HomeMy WebLinkAboutPermit Plumbing 1993-05-194
975
BLOCK: ---
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Ut,ztvN,
SPRINGFI ELO
TAX LOT:
JCB NUMBER
LOCATION OF PROPOSED WORK:
ASSESSORII MAP:
-
RESIDENTIAL
PENUIT APPLICATION
lnspections 726'3769
Otfice:726".\759
LOT:
---
SUBDIVISION:
225 Fifth Street
Springf ield, Oregon 97477
?%-zzozPHONE:
oR ZIP:STATE:
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CITY
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OWNER: -
ADDI]ESS
e60.
NEW
-- -, REMODEL ADDITION DEMOLISH OTHER
a/,b,n
ors,thtae woRK: -
PHONEEXPIRESADDRESS
23 d7Oz,'/7 6tq -*9
CON TRACT(f R'S NAME
PLUMBING: -. -
GENERAL: -
CONST.
CONTRACTOR d
MECHANICAL:
-
- OFFICE USE _
WATIR HEATER:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE FOOTAGE:
OUAD AREA:
' OF BLDGS
OCCY GROUP:
E OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
Torequestitninspection,youmUstcallT26.3T6g.Thisisa24hourrecording.Allinspectionsrequest
maclr: the s.rme working clay, inspections requested after 7:00 a.m. will be made the following work
ed before 7:00 a.m. will be
day.
REQUIRED INSPECTIONS
TemporarY Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing worl< is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Eleclrical - Prior to Final Electrical - When all
etectrical work is comPlete.cover.
Underslab P!umbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
exca! ated.Fireplace - Prior to facing
materials and f raming lnsP
Final Building - When all
required inspections have been
approved and building is
completed.I--l Masonry - Steel location, bondu b.r.s, grouting.
[--l Foundalion - After forms areLl uro"l,raj ttut lrrior to concrete
placement.
Framing - Prior to cover.
Olher
Wall/Ceiling lnsulation - Prior to
cover,
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping'
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Pr or to insulation or decking.l-l Wood Stove - After installation
E Post and Beam - Prior to floor
insul;rtion or decking.lnsert - A.fter iireplace approval
and installation of unit.
Blocking and Set'UP - When all
blocking is complete.
fl Floor lnsulation - Prior to
decki ng Curbcul & APProach - After
fornrs are erectcd but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior lo filling
t renc It.Electrical Connection - When
blocking, set-uP, ancl Plurrtbing
inspections have been approved
and the horne is connected to
the service panel.
[-l Stornr Sewer - Prior to fillingLl trenc,.,.
[-l Water Line - Prior to fillingu trencn.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base materiai in Place.
[--l fence - When comPleted
Final - After all required
inspections are apProved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to Street Trees - When all required
trees are Planted.cover
3
# OF BDFIMS: ---._..-.--------..'-'----_
tl
tl
tl
Efl
E
E
I
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
--
Corner
-
Panhandle
-
Cul-de.sac
tbacks
PL.HSE GAR ACC
N
S
E
IS THE PFIOPOSED WORK IN THE
HISTORICAL DISTRICT, OR ()N
THE HISTORICAL REGISTEH? ---lf yes, this application rnust bc signecJand approved by the 11 istorical
Coordinator prior to permit rssuance.
APPROVED
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AN D BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, incltrding the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordrnances.
Plan Check Fee:
-
Fleceipt Number:- _
Pilins ftericwecf l)a t(.)
Received By
By
Date Paid
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systerns Development Charge is due on all undeveloped
properties within the Cily limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
@
(c)
N0
FT.
FT.
FT.
PLUMBING PERMTT
Plumbing Permit
State Surcharge
Total Charge
,904z?o
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnace
Exhaust Hood By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify thar at!
inlormation hereon is true and correct, and I f urlhcr certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf iel(1, and the Laws
of the State of Oregon pertaining to the work dcscribed
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I f urther certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspectiong 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
Date -Qs
no eth al t mI riteslatdESu Scon rUt tc o n.
Si tna Us
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)
VALIDATION:
RECEIPT NUMBER
-
85;/
DArE PA.D E:a2-?2
AMOUNT RECEIVED -
RECEIVED BY
-
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