HomeMy WebLinkAboutPermit Plumbing 1992-09-25SPrlINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
O{fice: 726-3759
LOCATION OF PROPOSED WOFIK:r
ASSESSOFIS MAP: --
LOT:RLOCK
Jo3 NUMBE " --?H71rr-
225 Fifth Street
Springf ield, Oregon 97477
'lAX LOT: 7
SUBDIVISION: -
h,,r
trl-tc)N E:
5m-z ZIPSTAIE: -7 ffi
OWNEFI
CITY: -----
ADDRESS
NEW --. REMODEL --- ADDITION DEMOLISI.I OT}JEN
6F fur-*-DESCFIIBE WOFIK:
EXPIHES PIIONEADDRESS
7//6+ /*qr 6*ez7-
ELECTFIICAL
CONTBACTOR'S NAME
MECHANICAL:
-
CONSI.coNl FrAclotl #
GENERAL:
PLUMBING
RANGE:
Y OFJ RDRMS:
_ OFFICE USE -
LAND USE:
ZONING CODE:
-
I:LOOD PLAIN: -- -
OCCY GFIOUP:
* OF UNITS:
# OF STORIES: --
WATER HEATER:
CONSTR. TYPE: -- .-
}JEAT SOURCE:SECONDARY }iEAl:
SQUARE FOOTAGE.:
QUAD AREA:
g OF BLDGS:
To request an inspection, you must call 726-3769. This is a 24 hour recordingl. All inspections requested bcfore 7.oo a.nt. will be
made the same working day, inspections requested after 7:00 a.m. will be rnatle the following wtirk day.
REQUIRED INSPECTIONS
f-l Temporary Eleclric
ll
Rough Meclranical - Prior tc>
cover.t_l Firral Plunrbitrg - When all
1;lr-rrrrbing work is cornplete.
Site lnspection - To be made
af ter excavation, but prior to
setting forms.
Rougl-r Electrical - Prior lcr t_l Firral Electrical * Wlten all
electrical work is conrplete.cover
Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
Electrical Service - MusI br.,'
approvcd to obtain perrrlanellt
electrical power.
tl Final Mecharrical - When all
mechanical work is cotnplete.
Footing - Af ter tretrches are
excavated.Fireplace - Prior to facing
materials and frattting lnsP.
tl Final Building - Whan all
required inspections ltave been
approved and building is
corrrpleted.Masonry - Steel location, botrd
beams, grouting.Framing - Prior to cover.
Foundation - Aftcr forms are
erected but prior to concrete
placemenl.
| *_] otncr
Wall/Ceilirrg lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.[--.| Drywall - Prior to ti]Pitrg
MOBILE HOME INSPECTIONS
Underlloor Plurnbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After itlstallatirrtr
Post and Beam - Prior to floor
insulation or decl(ing.lnsert - After {irelrlacc .l[)l)rL)vill
and installation of unit.
[ - | Ulocking antt Scl.Up - Wlten allt-"-l blocl<irrg is r;otttplclc.
Floor lnsulation - Prior to
decki ng.Curbcul & ApProach - Af tct
forms are erected but priot to
placcmerrt of concretc.
t __i Plunrbing Contreclions - Wlten
horne has been conrrected to
water arrd sewer.
Sanilary Sewer - Prior to filling
trench.t_l Electrical Corrnecliotr - When
blocking, set-up, artd ltlutttbing
inspcclions ltave l:ectr approvecl
:rrrrl llrc honrc is connt'clctJ lrl
tl'rc service lranel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY * Af ltrr
excavatiorl is cotnPlcte, fortns
and sub-base nraterial itl 1.rlrl<;r:.
Water Line - Prior to filling
trench.
Fence - Whcn crimpletcd.
Street Trees _ Wlrcrr all yr:quirr:d
trees are Planted.
Final - After all reqtrired
inspections are approved and
porches, skirting, decks, ancl
verrting have been installed.Rough Plumbing - Prior to
cover.
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-- -- Corn,:r
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-,-- Cul-clc-sac
Pt_.l-t 5l F:GAR ACC
Sctba<;l<s IS ,-. PROPOSED WORK IN THE
IiISTORICAL DISTRICT, OR ON
Tt lf: HISTORICAL REGISTER? ---'-'-
lf yes, this application must be signed
ancl approved bY the Historical
Coordinator prlor to permit issuance.
APPROVED:
Lot laces
Lot sq. ftg.
Lot coverage
TopographY
Total height
N
\)
W
E
BUILDTNG VALUE, PLAN CHECK
AND BUILDING PERMIT
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 Cocle, regulating the construction and use of
buildings, and may be stlspended or revoked at any time
upon vlolation of any provisions of said ordinances'
Recei pt Number:
Dirtc
Plan Check Fee
Date Paid
Receivecl BY
i,i,,iii n-err e'wl'.r nv
BUILDING PERMIT
VALUE
(^)
SO. FT. X $/SO. FT,ITEM
Main
Garage
Carport
Total Value
Building Pc'rtttit Fee
State Surchar(lc
Total Fr:t,'
Systems Developnrcnt Charge is due on all undeveloped
properties within the City lirnits whicl-r are being improvedSYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDTTIONAL COMMENTS
rr,_ ?{ zu
FEE
No
FT.
FT,
2
(c)
,t.
/-
PLUMBING PERMIT
Plumbing Perrnit
state surctlarge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mec trar'ri cal F'i.'rtrli t
lssu anct-'
State SLrIChar0c
Total Perrnit
MECHANICAL PERMIT
Fu rnace
Exhaust I-lood
By :;ignatrrre, I state artrl agrec, that I have caref ully examine(i
the completecl application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
witlr the Ordinances of tl.re City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without pertt.tission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliancc with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is rcadable
from the street, that the permit card ls located at the f ront
of the property, and the approvecl set of plans will remain
Signat
?-25-?zDate
on the site at all tirnes clurin g construction.
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcltarge
Sidewalk f t
Curbcut ------ ft
Demolition
State Srlrchar(Je
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID -i2 t?2-
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, :rn<l E Corntritreri)
AMOUNT RECEIVED
RITCEIVED BY
74--
ITEM
Fixt u re s
Resiclential t3at lt(s)
Santtary Sewcr
Water
'Storm Sewer
Mobile Homcr