HomeMy WebLinkAboutPermit Plumbing 1996-7-9 (2)
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LOCATION OF PROPOSED W9f.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} 1\ \K STATE: l\:jr. ~;s-
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DESCRIBE W~R~' rAr\r\.' \ _ ~ ~ ^- \ t\(\ J\. ,<; f) ~
NEW REMODEL A~t~ION DEMOLISH OTHER
CON ST.
CONTRACTOR'
.~'':,''J.\L~
PERMIT APPLICATION
. Inspections: 726.3769
o lllce: 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 Slreel
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 efter 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 Plumblng/Electrlcall
Mechanical - PrIor to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
. to filling trench.
o UnderflDDr 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 Storm Sewer - Prior to fllllng
trench. ~
O Water Line - Prior to filling \
. trench. 1-
~ ~U9h 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
clectrlcal power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/Celllng 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~HI( Is complct.e.
o Final Eleclrlcal - When all
electrical work Is complete,
o Final Mochanlcal - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building I.
completed.
o Other
MOBilE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, sel-up, and plumbing
Inspecllons havQ been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspecllons are approved and
porch os, skirting, decks, and
venting have been Installed.
Lot faces .'
--;-
Lot TYP.
Interior
....,i':.
alS 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.
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 condition Ihalthe said
construction shall, In all respects, conform to the Ordinance
adopted by the City,. 01 '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'
Dale Paid:
Total Value
Building Permit 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
properties within lhe City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s)
N'
Santiary Sewer
Water
FT.
FT.
Storm Sewer
FT.
Mobtie 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 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 Ordinanc~s of the City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY wlti be made of any
structure wllhoUI permission 01 the Building Safety Division.
I lurther cerllfy that only conlraclors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/Insert/ Fireplace Unit
Dryer Vent
Mechanical Permll
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 Ihe permit card Is located al the front
of the propert~ and the approved set of plans will remain
~n the site at II times during construction.
Slgnat~rp /J/L.-./
/i lo~ ,-- J
Date J f/1L'
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
fl
Demofltlon
State Surcharg~
TOTAL AMOUNT DUE (excluding eleclrlcal)
(A, B, C, 0, and E Combined)
.J0lJ8' '
VALIDATION: ~
RECEIPT ~UMBER
7ft/-I( /J -, .
AMOUNT REC IV 0 L'; 7. I?)
f)(') )
DATE PAID
Total Miscellaneous Pernilts (E)
RECEIVED BY