HomeMy WebLinkAboutPermit Plumbing 1996-5-13
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSiD WORK' d\~)
ASSESSORS MAP' In \~~f/ I() .
LOT:
BLOCK'
.
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C\ lc{jo~
JOB NUMBER
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SUBDIVISION'
OWNER: t 7\\ )C1AQA...,y ~ ~ _orniu
ADDRF'i.",..',\O'\-5 ~.0t i\ 00 r .r.
CITY: ,>~-i)^\ N:\VoOJ~ STATE: (\jA~ ZIP
DESCRIBE WORK: ~ 'J\_0Jhlo_J \/'\\(\ 0_ ,~\!i'J\l11 ~ Q.-/
NEW REMODEL "v~ ADDITION DEMOLISH ~OTHER
CONTRACTOR'SflNAME
GENEY"f\~ v ~
" "
PLUMBINGI, >. \ \0
MECHANICAl'
ELECTRICAl'
QUAD AREA'
. OF BLDGS'
OCCY GROUP:
. OF STORIES:
WATER HEATER:
PHONE: [4\ . !. 211.0
o.r\-ll
-,
ADDRESS
?J RC\ () u-:! J\
~-%{() ~ ~ ttJ.i\
CON ST.
~~~ ~Fl_
- OFFICE USE -
LAND U,'"''
# OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
FLOOD PLAIN:
ZONING CODE: __~.
. OF BDRMS' ~~
SECONDARY' HEAT: ~T
'"l\
SQUARE FOOTAGE: _
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be
made the same working day"lnspectlons requested after 7:00 a.m. will be made the following work day. '
REQUIRED INSPEC1:1ONS
o Temporary Electric
o Site Inspection - To be mado
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 Plumbing/Mechanical
- Prior to InsulatIon or decking.
o Post and Beam - Prior to floor
Insulation or d~cklng.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench. .
o Rough Plumbing - Prior to
cover.
o Rough Mochanlcal - Prior to
cover.
o Rough Eloctrlcal - Prior to
cover.
o Electrical Service - Must be
approved to obtai n permanent
electrical power.
o FIreplace - Prior to facing
materials and framing Insp.
o ;Framlng - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
D Insert - Alter fireplace approval
and Installation 01 unit.
o Curbcut & Approach - Alter
forms are erected but prior to
placement o,f concrete.
o Sidewalk & Driveway ..L After
excavation Is com plate,' forms
and sub.base material In place.
o Fence - When completed.
o Street Troos - When all required
trees are planted.
o Final Plumbing - When 011
plumbing worl, Is complete.
, ,
D Final Electrical - When all
electrical work is complete.
o Final Mechonlcal - Wilen all
mechanical work Is complete.
o Flnol Building - Whon all
required Inspections have been
approved and building Is
comploted.
DOthor
MOBILE HOME INSPECTIONS
~klng and Set. Up - Whon all
blocking Is complete.
~umblng Connoctlons - When
home 1'8s' been connected to ,
water and sewer.
II Eleeh;lcal Connection - When
~Iocklng, set.up, and plumbing
- Inspections havc been approved
and the home is connected 10
the service panel.
~
g.Joln!i1 - Alter all required
Inspcctlons are approved and
porches, skirting, dec\<s, and
venting havc. bcen Inslnlled.
Lot faces Lol TY. Setb"lcks . IS THE PROPOSED WORK iN THE
I P.L. HSE GAR Accl ".HISTORICAL DISTRICT, OR ON
Lot sq, Itg. Interior IN I THE HISTORICAL REGISTER?
Corner If yes, this application must be signed
Lot coverage Is I
and approved by the Historical
Topography Panhandle \W I Coordinator prIor to permIt Issuance.
Total height Cul.de-sac I'E I
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ, FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granted on the express condition thatlhe said
construction shall, In all respects, conform to the Ordinance
adopted by the City ,of Springfield, Including the
Deyelopment 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
Carport
Plan ,Check Fee'
Date Paid:
Total Value
Building Permit Foe
Receipt Number:
Received By:
State Surcharge
Tolal Fcc
(A)
'Plans Reviewed By
Dale
SYSTEMS D~VELOPMENT 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)
N'
Sanitary S~wer
Water
FT
FT.
Storm Sewer
FT
-
/,:5 (jJ
Mobile Home
Total Charge
(C)
/::)W
.+~' "
lto.W
Plumbing Permit
State Surcharge
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
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 Sprlnglleld, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wllhouf permission of Ihe Building Salety Division,
I further certHy that only contractors and employees who
are In compliance wllh ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mccllunical Permit
Issu'ance
State Surcharge
Sidewalk
It
Ins cf)
~o.w
,tl .2.S
:1:,. \'5
I further agree' to ensure that all required Inspections are
requested at the proper ~ime, that each address Is readable
from the street, that the perm,lt card Is located at the front
of the property, and the approved set of plans will remain
on the site at al~lme d ng co~~"'E3
Slgna/tu~ . ~ ..a:)
) , - 0
Oat"" .
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Curbcul
ft
DomolltJon
c9~ ~~
DATE PAID. ~ . r -).:4 f 0
AMOUNT RE9'1~D ,j KC\ ~ dJ
RECEIVED BY ~~'
RECEIPT NUMBER
Stale Surcharge
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VALIDATION:
Total Miscellaneous Permits (E)
~
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined) . .