HomeMy WebLinkAboutPermit Plumbing 1992-07-10SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
lnslrectiotr:,: 7:'6 3769
Of lice: 726'37!t:)
LocAloN oF pRoposED woRK: --ru- 2=. -
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ASSESSoRS MAP:-- 1Ze3-35- --Z
?Zd747JOB NUMBER
225 Fifth Street
Springfield, aregon 97 47 7
TAX LOT:77/ Oo
SUBDIVISION:
I
LOT: - --BLOCK:
OWNER: --
ADDRESS: --
CITY: ----. -srArE: - A=- ztP: - 2Z/ 7- 2
PHONE
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EMOLISH OTHERNEMODEL ADDITION
--
DESCRIBE WORK
NEW
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EXPIRES t,IJON EADDRESS
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CONTRACI'OtI'S NAME
CONST.
CONI'RACTOR ,
MECHANICAL
ELFCTRICAL:
GENERAL:
PLUME}ING
OUAD ARF-A:
# OF BLDCS: ----
OCCY GRC)UI'
r OF STOFiIFIJ:
WATER llEAI t,tl:
-
, OF UNITS:.-.
-CONSTR. TYPE: --.
IiEAT SOURCE:
RANGE:
-
_ OFFICE USE _
LAND USE:FLOOD PLAIN:
-ZONINC CODE:
-
--
, OF BDRMS: ...-
SECONDARY HEAT: -
SQUARE FOOIAGE,: -
To request an inspection, you must call 726-3769. This ls a 24 hour recording. All inspections requested before 7:00 a.m. will be
macte the sarrre working day, inspections requested ailer 7:O0 a.m. will be made the following work day.
REOUIRED INSPECTIONS
f I Temporiuy Electricll | -l Rorrgh Meclranical - Prior toU COVer.
Final Plunrbing - Wlren all
umbing work is cornpletc.
Site lnsJrection - To be rnade
after ex(:.lvatiorl, but Prior to
selting l()rrnS.
Undersl ab Plunrbir.rg/ Electrical /
Meclrarrical - [:)tior to cover.
Footing - Af tt-'r lrenches are
eXC ava t ld.
Masonry - Steel location, bond
bearrrs, grouting.
Foundalion - After forms are
erected bUt prior to concrete
placenl{;n t.
Underground Plunrbing - Prior
to filling trench.
Underlloor Plurrrbirtg/ Mechanical
- Prior to insUliltiolr or clecl<ing.
Posl ancl Beam - Prlor to floor
insulation or decl<irlg.
Floor lnsulation - Prlor to
decki n!1.
Sanitary Sewer - Prior to fillittg
trenclr.
Storm Scwer - Prior to f llling
tren(rlr.
Water Line - Prior to filling
trench.
Rough l'lumbing - Prior tcr
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to ()tltain perrnanent
elet;trical power.
Fireplace - Prior to facing
materlals ancl framing lnsp.
Framing - Prior to cover
Wall/Ceiling lrrsulation - Prior to
cover.
Drywall - ['Iior to taPirlg
lnsert - Aftcr firePlace aPProval
an(l installation of unit.
Curbcut & Approach - Af ter
forrns are eructe(l but Prior lo
placement of corrcrete.
Siclewalk & Driveway - Aftcr
ext;avation is cottrplete, [ornts
anrl sub-bitse rnatcrial in place.
Fence - Whon cornpleted.
Street Trees - Wlren all required
trees are planted.
Final Electrical - Wlren all
clectrical worl( is coilrplete.
Final Mechanical - Wht.n ;rll
nrechanical worl( is oornpletc,
Final Building - Wtten all
required inspections have bc-ert
approved and building is
completed.
Other
--
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MOBILE HOME INSPE TIONS
Blocking and Sel-Up - Whcrr all
t)locking is complet(].
Plunrbing Connections - Wltcrt
home has l)(.,L.rr connected to
water and scwer.
Electrical Connectiorr - When
l;lor;king, set-up, ancl lrlurrrbing
ins;rections lrave beorr approvcd
;rncl tltc hotttc is connc(:lu(l to
the service panel.
Final - After all requirecl
inspections are approved and
porches, skirting, decks, and
venting have been installec,.
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tl Wood Slove - AItor ittslallation.
fl
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Lot faces
Lot sq. {tg.
Lot coverage
TopographY
Total height
Lot Type Y
-
lnterior
-
Corner
-
Panhandle
Cul-de-sac
Setb S THE PROPOSED WORK IN THE
-HrsrontcAL DtsrFllcr, oR oN
THE H ISTORICAL REGISTEB? -----
lf yes, this application must be signed
and aPProved bY t he H is torical
Coordinator prior to permit issuance.
APPROVED
ACCHSEGARP.L.
N
D
E
BUILDING VALUE, PLAN CHECK
AND BUTLDING PERMIT
This permit is grante<J 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 Code, regulating the construction ancl use of
buildings, and may be suspended or revoked at arry time
upon violation of any provisions of said ordinances'
Plan Check Fee: - -
Plans Beviewed BY Date
Date Paid:
Receipt Nuntbet:
Received BY:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $iSO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Developmerrt Charge is due on all untleveloped
properties within the City limits which are being irnproved'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
_Po3
oo
FEE
(c)2/
N0
FT.
FT.
FT.
1::
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
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 certify that all
information hereon is true and correct, and I ltrrtltcr certi{y
that any and all work performed shall be done in accortJance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the worl< describcd
herein, and that NO OCCUPANCY will br-' tnatlr-' of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with OFIS 701.055 will be usecl on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the f ront
of the property, and the approved set of plans will remain
on the site at all times during construction.
Xo,o.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stat(i Surchar0o
Sidewalk --...-- ft
Curbcut _=- ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
5s/L
oa
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
'2,/4_<-.f+-
gur"7^,D-74