HomeMy WebLinkAboutPermit Plumbing 1992-05-07INGF!ELI)
RESIDENTIAL
PERMIT APPLICATION
lns pections: 7 :'6-3769
Of(ice /26-.i7',:)
LOCAI ION OI I'RO SED
ASSt::;SOI.i'l LIAP: -
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OWFIE:R
ADDRESS
CITY: ,-
-
+\43
Jcrtl NUMBER __-
225 Fillh Street
Springlielrl, Oregon 97 477
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E]LOCK:SUTJDIVISION
a PHONE:
STATE: --,ZIP
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DESC
NEW
RIBE WCIRK:
REMODI:L
--
ADDITION DEMOLISH
-
OTHEFI
N DDRESS
CONST.
CONTRACTOR #EXPI RES PlloNt'CONTRACTO } i ..] NAIVl LJ.
GENERAL:
I
PLUMBING .
MECHANICA
ELECTRICAL:
W5555[qL-\?L
OUAD AREA:
,/ OF; t:lLD(,:i
OCCY C'lOUI
/ or: slonlr::
WAI'FR llEAl i tf : -.--
Site lnspeclion - To be made
af ter ext;avalion, but prior to
settirrg forms.
Underslab Plumbing/ Electrical /
Mecharrical - Prior to cover.
Fooling - After trenches are
excavalr)(,.
Masorrry - Stecl locati<.lrt, bond
bearrrs, {Jroutlng.
Found.rtion - After forrns are
erecte(, l:ut prior to concrete
placcnren t.
Underground Plunrbing - Prior
to lilling trencll.
Undcrlloor Plunrbing/ Mechanical
- l)ri<,rr to insLllation or (lecl(ing.
Posl arrd Beanr - Prlor to floor
insulattott or deol(ing.
Floor lnsulation - Prior to
dechi n g.
Sanitary Sewer - Prior to f illittg
tren(:h.
Storm Sewer - Prior to filling
trench.
_ OFF]CE USE _
I-AND usE: -\\\]-
II OF IINITS:
(;ONSI'R. TYPE:
IIEAT SOURCE:
FLOOD PLAIN:
ZONING CODI,:
E OF BDRMS:
SECONDANY HEAT:
SOUARE FOOTAGE:
Final Electrical - When all
electrical work is conrplrite.
Final Mechanical - Wlrr-.n :rll
meclranical work is corrrlrlete.
Final Building - When all
required inspections have ber--rr
approved arrcl buildirrg is
cornpleted.
Other
MOBILE HOME INSPECTIONS
Blocking and Set-Up - When all
blocking is cotnplete.
Plumbing Connections - Whert
home has been connetttr.'d to
water and sewer.
Electrical Conneclion - Wltert
blocking, set-up, and Plurnbing
inspections have bee.n approvocj
and the home is connected tc)
the service panel.
Final - After all required
inspections are apProved and
porches, skirting, decks, and
venting have been installed.
ERt[-
RANGE:
To ret.luest arrrtspection, you must call 726 3769. Tlris lsa24 hour recording. All ins[)ectiorls requested bcfore 7:OO a.tn. will l)c
m;icle rlre satile working day, inspections rr.rquested after 7:00 a.rn. will be made the following work day.
REOUIRED INSPECTIONS
f -l Tempor:,ry Eleclricrl Rough Mechanical - Prior to
cover.
Final Plumbing - Wtren all
plunrbing worl< is conrplete.
fl
Rorrgh Electrical - Prior to
cover
Electrical Service - Must be
approved to obtain permanent
electrical power.
Fireplace - Prior to facing
l1laterlals and fratrting lrtsp.
[-l Fr:.mlng - Prior to cover
Wall/Ceiling lnsulation - Prior to
cover.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior t<i
cover.
[--l Drywall - Prior lo taping
Wood Stove - After irrstallation
lnsert - After firePlace approval
an(l lnstallation of unit.
Street Trees - Wlren all required
trees are Planted.
fl
Curbcut & Approach - After
forrns are erected but Prior to
placement ol cotrcrete.
l-__l Sictewalk & DrivewaY - AfterU excavatton is conlPlete, fornls
ancl sub-base material in place.
t_l
tl
r
tl
E
r
l-_l Fence - When comPleted.
E
tl
tl
E
T E
tl
Lot faces
Lot sq. ftg.
Lot coverage
TopograPhY
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de'sac
P.L.HSE GAR ACC
N
S
E
Set
BUILDING VALUE, PLAN CHECK
Ar.to BUILDING PERMIT
This permit is granted on the express corrditiorr that the saic'
consiruction shall, in all respects' conlorm to the Ordinance
.O"pt"O by the City of Springfield' i.nclutlrng the
Development Code, regulating the-conslrttction an<i ttse o{
[rri,rr"g", and nray bJsuspencled or revokecl at ilny tlrrrc
upon ,i"f"tlon of any provisions o{ said ordinanoes'
Plan Check Fee: - --
ReceiPt Number:
DatePlans Reviewe dBv
Date Paid
Received BY
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improvecl'SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
FEE
N
FT.oo
FT.
FT.
o
(c)
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fi replace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
No
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby cerlify that all
informationhereonistrueandcorrect,andlfurthercertify
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Springf ield' and tlre Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will 6s msrle of any
structure without permission of the Building Safety Division'
I further certify that only contractors and employees who
are ln compliance with ORS 7O1'O55 will be usecl on this
project.
I further agree to ensure that all required inspections arc
requested at the proper time, that each address is readablc
from lhe street, that the permit card ls located at the f ront
7-
o[ the property,and the aPProved set oI Plan
ont e slte all tinr
Slgnatu
Dato
will rcrnairr
g constru
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
RECEIVEO BY
AMOUNT REC
DATE PAID
VALIDATION:
RECEIPT NUMBEFI
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
IS THE PFIOPOSED WOFIK IN THE
HISTORICAL DISTFIICT' OR ON
THE HISTORICAL FIEGISTER? .---
lf yes, this appllcation must be signed
and aPProved bY the Historical
Coordinator prior to permit issuance'
APPFIOVED: