HomeMy WebLinkAboutPermit Plumbing 1997-9-8
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SPRINGFIELD
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
JOB NUMBER
(1\\ I\d9Jt I
BLOCK'
LOT:
PHONE: :~. Cf?i\..D1
ZIP: Ol40l
CITY:
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DESCRIBE WORI"
NEW REMODEL
DEMOLISH
OTHER
ADDITION
CON ST.
CONTRACTOR'
ADDRESS
EXPIRES. PHONE
CONTRACTOR'S NAME
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\D\ \oJA_R>' \~q~
GENERAl'
PLUMBING:~\ \\itf{\~
MECHANICAl' - 'lH'S~.
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ELECTRICAL' , '7.- 'VT'r_
en, 1 VIYI>,;:, "'/of A! .
4~1~JJ~~ s-t..o/IY~/,t'
LAND (j~t9fll' 'IY/r>. l'Jt/.~7:ii!It~ FLOOD PLAIN'
. OF UNITS: "'~IY/n;-'1e-4Nl>~. 1Y4f/l'/8 ~O~NING CODE:_
. v~D No...
CONSTR. TYPE: ,t'olY ' . OF BDRMS:
HEAT SOURCE: SECONDARY HEAT:
QUAD AREA:
. OF BLOGS'
OCCY GROUP:
. OF STORIES:
RANGF'
SQUARE FOOTAGE:
WATER HEATER:
To request an Ins paction, you must call 726.3769. This Is a 24 hour recording. All Inspections requesled before 7:00 a.m. will be
. made the same working day. Inspections requested after 7:00 a.m. will ~e made the following work day.
REQUIRED INSPECTIONS
o Final Plumbing - When all
plumbing worl, Is complete.
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o Rough Mechanical - P.rler to
cover.
o Temporary Electric
o Site Inspoctlon - To be mado
after excavation, but prior to
setting forms.
o Rough Electrical - Prior to
cover.
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o U~derslab Plumblng/Electrlcall
Mechanical - Prior to cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D. Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and framing lnsp.
o Masonry - Steel location, bond
beams, grouting.
o Framing - Prior to covcr.
o Other
o Foundation - After forms are
erected but prior to concrete
placemont.
o Wail/Ceiling Insulation - Prior to
, cover.
o Underground Plumbing - Prior
. to filling trench.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stove - After Installallon.
o Blocking end Set.Up - When all
blocking Is complete.
o Post and Boam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - Prior to
deckl ng.
o Curbcut & Approach - After
forms are erected but prior to
placemont -ot- concrete.
o Sanitary Sower - Prior to tilling
trench.
o Electrical Connection - When
blocking. sel.up. and plumbing
InspectIons have been approvod
and the home Is connected to
the service panel.
o Sidewalk & Driveway - After
excavation IS compiotc, (orms
and sub-base material In place.
o Storm Sewer - Prior to filling
trench. .
"""""'/Water Line - Prior to filling
.~ ;renCh,". r \ I.
o Fence - When completed.
o Final - After all required
Inspectlons are approved and
porches, sklrllng, decks, and
venting have been Installed.
o Street Treos - Wht3n all requIred
trees are planted.
o Rough Plumbing -- PrIor to
cover.
Lot faces
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Lot TYP'-
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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.
Lot s.q. ftg.
Interior
Setbacks
I PL. HSE GAR ACC
IN
Is
Iw I I I .,
LLLLJ
APPROVED:
lot coverage
Corner
Topography
Total height
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. a VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
Carport
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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
Development 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
Plan Check Fee:
Total Value
Date Paid:
Building Permit Fee
Receipt Number
Slate Surcharge
Recel ved By:
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
':Sys.tems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
Fixtures
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FEE
ADDITIONAL COMMENTS
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Sanitary Sewer
Water
FT.
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Residential Bath(s)
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Storm Sewer
FT.
Mobile Home
Total Charge
(C)
A\l.CXJ
__tfiL
Ai.uY
Plumbing Permit
State Surcharge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
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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 Ihe City of Springfield. and the Laws
of the State of Oregon pertainIng 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
aro In compliance with ORS 701.055 will be used on this
prolect.
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slate Surcharge
Total Permit
(D)
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 d rln onstruction.
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MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Oat""
Curbcut
II
Oemolltion
Slate Surchargf}
VALIDATION: . "'-}
RECEIPT NUMrC'.<1 1 fJ 1~
OATE PAID q .~ .Q1
AMOUNT RECErt~ f"\ ^~ . W -
RECEIVEO BY ~I
TOlal Miscellaneous Permlls (E)
~1.!.L
TOTAL AMOUNT OUE (excluding electrical)
(A, e. C, O. and E Combined)