HomeMy WebLinkAboutPermit Plumbing 1992-10-21
OWNER:~L#/1/d-Y ~E
ADDRESS: _1-43t:P7 :5 E /l?/.-:CL
CITY: 1/~c'?~Y~ .
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP'
LOT:
DESCRIBE WORK:
NEW
REMODEL
ADDITION
PHONE:
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STATE:_~ -
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JOB NUMBER_*?.2/3//
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225 Fifth Street
Springfield. Oregon 97477
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TAX LOT:
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SUBDIVISION'
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ZIP:
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CONTRACTOR ..
CONTRACTOR'S NAME ADDRESS
GENERAL:_~i~~ ~i::':; -'.- - ,
, / ~ V#
PLUMBING. ,>,L,=/...-;{:/:?~;!ZjJ!?7-- -~
MECHANICAl'
ELECTRICA' .
EXPIRES
PHONE
/'/."'~ 703 ~ t5B:/-7::>i!?"E
- OFFICE USE -
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QUAD AREA: LAND US~' FLOOD PLAIN'
.. OF BLDGS: .. OF UNITS' ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: .. OF BDRM'"
.. OFSTORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' r~ANGE: SQUARE FOOTAGE:
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 rOQuested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
o Site Inspection - To be made
. after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcal/
MechanIcal - Prior to cover.
o Footing - Aftor trenches arc
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - Aftor forms are
erecled but prior to concrele
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 decking.
o Floor Insulation - Prior to
decking, _
o Sanllary Sewer - Prior to filling
trench. .
o Storm Sewer - Prior to filling
trench.
o Waler Line - Prior to IIl1lng
trench.
o Rough Plumbing - Prior to
cover. .
o Rough Mechanical - Prior to
cover.
D 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 Slove - After l~stallat'lon.
o Insert - After fireplace approval
and Installation of unit. .
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Drlvaway - After
excavation Is complete, forms
and sub-base material In place.
[~ Fence - Whe.n compi~tod. .
o Street,:rrees - When 'all requlred-"
trees aro planted. ~ .
o Final Plumbing - When all
plumbing work Is complet,e.
D Final Electrical - When all
electrical work Is complete.
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o Final Machanlcai - When all
mechanical work Is complete.
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o Final Building - When all
required .Inspectlons have been
approved and building Is
completed.
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DOlher
MOBILE HOME INSPECTIONS
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O'Blocklng'and Set.Up - When alf
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
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o Electrlc'al Connection - When
blocking, set-up,;and plumbing
Inspections have' been approved
and the home,ls.connected to
the se.',:lce panel.
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Li_;,~p:ln.al~7-;;,~r.ter~~II.!~51~"ed, ;'
, ...Ln!!'p'e.o.tI~.~~Xa~~app.!:.o'!.ed;~nd:,
.,'.:' . porc;:J;es~sklrtlng~,d~cks. and
. 't.ventlng 'have.:beEinpnstalled: ,
. L?t f~~,es I ,"'--:- ~ 't' ~ot T~J?~.
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Lol.s!'l.j ftg..l!'f=.+ 1 j':'l',~' IliterI6ro}'"
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Lot. coverage~~, \.-: 1'-::' CCJrner.';'
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.Topogra'phy ;' .-f' I ~ P,snhandle
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Total 'height Cul.de.sac
., .. Setbacks,
. ~:,c.;: p.~:~ 'H'SE: ;GAR' 'ACC I'
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Total Fee (A) . ,
SYSTEMS~'PEV~LQB'MENT :CHARGE(SDC)
..,., (B)
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PLUMBING PERMIT
ITEM
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Fixtures
Resldenilal Bath(s) 'N'.
Sanitary Sewer
FT. c::..5'o
Water
FT.
Storm Sewer
FT.
Mobile Home.
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/FlreplaceUnlt
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Tota' Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Cu rbcu t
Demolition
Slate Surcharge
Total Miscellaneous Permits' (E)
',' . ~." _I ,,~.:J \.. .
TOTAL AMOUNT DUE'(excludlng electrical)
(A, B, C. 0, and E Combined) .
FEE
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1.'2~
"26.~S-
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iAs THE PROPOSED WORK IN THE :.ti
Wm3To'RICAL' DISTRICT,ioR::ON, - ''If'
THE HISTORICAC'REGlirtER? ..":
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If yes, 'thls 'appllcatlon must be signed
and ~pproved' by the Historical
Coordinator prior to permit Issuance.
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that Ole saId
construction shall, in all respects, cqnform to. the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings. and may be suspendod or revoked at any time
upon violation of any provisions of said ordinances.
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Plan Check Fee:
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Dale
Systems Developmont Charge Is due on all undevoloped
properties within the City limits which arc being Improved.
ADDITIONAL COMMENTS
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 accordanco
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 bo made of any
structure without permission of the Building Safety Division.
I further certify 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 Inspoctlons arc
requested at tho proper time, that each address Is roadable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
on t~ at all tlm~ng con~tructlon.
SlgnalU~ ~~r-... ,,"-.("\~ -'0-
Date\~~'y/
VALIDATION:
RECEIPT NUM8En
h"5'YO
IC;- ~...o?'2
2t5, 2~
./7~-
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DATE PAID
AMOUNT RECEIVED
RECEIVED BY