HomeMy WebLinkAboutPermit Plumbing 1993-03-25SPN!ttGFIELL,
BLOCK
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LOT:
]AX I-OT:
JOB NUMBER
LOCATION OF PROPOSED
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
I nspections: 726-376S
Office: 726-3759
SUBDIVISION
225 Fifth Street
Springf icld, Oregon 97,tr/ /
PI ION E
STATE:
-"1 :1
1eZIP
OWNER
ADDFIESS
CITY:
Llslt , __ ot ilER
DESCRIBE WORK:
NEW
-
REMODEL ADDITION D
EXPIFI E.S F't.l()NEADDFIESS
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ELECTRICAL:
CONTRACTOR'S NAME
G EN ERAL:
PLUMBING
MECHANICAL:
CONS;I.coN lnnclott .e
FIANG E:
FLOOD PLAIN:
-ZONING CODE: -__ -
QUAD AREA:
# OF UNITS
WATEFI HEATER
# OF STORIES
# OF BLDGS: --
OCCY GROUP: ---
_ OFFICE USE -
LAND USE:
CONSTFI. TYPE:
--,HEAT SOURCE: -
-
d OF BDRMS: ----.
SECONDARY HEAT:.
SQUARE FOOTAGE: -
To request an inspection, you must call 726-3769. This is a24hour recording. All inspcctions requested bcfore 7:00 a.m. will be
rnade the same working day, inspections requested after 7:00 a.m. wlll be rnade the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Pric.rr trr
cover.l-|Firral Plunr[:itrg - Wlten all
1-rlunrbing worl< is cotnplete.
Site lnspection - T<.r be tnade
af ter excavation, but prior to
setting forms.
Rough Electrical - Prior tcr rl Filral Electtical - Wlten all
elec;trical work is cornlrlete.COVCI
Underslab Plumbirrg / Electrical/
Mechanical - Prior to cover.
Electrical Service - Mltsl lrrr
approved to obtairt pornlatt.)rlt
electrical power.
| -'l Final Meclranical - Wlrr.'n all
'---r rneclranical work is complcte.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and {ratning lnsp.
Ll Final Buildirrg - Wltr:r'r all
required inspections ltave beerr
approvecl and buildinly is
r;ornpleted.Masonry - Steel location, botr<J
beams, grouting.
L_l Fratrritrgl - [)rior to t;ovct,
Foundalion - After fornts are
erected but prior to concrete
placement.
|
--l otner
Wall/Ceilitrg lnsulation - l'tiot Io
COVCT
Underground Plumbing - Prior
to filling trench.J-l Drywall - Prior to tapirlg.
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decl<ing.Wood Stove - Af tcr itr:;lall;rliotr
Post and Beam - Prior to floor
insulation or dcol(ing.
t_l Blockirrg arrd Set-U1r - Wltr:tr all
blocl<ir-rg is conrpletc.lnsert - After firepla(;o .ll)l)l()vitl
and install;rtion of unit.
Floor lnsulation - Priot to
decki ng.Curbcut & Approach - Af tcr
forms are erected but ptior tt.r
placemerrt of concrete.
J I Plurnbing Connections - Wltcn
t -J horrrr: has bccn connccted to
water and sewer.
Sanilary Sewer - Prior to f illing
trench.| -l Electrical Corrnecliorr - Wllen[J blocking, set-up, ancJ plurrrbing
inspcctions have bcen approved
and lhe home is connected to
tlre service panel.
er Line - Prior to {illing
trench Final - A{ter all required
inspections ;rre approved and
porches, skirting, decks, and
venting have been installed.Street Trees - When all recluirecl
trees are planted.
Rough Plumbing - Prior to
cover.
t_l
L
fl
[]
tl
Slorm Sewer - Prior 1o filling
trench.
l--l Sidewalk & Driveway - AltertJ excavalion is complete, fortlts
and sub-base malerial in lllacc.
f--l Feltce - When (;orn[)lt)tcd.
ll
tl
T
Lot faces
Lot sq. ftg.
Lol coverage
TopograPhY
Total height
Lot Type ,-/
--
lnterior
--- Corner
--- Panllandle
-.- Cul'de-sac
Setbacks
E
PL R
N
S
-rHE
PROPOSED WORK lN THE
HISTORICAL DISTFIICT, ON ON
THE HISTORICAL REGISTER? -..-
lf ycs, this applicatlon must be signed
and approved bY tlre Historical
Coordinator prior to permit issuance.
APPROVED:
t1
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grante<i on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City ol 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'
DatePlans Revlewed BY
Receipt Numbe
Plan Check Fee:
Date Paid
Received BY:
VALUE
(A)
x $/so. FT.
Total Value
Building Perrnit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Developmcnt Charge is due on all undeveloped
properties within tlrc City limits which are being improved
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Reslclential Bath(s)
Sanitary Sewer
Water
'Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
NO
FT.
(c)
Plumbing Pertnit
State Surcharge
Total Charge
Wood Stovc/ lrrsert / Firelllace Uni t
Dryer Vent
MECHANICAL PERMIT
(D)
NU
Mechanical Pertnit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hoo<i
Vent Fan
8y signature, I state and agree, that I have carefully examined
tlre completed application and do hereby certify that all
information hereon is true and correct, and I f trrther certif y
that any arrd all work performed shall be done in accordance
with the Ordinances of tlre City of Springf ielcl, and the Laws
of the State of Orcgon pertaining to the worl< described
trerein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
prolect.
I f urther agree to ensure that all requiied inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remain
on the slte at all times during co
Signature
Date --f- zs- -q-1
tion.
MTSCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk --------.-- ft
Curbcut .=.- ft
Demolition
State Surcharge
Total Mlscellaneous Permlts (E)DATE PAID
VALIDATION:
RECEIPT NUMB
AMOUNT R
RECEIVED
TOTAL AMOUNT DUE (excluding electrlcal)
(A, B, C, D, and E Combinecl)
{
49q,
SYSTEMS DEVELOPMENT CHARGE (SDC)
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