HomeMy WebLinkAboutPermit Plumbing 1992-04-29SP]IINGF!ELO
RESIDENTIAL
PERMIT APPLICATION
lnspectiorts: 726'3769
Otfice: 726-3759
LocATroN oF PRoPosED WoBK: /'i,/t
JoB NUMBE ^-?2oc-/Z
Zfr,
225 Fifth Street
Spri ngfielcl, Oregort 97 477
Jo -)(tt dZ-L'L'
ASSESSORS MAP /?a> 4 -34- rAX Lor: e///-
LOT:BLOCK: SUBDIVISION:
A
L
PHONE:
zlPSTATE:
('
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/a^b)
OWNER:
ADDRESS: --/5j;a-Ja
crrY:-* s-klil
NEW _-- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK:
bitd/tffi:
EXPIRES PHONEADDRESS
.,,2
CONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL
CONST.
CONTRACTOR #
C E N ERAL:
PI t.JMBINC
5R[tz
* OF UNITS:
/ OF BDRMS
WATEN HEATER
_ OFFICE USE _
RANGE:
ZONING CODE: ---
FLOOD PLAIN: -----
SQUARE FOOTAGE:
SECONDARY HEAT:
CONSTR. TYPE: --
OUAD AREA: -
* OF BLDGS:
OCCY GROUP
, OF STORIES: -
--.--
LAND USE:
HEAT SOURCE: --
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections reguested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
fl Temporary Electric
ll
Rough Mechanical - Prior to
cover.
fl ;inal Plumbing - When all<- glumbing work is complete.
Site lnspection - To be made
af ter excavation, but prior to
setting lorrns.
Rough Electrical - Prior to Final Electrical - When all
electrical work is cornplete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is cornplete.
Footing - After trenches are
excavatecl.Fireplace - Prior to facing
materlals and framlng lnsp.
Final Building - When all
required inspections havc been
approved and buil<iing is
completed.Masonry - Steel location, bond
bearns, grouting.Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placenren t.
o:,er -h%.FLyc*Wta.
Wall/Ceiling lnsulation - Prior to (/z,x rc a,+2,<fiu,cu'7t?&Xt/)cover.
Underground Plumbing - Prior
to fillirrg trench.l--l Orywatl - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcul & Approach - Af ter
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home tras been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Eleclrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the horne is connected to
the service panel.
Storm Sewer - Prior to filling
t rerr ch.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When cornpleted.
Rough Plumbing - Prior to Street Trees - When all rcquired
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installecl.cover.
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Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type \/
-
lnterior
--
Corner
.-- Panhandle
Cul-de-sac
Setbacks
HSE GAR ACC
N
PL.
S THE PROPOSED WORK IN THE
-rl|STOR|CAL DISTRICT, OFI ON
THE HISTORICAL REGISTER?
--
lf yes, this application must be signed
and approved bY the Historical
Coordinator prior to permit issuance.
APPROVED:
5
E
BUILDTNG VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantect on the express condition that lhe said
construction shall, in all respects, conforrn to the Ordinance
a<.lopted by the City ol Springfield, including the
Development Cocle, regulating the conslruction an<l trse of
buildings, arr<l rnay be strspencled or revokctl at any tirnc
upon violation of any 1>rovisions of said orclirranccs'
Plans Fleviewed BY
Plan Check Fee
Date Paicl
Recei pt Number:-
Received BY
VALUE
(A)
X $/SO. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
SanitarY Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
No
FT.
FT.
FT.
b%fuDNza -/,5-',o-
(c)
Plurnbing Perrllil
St;tlo Strrcilarl;c
Total Charge
.75
,1 S,7s-
Wood Stove/ lnsert / Fireplace Unit
Dryer Vent
MECHANTCAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certi{y that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of tlre City of Springf ield, and tlre Laws
of the State of Oregon pertaining to the work described
herein, ar.rd that NO OCCUPANCY will be made of any
structure without perrnission 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
proiect.
I further agree to ensure that all required inspections are
requestecJ at the proper time, that each address is readable
from the street, th,rt tlte permit card is localcd at tlre f ront
of the property, an<J tlre approved set of plar-rs will renlaitr
on tlte site at all tinrcs tluring cons trU ll
gnature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
--_=-
ft
Demolition
State Surcharge
Tolal Miscellaneous Permits (E)
ao
7sDATE PAID
AMOUNT RECEIVED
FIECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combinecl)
7S
Date
TvurD