HomeMy WebLinkAboutPermit Plumbing 1992-9-26
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Olllce: 726.3759
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SPRINGFIELD
LOCATION OF PROPOS,ED WORK: 7.cs ~#&:..?1/
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ASSESSORS MAP'
LOT'
OWNER.~h,A /l 1/1 r
ADDRESS' '--) f)y L-{>f1/J,;'i/-bA..
CITY:~f...e.;d
DESCRIBE WORK:./l1dhILL
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
PLUMBING:fJc:-r-
MECHANIC!' .
ELECTRICAl'
BLOCK'
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STATF' "
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(fin 'Yhl.H-
OTHER
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JOB NUMBER
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DEMOLISH,
225 Fifth Street
Sprlnglleld, Oregon 97477
TAX LOT: L::>?~~
SUBDIVISION: ~
PHONE: Jj..C.- D/. \~
ZIP: Q7l./ 71
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ADDRESS
CONST,
CONTRACTOR .
EXPIRES '." PHONE
o Rough Mechanlcal'-7 Prior to
cover.
o Rough Electrical"':' Prior to
cover. .
o Eleclrlcal Service - Must be
approved to obtain, permanent
electrical power,
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior 10' taping.
o Wood Stovo - After Installation.
'!o
o Insert - After fireplace approvel
and Installation of unit.
o Curbcul & Approach - After
forms Bre erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is comploto. forms
and sub-base materIal In place.
o Fence - V\lhen completed.
o Street Trees - W~en all required
trees are planted.
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ADDITION
90-1 <;;
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- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN'
· OF BLDGS' . OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANG'" 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, 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 Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Mesonry - Steel location, bond
beams, grouting.
O Foundation - After forms Bre
erected but prior to concrete
f)lacement.
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 dec~Jng.
O Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench:
O Waler Line - Prior to filling
trench.
rY1 Rough Plumblng'.- Prior to
LAJ cover.
'-
IAA Flnat Plumbing - When all
~ plumbing w9rk Is complet.e.
D Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final BUilding - When all
required Inspections have been
epproved end building is
completed.
OOiher
MOBilE HOME INSPECTIONS
o Blocking end Set.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Eleclrlcal Connection - When
blocking, sel-up, and plumbing
Inspections have been approved
and the home Is connected to
the'servlce panel.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
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Lot faces Lot lYpe Setbacks IS THE PROPOSED WORK IN THE.
Lot SQ, fig, Interior I P,L HSE GAR Accl ....HiSTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner II yes, Ihls application musl be signed
Topography Panhandle ,. is I and approved by the Historical
Iw I Coordinator prior to permit Issuance.
Total helghl Cul.de.sac
IE , I
APPROVED'
BUILDING PERMIT :,
ITEM sa. FT,
if .I!
x s/so. FT, =
VALUE
BUILDING VALOE, PLAN CHECK
AND BUILDING PERMIT
Main
~
This permit Is granted on the express condition Ihalthe said
construction shall,ln all respectsl conform to the Ordinance
adopted by the Clly of Springfield, Including the
Developmenl Code, regulating the conslructlon and use'of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Garage
"
Carport
Plan Check Fee'
Date Paid:
Total Value
Building Permit Fee
Receipt Number'
.
State Surcharge
Received By:
Total Fcc
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDe)
(B)
Systems Development Charge Is due on all undeveloped
properties within Ihe City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s)
N'
Sanitary S!'wer
Water
FT,
Storm Sewer
FT.
FT.
Mobile Home RG';;;~;?JlfJ
Plumbing Permit
State Surcharge
Total Charge
/~~
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/6.2e:>
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I atate and agree, that I have carefully examlnad
the compleled application and do hareby certlly Ihat all
Information hereon Is true and correct, and I further certify
that any and all work performed ahall be done In accordance
with the Ordlnanc~s of Ihe City of Springfield. and the Laws
of the Slate of Oregon perlalnlng to Ihe work described
herein, and Ihat NO OCCUPANCY will be made of any
structure wllhoul permission of Iha Building Safely Division.
I further cerllfy that only conlractors and employees who
ara In compliance with ORS 701,055 will be uaed on thla
prolect,
Exhaust Hood
Wood SlovellnsertlFlreplace Unll
Dryer Vent
Mechanical Permit
Issuance
Slate Surcharge
Total Permit
(0)
I further agree to ensure that all required Inspections Bre
requested at the proper time, that each address Is readable
Irom the atreet, that the permll card la located at the fronl
01 the properly. and the approved set of plana will remain
on the site at allllmea dUrlng,Con:Jr~~.
Slgnature.~~~~~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
It
It
Date
'7-:)..!:, -9-;
Curbcul
Demolition
Slale Surcharge
VALIDATION:
, I
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
AMOUNT RECEIVED
RECEIPT NUMBER ? ") ~~
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TOlal Miscellaneous Permits (E)
DATE PAID
RECEIVED BY