HomeMy WebLinkAboutPermit Plumbing 1992-2-11
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RESIDENTIAL
PERMIT APPLICATION
Inspections; 726.3769
Office: 726.3759
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LOCATION OF PROPOSED WORt<' ~{:), fl \
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ASSESSORS MAP:
LOT'
BLOCK:
.
92613CY
JOB NUMBER
SUBDIVISION'
OWNER:\ f}\ ) \ \ilffi.C::\ T~~ H'O ~,~ lli~
ADDRE~1bffl.\ tMOk\DC'U'\rt:J._
CITY;~'-'\) ~ _ l0 J STATE: (U~) ZIP; ~---'fr)
:::CVj WO::~0~7 \ f\ :~~ ~ ~~I:H~ (" ~~ r~tm )
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CONTRACTOR'S NAME
GENERAL'
PLUMBING' f)--Cl/~ _ )?;.v........--
MECHANICAl'
ELECTRICAl'
QUAD AREA; B ~ f\~ .
,.\ .
. OF BLDGS'
OCCY GROUP:
# OF STORIES:
WATER HEATER'
ADDRESS
CONST,
CONTRACTOR'
PHONE
C:::S.J SC/rlrJ'7 J/r;,k tf/, ~~307
- OFF\CE USE -
LAND USE: \ \ \ \
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCe,
RANGE:
EXPIRES
'l"2~A2.
~Y<J ~ ,Yk's, (
~fj,~'80.: ;
, ":)
FLOOD PLAIN: .
ZONING CODE: l))P ,
~ OF BDRMS'
SECONDARY HEAl'
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, Inspecttons requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
"
D
Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
D
Masonry - Steel locatton, bond
beams, grouting.
o Foundation - After' forms are
erected but prior to concrete
placement:
o Underground Plumbing - Prior
to filling trench.
D
Underfloor Plumbing/Mechanical
- Prior to insulation or decking.
D
Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decki ng.
-.r\Qanitary Sewer - Prior to filling
~ trench.
. '
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench. . "
o Rough Plumbing - Prio~ to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical"~.Prior to
cover.
o Rough Electrical - Prior to
cover.
o 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 Drywall - Prior to taping.
D Wood Stove - After installation.
D Insert - After fireplace approval
and installation of unit.
D
Curbcut & Approach - After
forms are erected but prior to
placement of concrete. "
D Sidewalk & Driveway - After
excavation is complete, forms
and sub.base material in place.
D Fence - When completed.
D Street Trees -'Wh~n all-required"
trees are planted. ' . ,
D
Final Plumbing - When all
plumbing work Is complete.
D Final Electrical - When all
electrical work is c.omplete.
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.
D Electrical Connection - When
blocking, set.up, and plumbirg
inspections have been approved
and the home is connected to
the service panel.
D Final - After all required
inspections are app-roved and
porches, skirting', decks, and
venting have been installed.
. ._~~--
Lot faces
Lot Type. Setbacks
Interior I P.L, HSE GAR ACC I
IN I
Corner
Is I
Panhandle
Iw I
Cul.de.sac
IE I
. " 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 sq. ltg,
Lot coverage
Topography
Total height
APPROVED'
BUILDING PERMIT
ITEM SQ. FT, X $/SQ, FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
I
I
Main
This permit is granted on the express condition that the 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.
Garage
Carport
Plan Check Fee:
Date Paid:
.
Total Value
Recei pt Number"
Building Permit Fee
Received By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge 1s 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 Sewer FT, <5'0
Water FT,
Storm Sewer FT,
Mobile Home
2~()O
-
\ ~~~~no~u ~'~J? r 'd'
~1~ _ c~
r
Plumbing Permit
State Surcharge
Total Charge
(C)
j,U
2~.~S
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 Springfield, and the Laws
of the State of Oregon pertaln1ng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Div1sion.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project,
Exhaust Hood
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State 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 during construction.
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MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER
37/8
2 -I~ -')'2-
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Total Miscellaneous Permits (E)
DATE PAID
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
.?/.. .2..'!'-
AMOUNT RECEIVEr<
RECEIVED BY