HomeMy WebLinkAboutPermit Plumbing 1993-9-29
RESIDENTIAL
PERMIT APPLICATION
Inspections; 726.3769
Oltice; 726.3759
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SPRINGFIELD
OWNER; -:j~ ~ (~77L~G' ~ ..::;-~/'?
ADDRESS: jg'ia Y'$' ~ 5"'~7~s #,2::>
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LOT'
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DESCRIBE WORI"
NEW !.Y
REMODEL
ADDITION
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BLOCK:
STATE:
DEMOLISH
OTHER
.
JOB NUMBER 93/71'7'8
225 Filth Street
Splingfield, Oregon 97477
TAX LOT: ~r":sr-:5~~/S-;-=:"
SUBDIVISiON' ~?~ '?
PHONE:
?'P ;> -<?5t8B J ~ r
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ZIP:
:.
CONST.
CONTRACTOR' EXPIRES PHONE
-J::z~'// SI''9'Y_ 7~:;;>~/--'t::6
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CONTRACTOR'S NAME ADDRESS
GEN;RAL; l c=~ t1~A7~~ 1~~.
PLUMBING:
MECHANICAL'
ELECTRICAL'
QUAD AREA:
2.. R !Jr/"-
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE;
. OF UNITS'
CONSTR. TYPE;
HEAT SOURCE:
RANGE"
"
FLOOD PLAIN'
ZONING CODE;_
\ " OF RDRMS:
.SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726-3769. This Is a 24 hour recording. All inspections r~quested before 7:00 a.m. will be
made the same working day. Inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
o Site Inspection - To be made
after .;xcavation, but prior to
setting forms.
D Underslab Plumbingl Elecllicall
Mechanical - Prior to cover.
D Footing - After trenches are
excava ted.
o
Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trencll.
D
Underlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
D
Post nnd Beam - Prlor to floor
Insulation or decking.
D Floor Insulation - PrIor to
decKing. , '
"
IKl Sanitary Sewer - Prior to filling
trencll.
D Storm Sewer - Prior to flll1ng
trench.
(Xl Water line - Prlo~ to filling
trench. "
,
D Rough Plumbing - P,ior to
cover. . ' '.
REQUIRED INSPECTlqNS
D Rough Mechanical ~ Prior to
cover.
, .
o Rough Electrical - Prior 10 .
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D
Fireplace - PrIor to facing
materials and framing Insp.
D
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
D Drywnll - Prior to taping.
D Wood SI.ove - After installation.
D Insert - After fireplace approval
and installation of unit.
D Curbcut & Approach - After
forms are erected but prior 10
placement of concrete.
D Sidewalk & Driveway - After
excavation Is complete, forms
anel sub-base material in place.
o Fence - When completed.
D Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing work :s complete.
o Final Electrical - When all
electrical work is complete.
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required inspections have been
approved and building is
completed.
DOlher
MOBILE HOME INSPECTIONS
D Blocking and Set-Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o
Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot Type
V)
.
Lot sq. fig.
Interior
Lot coverage
Corner
Topography
Panhandle
T<\tal height
C'ul-de-sac
'-
)
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
Main
Garage
Carport
Total Val ue
Building Permit Fee
, Stare Surcharge
Total Fee
(A)
VALUE
-,
"
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT. :5~-/7P
FT.'S~~t?
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surch~rge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
State Surcharge
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
"7'6
~.9
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'7_#P
5) 'T- -U
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. '"",,THE PROPOSED WORK IN THE
. HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTEn?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APP~OVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
"
. This permit is.granted on the express condition thai the said
construction snail, in a'lI" re'spects, con-form to "the Ordinance
adopted' by th~ 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.
'Plan Che"ck Fee:-
-
"
,
Date Paid:
Receipt Number
Received By:
"
"
Plans Reviewed By
Date
Systems Development Charge is due 'on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
.....~-
By signature, I state and agree, that I have carefully examined
th~ 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 Springfield. and the Laws
of the State of Oreg"on pertaining to the work described
herein, and that 'NO OCCUPANCY will be m~d'e of any
structure without permission of the Building Safely Division.
I furlher certify tllat only contractors and employees who
are in compliance with CRS 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 sX:'te at times during construction.
Signalul /.J?~ k",..eL.
-- -
Datn 9'- :J '7' ~;:)
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VALIDATION:
RECEIPT NUMBER
DATE PAIr>
/.tJr?Y
'1'-2'5'."'3' '3
AMOUNT RECEIVED
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/4'&';:1-"-.<:- .
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RECEIVED BY