HomeMy WebLinkAboutPermit Plumbing 1996-05-06FFHiP,iiif
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LICATION
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JOB NUM8Etr I ("il
LOCAIION OF PROPOSED WOR K:
225 Fi fth Street
5 prt ng tt et cl, O re gon g7 477
ASSESSOBS MAP:l1 a3 2t 3i
tt
LOr
#
BLOCK:TAX LOI.006
SUBDIVISION
ADDRESS coNST.
CONTRACTOR #EXPIRES PHONE
- OFF]CE USE -
LAND USE:FLOOD PLAIN:
# OF UNITS: _--ZONING CODE:
CONTBACTOR'S NAME
G ENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL
QUAD AREA:
I OF BLDGS:
OCCY GROUP:
* OF STORIES:
To request an lnspectlon
made the sanre worklng
/
Underslab Plumblng / Electrlcal /
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prlor
to f illlng trench.
Undeilloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulallon - Prlor to
dec kl ng.
Sanltary Sewer - Prior to fllllng
trench.
Storm Sewer - Prlor to fllllng
trench.
tl Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
[-l Flreplaco - Prlor to faclng.J materlals and framlng lnsp.
[-l ,Framlng - Prlor to cover.
WalllCelllng tnsulatlon - Prlor to
cover.
cover.
Drywall - Prlor to taplng
Wood Stovo - After lnstallatlon.
lnsert - After flreplace aPProval
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected bttt Prlor to
placomcnt of concrete.
Sldewalk & Drlveway I After
excavatlon ls complete,' forms
and sub-base materlal ln Place.
S\rqs\
, OF BDRMS: _-_-
Flnal Electrlcal - When ail
electrlcal work ls complete.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
Flnal Buildlng - When all
required lnspectlons have been
approved and bulldlng is
completed.
MOBILE HOME INSPE TIONS
Blocking and Set.Up - When all
blocking ls complete.
Plumbing Connectlons - When
home lras been connected to
water and sewer.
Electrical Connection - When
blocking, set.uP, and Plumbing
lnspectlons have been aPProved
and the home ls connccted to
the service Panel.
CONSTR. TYPE
HEAT SOURCE:
WATER HEATEB:
-
RANGE:
SECONDARY HEAT:
SQUARF. FOOTAGE:
, you must call 726'3769. Thls ls a24hour recordlng. All lnspections requested before 7;00 a.m. wlll beday, lnspectlons requested after 7:00 a.m. wlll be made the folrowrng work day.
REOUIRED TNSPECTIONS
Rough Mechanlcal - prlor to
cover.
Flnal Plumblng - When altumblng worl( ls complete.
Site lnspectlon - To be mado
after excavatlon, but prlor tosetllng forms.
Rough Electrlcal - Prlor to
!
tf
ANafer L\ne - Pr\or \o l\\\\ng
J \tq\t\'
[fence - \\hen como\e\ed
PHONEj
ZIP:
o(
OWNER
ADDRESS:
CITY:
DEMOLISH OTHER
DESCRIBE WORK:
NEW
-
REMODEL AODITION
P\umb\ng
- Qilo\ \a \eqs
\rsss - \Nhen
are Q\an\eo'
a\\ reqrr\red
t----\ F\na\ - Al\er a\\ requ\red
L--\ \i;;ec\\ons are apP{oved and
' ;; LL; =' =*t "S=ed.o ii:\:\'".1"ven\\ng t\a\e b(
[-l Temporary Etectrtc
T
E
tl
[---l other
tl
STATE:
Lo\ laces
Lot sq. ftg'
Lot coverage
ToPograPhY
Total height
Lot TYP
-
lnterior
--* Corner
-
Panhandle
--- Cul'de-sac
IST HE PROPOSED WORK \N lHE
TSTORI CAL DISTB lcT, on oN
THE HISTO RICAL REG\ST ER?
It yes , thls aPPlicatl on must be signed
and apProved bY the Historlcal
Coordinator Prlor to permit issuance'
APPROVED:
BU
AN
ILDING
D BUIL DING
LU E, I
PE RMIT
LAN CHECK
Thls Permi t is granted on the express condition that the said
constructl on shall,ln atl resPects' con lorm to the Ordinance
adoPted bY the City ot SPringfield'including the
DeveloPment Code'regulating the construc tion and use of
bulldings, and maY be susPend ed or revoked at anY time
upon violation ol
Plan Gheck Fee:
Date Paid:
f any provisions ol said ordinances'
Receipt Number:
Received BY:
Plans Reviewed BY Date
Systems Development Charge ls due on all undeveloped
properties withln tho City linrits which are being improved'
BUILDING PERMIT VALUESO. FT.
(A)
X $/SO. FT'
ITEM
Main
Garage
Carport
Total Value
Builcling Permit Fee
State Surcharge
Total Fee
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fix tu res
Rcsidential Bath(s)
Sanitary Sewer
Water
Storm Scwer
Mobile Home
,u(5
t+:'m
ts*
N0
FT.
FT.
FT.
Plumbing Permit
PLUMBING PERMIT
State Surcharoe
4i/o Ci*1-Atbwin ftt-Total Chargd (C)
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unlt
Dryor Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
M ECHANICAL PERMIT
Fu rnacc
Exhaust Hood
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stato Surcharge
Sidewatk .......-....-.--- ft
Qurbcut la
Oemotition
siaale surchargte
(E)
To
lseou Icellantat Mi,
n9. c/e"t ricat)
toTA
A, A,
L AM OUNT
C,D,and €
OUE
By slgnature, I state and agree, that I have careFully examlned
the completed appllcatlon and do hereby certify that all
lnformatlqn hereon ls true and correct, and I f urther certif y
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertainlng to the work described
hereln, and that NO OCCUPANCy will be made of any
structuro wlthout permission of the Building Safety Divislon,
I further certlfy that only contractors and employees who
are ln compllance with OFIS 70.1.055 will be used on thls
proiect.
I {urther agree to ensuro that all required inspections are
roquested at the proper time, that each address is readable
from the street, that the permlt card ls located at the f rontof the property, and the approved set of plan
on the site at all times during constructi
Oate
Z t
will remain
BECE/Pr
,VUA4BEB
tD
S
VAUDATdN:
o4rE P4
AMOUNT
oBy