HomeMy WebLinkAboutPermit Plumbing 1996-7-9
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LOCATION OF PROPOSED W9\'.K: l....~:) ("\f\ ~,(\ ~oot
ASSESSORS M'AP' '- f\ 00?--J:s '?J I
~\\~e3:> ~ -\r:f &i\d-n
ADDRER;', ~~?J. ~(\ t !\ ~ i\ DaY
CITY: ~()J\ \. f\(,.J,i 1\ \K STATE: l\.:jr. ~;s'
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DESCRIBE W~R~' rAr\r\..' \ _ ~ ~ ^--- \ t\(\ J\. ,<; f) r'
NEW REMODEL A~t~ION DEMOLISH OTHER
CON ST.
CONTRACTOR'
.~'':,''J.l.L~
PERMIT APPLICATION
. Inspections: 726.3769
o !lIce: 726,3759
LOT'
CONTRACTOR'S NAME
GENERAl'
PLUMBING:S::.h "'~. ~~'('rQ.
MECHANICAl'
ELECTRICAl'
QUAD AREA:
. OF BLDGS'
OCCY GROUP'
. OF STORIES'
WATER HEATER:
SPRINGFIELD
BLOCK'
ADDRESS
..
(\~O~ld\
JOB NUMBER
225 Fifth Slreet
Springfield, Oregon 97477
TAX LOT'
\r~lQOl
SUBDIVISION'
PHONE:
l\ ~'6 . (j,PP{~
ZIP: C{lL\-11
EXPIRES
,
PHONE
<V1C\2b- ~D '/!l!Lh.~, fcfla2--
~I~. c.ne-,
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE: ~-'
. OF BDRMS:
SECONDARY HEAT: 'I
-'
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 requested nfter 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o ,TempOrary Electric
o Site Inspection - To be mado
after excavation, but prIor to
settIng forms.
o U~derslab Plumbing/Electrical!
Mechanical - PrIor to cover.
o Footing - After trenches are
excavated.
o Mesonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
. to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o
Post and Beam - Prior to floor
Insulation or decking.
, ,
o Floor Insulation, - PrIor to
decking.
o Sanftary Sewer - Prior to filling
trench.
o Slorm Sewer - Prior to fllllng
trench. ~
O Water Line - Prior to filling \
. trench. 1-
~ ~Ugh Plumbing - Prior to
~~~ver.
o Rough Mechanical - Prior to
cover.
o 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 Slovo - After Installation.
o Insert - After fireplace approval
. and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
-placemont of concrete.
o Sidewalk & Driveway - After
excavation 15 complete, forms
and sub.base material In place.
o Fence - \Nhen completed.
o Slreet Troos - Whan all roqulred
trees are planted.
~Inal Plumbing - When all
plumbing w~)(I( Is comptet.e.
o Final Eleclrlcal - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
OOth.r
MOBilE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
homo has been connected to
water and sewer.
o Electrical Connection - When
blocking, sel'up, and plumbing
Inspecllons havo been approved
and the home Is connected to
the service panel.
o Final - After all ,equlred
Inspections are approved and
porch os, skirting, decks, and
venting have been Installed.
Lot faces .'
--;-
Lot TYP.
Interior
....,i':.
.IS THE PROPOSED WORK IN THE.
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
I' yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Topography
Total height
Panhandle
I :L.
Is
Iw
IE
Setbacks
'HSE'GAR'ACCI
I
Lot sq. flg.
Lot coverage
Corner
Cul-de-sac
Ii-
BUILDING PERMIT
ITEM SO. FT.
APPROVED'
X $/SO. FT. -
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condlllon that the said
construction shall, In all respects, conform to the Ordinance
adopted by thc City" of 'Springfield, Including the
Development Code, regulatl.ng the construction and use of
buildings, and may be su'spended or revoked at any time
upon violation of any provisIons of said ordinances.
Main
Garage
"
Carport
I
Plan Check Fee'
Date Paid:
Total Value
Building Pcrmlt Fee
Receipt Number:
State Surcharge
Received By:
\ Total Fee
.,'
(A)
Plans Reylewed By
Date
" , I
SYSTEMS DEVELOPMENT CHARGa~D*,/
(B) -. '--QS
Systems Development Charge Is duo on all undeveloped
propertlcs within tho City limits which a,e being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanllary Sewcr
Water
FT.
FT,
Storm Sewer
FT.
Mobile Home
Total Charge
(C)
~co
t.~
4~",~
Plumbing Permit
State Surcharge
MECHANICAL PERMIT
Furnace
Ven t Fan
N'
By signature, I stale and agree, that I have carefully examined
the completed appllcallon and do hereby ce,lIfy 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 Ordinancus of the City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wllhout permission of the Building Safety Division.
I further cerllfy that only contractors and employees who
are In compllancc with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/Insert/ Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
I furlher agreo to ensuro that all required Inspections are
requested at the prop or time, that each address Is readable
from the street, that the permit card Is located at the front
of the propert~ and the approved set of plans will remain
~n the site at II times during construction.
Slgnat~rp /J,fL,../
./i lo~ ,-- J
Date J f/1L'
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcha'g~
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, 0, and E Combined)
...hiLl8' '
VALIDATION: ~
RECEIPT ~UMBER
7ft/-I( /J -, .
AMOUNT REC IV D L'; fl,/?)
f)(') )
DATE PAID
Total Miscellaneous Perlnlts (E)
RECEIVED BY