HomeMy WebLinkAboutPermit Plumbing 1999-03-16BLOCK:SUBDIVISION:
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TAX LOT
LOT
6 Lz
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Zao
JOB NUMBER
LOCATION OF PROPOSED WOHK:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 226€769
Offlce: t16.gt1g 225 Fifth Street
Sprlngfletd, Oregon gl 4ll
PHONE:
(,
STATE:ZIP:
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/7OWNER:
ADDRESS:
crfi:
ADDITION DEMOLISH OTHER
4- /a,tOEEONIBI WOFTK:
NEW- REMODEL
ADDRESS
s^7
EXPIRESo 76
CONST.
CONTBAC'rOR #.a PHONE
CONTRACTOR'S NAME
GENERAL:
PLUMBlNG:
MECHANICAL:
ELECTRICAL:
t-
set
I
# OF STOflIEbJ 80 DAY
N:IF
FIANGE:
OCCY GROUP:
QUAD AREA:
, OF BLDGS: . .i ,,,. 6__
rll?,^,=.
' ' J tr.
To requ est an ns pectlon,you
made the same workl ng day,pect reqnslons
I femnorary Electrlc
Slte lnspectlon - To lre mado
after excavatlon, but prlor to
settlng forms.
Underetab Plumblngl Electrlcal/
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Maconry - Steel locatlon, bond
beams, groutlng.
m ust call 726-3769.Th ls 24 hou record ng.AI lnspec fl ons 7:00 a.m. wlll be
he fol low ng wo rk day.
Blocklng and Set.Up - When alt
blocklng ls complete.
Plumblng Connectlons - When
home has been connected to
water and sewer.
Electrlcal Connectlon - When
blocklng, set-up, and plumbing
lnspectlons have been approved
and the home ls connected to
the servlce panel.
ffi Unaerground Ptumblng - Prlor,aJ to fllllng trench.
E
E
E
E
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Bcam - Prlor to floor
lnsulatlon or decklng.
Floor lnsulatlon - Prlor to
decklng.
Sanltary Sewer - Prlor to fllllng
trench,
Storm Sewer - Prlor to fllllng
trench.
Rough Plumblng - Prlor to
cover.
uested after 7:00 a.m. wlll be macje
REQUIRED TNSPECTIONS
Rough Mechanlcal - Prlor to
cover_
l-l Rough Electrlcal - prtor tot---J cover.
Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
[-l Ftreplace - Prlor to faclng
-
materlals and lraming lnsp.
Framlng - Prlor to cover.
tl WallIC'elllng lnsulatton - Prlor to
cover.
Drywall - Prlor to taplng.
Wood Stovo - After lnstallatlon.
lnserl - After flreplace approvgl
and lnstallatlon of unlt.
Curbcut & Approach - After
forms are erected but prlor to
placoment of concrete.
Sidewalk & Driveway - After
excavatlon ls complete, forms
and sub-base materlal ln place.
$treel Trees - When all requlred
trees are planted.
Flnal Plumblng - When altplumblng work ls comptete.
Flnal Electrlcal - When ail
electrlcal work ls complete,
Flnal Mechanlca! - When all
mechanlcal work ls complete.
Flnal Bulldlng - When ail
requlred lnspectlons have been
approved and bulldlng ls
completecl.
Other
MOBILE HOME INSPE TIONS
tl
tl
n Water Llne - Prlor to filllngu trench.1-l Fence - When cornpleted
E l--l Flnat - After att required.J lnspectlons are approved andporchos, sklrtlng, decks, and
ventlng have been lnstalled.
qt7
l'i
in
the
- oFFtcE USE -ii
tl
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
TopographY
Total height
Lot Type _
-
lnterior
__ Corner
-- Panhandle I
-
Cul-de'sac
P.L.HSE GAR ACC
N
S
E
i.-{S THE PROPOSED WORK TN THE .. HISTOBICAL DISTRICT, OR ON
THE HISTORICAL REGTSTER?
-
ll yes, thls applicatlon must be slgned
and apProved bY the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
-.
BUILDING \TALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express conditlon that the said
consiruction shall, ln all respects, conform to the Ordlnance
adopted by the City of Springfleld, lncludlng the
Development Code, regulatlng the constructlon and use of
I oulldings, and may be suspended or revoked at any tlme
I upon violation of any provisions of said ordlnances.
Recelpt Number:-
Plans Reviewed By Date
Plan Check Fee
Date Paid
Beceived By
BUILDING PERMIT
SO. FT.
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
'. t4
X $/SO. FT. = VALUE
Systems Oevelopment Charge ls due on all undeveloped
properties withln tl'ro City limits which are belng lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
/t>61'
2.d,/
FEE
6
(c)
LD
N3
FT.
FT.
Z)
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unit
Dryer Vent
(D)
Vent Fan N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed appllcatlon and do hereby cerilfy that all
lnformatlon hereon ls true and correct, and I further csrilfy
that any and all work performed shall be done ln accorrJance
wlth the Ordinanccs of the Clty of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCY wlll be made of any
structure wlthout permission of the Bulldlng Safety Dlvislon.
I further certify that only contractors and employees who
are ln compllance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required lnspectlons are
requested at the proper tlme, that each address ls readable
lrom the street, that the permlt card ls located at the front
of the property, and the approved set of ptans wlll remaln
n,
Slgnatu
Date
on the site at all tlmes durl
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellanoous Pormils (E)
TOTAL AMOUNT DUE (excludlng electrlcat)
(A, B, C, Q and E COmblned)
VAl.IDATION:
UMB
AMOUNT RECEIVED
RECEIVED BY
RECEIPT N
DATE PAID