HomeMy WebLinkAboutPermit Plumbing 1992-05-26N(;T.IELtI
BLOCK:
''1tLOCATION ()I PRO
ASSE:SSOFiS i"4AP:
9ADIZI
SUBDIVISION
TAX LOT:
Springfir:ld, Orcqrtn 97,1'/ /
RESIDEI\,ll'lAL
PERMIT APPLICATION
lnspectionr;:,' :)6'3709
O(lrce: 726 l;, r,9
JOB NUMBEN
225 Fifth Strect
LOT: --
PHONE:
STATE ZIP:
OWNER: --
ADDRESS:
CITY
ION--DEMOLISH R
DESCNIBE \n7. IflK:
NEW, REMODT-[-- ADDI
I)HOt.ltEXPIRI'SN DDNI ,;S
1tuDsoczS-
CONIRA()l(|i'S NAI'41
cEr.lt nAr
PLIJh,4Ul
CONST.
CONTRACTOR I
MECHANI()AI,.---,
ELECTRICI\t.: --* -
OUAD ARt:A
# OF BLD(,iS
occY GR()ut.'__
# OF STOFIIE:.. .
-WATER HEAI t:R: - -
ZONING CODI:
HEA]" SOURCE: -.-
RAN(.] I::
_ OFFICE USE _
LAND USE:
+ oF t.rNtTl):
CONSI'R. TYPE.:
FLOOD PLAIN:
, OF BDBMS: _--
SECONDARY IIEAT: -
SOUARE FOOTAGE:
To re(luest irrr irtspecti(rrr, you rrrust call 72{i-3769. lltis ls it'!4 hour recording. All insllections requested tlcfore 7:(X) ;r.m- will l)e
made lre :.r1,e worl(irrq day, inspecllons requestecl after 7:00 a.m. will be made the lollowing work day.
REOUIRED INSPECTIONS
f I Tarrr1r,,'.rry Electri,;rl l-l Rough Meclranical - Prior tol-J t:t,ver.
LI Site ln:,pection - To be trt:tdc
:,r{tel ,-',,;avaliort, l}ttt Priol to
setlrrr<1 loflns.
Undcr sl.rb Plurnbirrg/ Electr ical/
Mecharrical - [rrior to c()ver.
Footin-r; - After ltenchet; are
eXCaVat(id.
Masonr.y - Steel location, bonc!
bearrts, ilroutirtg.
Foun<l;rtion - Af ler forttts are
erecte(l l)tlt Prior t() concrete
placen tCnt.
Unclerglround Pltrrnbing - Prior
to fillirril trencl).
Undcr lloor Plumbirrg/ Mechanical
- [)ric,r to irisulittlon or tleckirtg.
Posl arrtl Beant -. Prior ttl floor
insulation or (leol'.tng.
Floor lrrsulalion -- Prior to
tlec 1.. t rt r I.
Sanit:rry Sewer --- Prior t() f illing
t ren (i ll.
Storrrr lle'wer - l'tior to ltllinU
trcnr lr
r-.r l. ine - Prior to f illitrg
ron, ll
Rougllr l'lumbilrg - Prior to
Rough Elcclric:rl - Prior to
O (.rVef.
Final Pluntbirrq - Wlr-'rr all
l.rlutttbing w<,rrI is cotrtlrlcte.
Final Electrical - Wtrt.:rr all
electrical wotk is cotrtlrlute.
Final Mechanical - Wlrr-.n all
rnechanical work is contpletc.
Final Buildil'rg - Whcrt all
required inspections lt;tve bc'en
approved and building is
conrpleted.
t-J
r_l Electrical Service - Must be
approved to obtain Pertnanent
elr:ctrlcal power.
Fireplace - Prior to facing
,naterlals :rnd f ratnlng lnsP.
[--l r,u-ittg - Prior to cover
W:rll/Ceiling lrrsulation - Prior to
O ( )Vef.
Drywall - Pricir to tapin0
Wood Stove - After irrst;rllation
lnsert - Altcr Iireplace approval
arrrl install;rtiorr of ttnit.
Crrrbcut & Approach - After
for lns are e r(j(;tc(l but Prior to
pltrcemcnt o[ concrele.
Sirlewalk & Driveway - After
ex,:avation is (jL)ril[)lel(,', lorllls
arr,l sub-ba:;L. nrateri:il irt place.
Ferrce - Wltctr <:crmPlttted
Street Trees -- When all required
tr(les are pl;rntec!.
Other
-
MOBILE HOME INSPECTIONS
Blocking and Set.Up - Wht:rr ;,ll
blocl<ing is c()rrtplcte.
Plurnbing Cotrtrecliorrs - Wlr,rrr
houtc has becn conrrcr;lr--d to
water and sewer.
Electrical Conneclion - Wltt rr
blocking, sL.l-up, antl lrlurrtbtrr, 1insllections ltltve llcr:rr irl)l)r(,v,i(l
and the hornL. is cc)rrner;lecJ tt,
the service painel.
Final - After all retlrrired
inspections are approvecl and
porches, skirting, decks, and
venting have l)een in:;trlled.
l_l
cov€-r
tl
tl
E
tl
il
l:]
tl
tl
tl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Tyt)e _
-
lnterior
--
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
GARP.L,ACCHSE
N
S
E
S THE PROPOSED WORI( IN THE
:lIISTORICAL DISTRICT, OFI ON
THE HIS-TORICAL REGISTER? --=lf yes, this application mu:it be signed
ancl approved bY the Historical
Coor<Jir-rator prior to permil issuance.
APPROVED: --
BUILDING PERMIT
II I'M SQ- FT.X $/SO. FT.VALUE
Mair-t
Gar:tge
C:rrport
T<>tarl Valuc
t3r,riltlir-rg Pct'rrri t Fec
State Sutcharge
Total Fee (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecl or"l tlle exl)ress cotrrJitiorr tlr;rt the said
construction shall, in all resl.)ecls, cotrform to llr() Ol.dinance
adopted by the City o{ Springfield, inr;ltrrling the
Developntent Code, rccltrlatirrg the corrstruclirrrl arrd use of
buildings, and nlay be suspr:nded or revoked at any tirne
upon violation of arry provisions ol said ordinlrrl(:es'
Plan Check Fee:
- -.- .
Date Paid
Receipt NumL:et.,-
Fleceived By
Plans Reviewed BY Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmerrt Charge is cJue on all trndeveloped
properties within the City lirnits which are beirrtl inrproved'
PLUMBING PERMIT
ITI.M
['ix l( r res
Rcsitlcntial t3atlt(s)
S;rrrit;rrY Sr-.'wcr
W:rtr)r
Stot trt Sewer
Molrilc Hotttr:
FEE
NN
FT.
FT.
FT.
o
Plurrrbing Pcrrnit
Slate Surcharge
'krl;rl Ch;rrge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood
Vent Fan No
Wootj Stove/ lnsert/ Fireplace Unit
Drycr VettI
Mr:r;lr;rnical lrcrtni t
lssu ance
State Surcharge
Total Perrnit (D)
By signature, I state atrcJ agrer:, that I havc caref ttlly examirled
the completed application ancl do lrereby ccrtify that all
information hereon is true and corrcct, and I f trrtlrcr certify
that any artd all work perfolrlrccl shall be donc itr acr;ordance
with the OrcJinances ol tl-rc City of Springfieltl,;rrrtl lhe Laws
of the State of Ore.<-;orr pr:rl;litring to the w<.rrl< clcscriLrt:d
Ircrein, ancl ll'ral NO OCCLII)ANCY will be-' tttirtle of any
structure without petttlissiott of the Eluilcling s;r{'-'1t Dtvision'
I f urther certify lhal c)rlly (;()ntract()rs and ctrrlrloyees who
are in cornplianr:e rvitlt ORS;701'O55 will be rtst'd on llris
proiect.
I further agree lo cnsure th;rt all rr:quited in:;1'r:t;tion:; are
requestccl at the proper tinre, that e:roh addres;:; il; readable
from the street, that the perrnit carcl is locate(i :rl lhe front
of the ptopertY,;rn<i tlre al)l)roved set of plan:' will retrtain
on the site all tirrrr-:l; dtrrtttg con:ltructiott
Signatu
L)ate ;6-_22_
MISCELLANEOUS PERMITS
Molrile Hotttt:
State lssuance
State Surcharge
Sirlr.:walk -- ft
Curtrcut -...
-
ft
Dcrnolition
Slalr: Surcllarge
Total Miscell;tneous Permits (E)
TOTAL AMOUNT DUE (excluding electri
(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NUMBI-:R
Nt^
DATE PAID
--'-/
NMOUNT TI
NECEIVED
a