HomeMy WebLinkAboutPermit Plumbing 1991-09-05LOT
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TAX LOT:
JOB NUMBER
LOCATION OF PHOPOSED WORK:
ASSESSORS MAP:
RESIDENTIAL
PERMTT APPLICATION
lnspections: 726-3769
Office: 726.3159
SUBDIVIStON: _
225 Fifth Street
Springfietd, Oregon 97 477
PHONE:
STATE:ZIP:
OWNER
ADDRESS:
CITY:
ADDITION DEMOLISH OTHEFI
DESCRIBE WORK
NEW-- REMODEL
CONTRACTOR'S NAME
G EN ERAL:
PLUMBING
ADDRESS CONST.
CONTRACTOR #
fr
EXPI RES PHON E
q
MECHANICAL
ELECTRICAL:
_ OFFICE USE _
1tQUAD AREA:
* OF BLDGS:
OCCY GROUP:
* OF STORIES:
WATER HEATER:
Temporary Electric
Site lnspection - To be made
after excavation, but prior to
setting forms.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
beams, grouting.
Foundation - After forms are
erected but prior to concrete
placement.
Underground Plumbing - Prior
to f illing trench.
Underf loor Plumbing/ Mechanical
- Prior to insulation or decking.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
RANGE:
FLOOD PLAIN
ZONING CODE:L
X OF BDRMS:
SECONDARY HEAT
SQUARE FOOTAGE:
LAND USE:
# OF UNITS L
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:OO a.m. will be made the following work day.
REQUIRED INSPECTIONS
E Sanitary Sewer - Prior to filling
trench. IOO t
Slorm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Rough Mechanical - Prior to
cover.
Rough Electrical - Prior to
cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
materials and framing lnsp.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prior to
cover,
Drywall - Prior to taping.
Wood Stove - After installation.
lnsert - After fireplace approval
and installation of unit.
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
l--l Fence - When completed.
Street Trees - When all required
trees are planted.
fy,l-Final Plumbing - When ailry plumbing work is complete.
Final Electrical - When all
electrical work is complete.
Final Mechanical - When all
mechanical work is complete.
Final Building - When all
required inspections have been
approved and building is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocking is complete.
Plumbing Connections - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
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Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot TYPe .
-
lnterior
-
Corner
--
Panhandle
.-- Cul-de-sac
Setb
P.L.HSE GAR ACC
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E
THE PBOPOSED woRK lN THE .A
Yr-tsrontcRL DlsrRlcr, oR oN . 1[;|t)
THE HISTORICAL REclstr-al ff.2
lf yes, this application must be si$ned
and aPProved bY the H istorical
Coordinator prior to permit issuance'
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
consiruction shall, in all respects, conform to the Ordinance
aOopt"O by the City of Spri ngfleld, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon virclation of any provisions of said ordinances'
Plan Check Fee:
-
DatePlans Reviewed BY
Recei pt Numbe
Date Paid
Received BY:
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Su rcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Dl ,---' Flrs ,/ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N0
40 ooIt:o'
Aoo
FT.
FT
FT.
H2 Cr'(c)
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood 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 f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, 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 permission 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 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 con ruction
Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
4? rc 44ar'
PL
IIql*lq t
,]-r:
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
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