fb IS./e::,
(A, B, C, D, and E Combined)
Setbacks
"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.
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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 violatlon of any proVisions of said ordInances.
Plan Cllcck Fee:
Dale Paid:
Receipt Number'
Reccivcel By:
Plans nevicwed By
Date
Systems Development Charge is due on all undeveloped
propertJes within the City limits whIch are being Improved.
ADDITIONAL COMMENTS
\M), :-;T'C'~ _~. ~./ ,I{'_~ t?lA-...d;d q/:>I h.
By signature, I state and agree, that J have carefully examined
the completed applicatlon and do hereby certify that all
informatlon 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 will be made 01 any
structure without permission of the Building Safety Division.
I further certl ty that only contractors and employees who
are in compliance with OAS 701.055 will be used on thIs
project.
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 site at all times during construction.
Signatur1~'k r:9{~~
Dato ~/ ril 1t1";;\.
VALIDATION:
RECEIPT NUMBER
lJ. (p }J,.,-:2,
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8P
DATE PAin
AMOUNT RECElv~n
RECEIVED BY