HomeMy WebLinkAboutPermit Plumbing 1991-09-29SPRIT{GFIELf}
WOFIK:
BLOCK
?fr,
JoB NUMBE---q\\88
SUBDIVISION:,.LOT:
LOCAI-ION OF PHO
ASSESSOFIS MAP
RESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Olfice: 726-3759
225 Fif th Street
Spri ng f ir-'l<1, O reg<.trt I / 4 / 7
(ilYi*-.brm
PIIONE: --le
1t)ZIP:
-T
STATE
OWNER:
-ADDRE
CI
OTDEMOLIS}I.,DITION *
DESCFIIBE WO
NEW _-.- IREMODEL
EXPIRES PHONENAMEADDFIESS
MECHANICAL:
CONTR
CON!]T.
CONI'RACTOR '
GENEFIAL:
PLUMBING
OUAD AFIEA
_ OFFICE USE _
FIANGE:
OCCY GROUP:
--._-
FLOOD PLAIN: ---
ZONING CODE:
, OF BDRMS: --.-.. - -
SECONDARY IIEAT:
SQUARE FOOTAGE:
* OF UNITS:
CONSTR. TYPE
LAND USE:
WATER HEATEFI:
" OF STORIES: -_-----
a OF BLDGS: * ,. -
HEAT SOURCE:.-,
To request an inspectlon, you must call 726-3769. This ls a 24 hour recording. All inspections requesled before 7:00 a.tn' will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
l--_-l Temporary Electric
ll
Rough Mechanical - Prior t<-r
cover.L:I Final Plumbing - Wlten all
plurnbing work is cornplete.
Sile lnspection - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior t<.r IJ Final Electrical - When all
electrical work is cornplete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Eleclrical Service - Must l-re
approved to obtain Perlnancnt
electrical power.
t]Final Meclranical - When all
rneclranical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials arrd fratning lnsP.
t_:l Fitral Builtlirrg; - Wltcrr all
required inspections ltave becn
approved and building is
cornl"rlcted.Masonry - Steel location, bond
beams, grouting.Fratning - [)rior to <)ovcr,(
tlror
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulaliotr - [)tior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking'Wood Stove - After irrstallation
Post and Beam - Prior to floor
insulation or decking.lnsert - After firePlace aPProval
and installation of unit.
Blockirrg and Set'Up - Wlten all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & Approach - After
forms are erected but Prior to
placement of concretc.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and llre home is conncctcd to
lhe service parrel.
Slorm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is complete, fotms
and sub-baso rnatcrial in lllitt;c.
Water Line - Prlor to filling
trcnch.
e - Wlrcn r:ot't.t1.lleterl
| | Firral - Aller irll rerluire'dL -J insJlcctions itre apgrrovcd and
Slreel Tloos - Wltcn all rnrlrrirrrrl
trees are planted.
porchcs, skirtine, rJecks, and
vunting lravc bcerr installcd.
Jc 4Cflo
)
ELECTRICAL:
E
E
tl
E
E
E
tl
Rough Plumbilrg - Prior to
cover.
E
tl
tl
Lol f;rcr:s
Lot s11. flg.
l,<.r t <: c.rve r:r 1; r-r
lblrogralrlry
Tot;tl lrciglrt
Lot Typr:Se tb
P.L.l-ts_E
acks
t"
lS , : PROPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE H ISTORICAL REGISTER?=-_
lf yes, ttris application must be signed
anrl apl>rovecl by the Historical
Coordinator prior to pcrnrit issuance.
APPROVED
lnt{]| t()r
C)orrrrrt
l'.tttlr,,rrilltt
(lttl-tll l;iir;
N
:)
I
q_
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is grantecl on the express condition that the said
construction shall, in all respects, conform to the Ordinance
acloptecl by the City of Springfielcl, including the
Developnrent Coclc, rcgulating the construction and ttse of
buildirrgs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
DatePlans Reviewed By
Plan Check Fee: -
Date Paid
Beceipt Number:-,,
Received By:
BUILDING PERMIT
VAt_t.lt-:
(A)
SO. FT. X $/SO, FT,ITEM
Main
Garage
Carport
Total Value
Building Perntit Fee
Slate Surcharge
Total Fee
Systems Developmcnt Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
FEF.
(c)
NU
t \
e
FT.
F.I
FT.
l-tQ--'
PLUMBING PERMIT
Plumbing Per
Total Charge
State Surc
Water
Storm Sewer
ITEM
Fixtures
Flesidential Bath(s)
Sanit;lry Sewt-'r
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mcr;lt.rttit;;il ['r]l tlll t
ls suanct:
S)t;rlc 5)tr rcltttrr;o
Total Perrnit
MECHANICAL PERMIT
Fu rnace
Exhatrst Hood By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
informatlon hereon is true and correct, and I further certi{y
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfielcl, and the Laws
of tlre State of Oregon pertalning to the worl< described
herein, and that NO OCCUPANCY will be made of any
structure without pcrrnission of the Building Safety Division.
I f urther certify that orrly contractors and etnployees who
arc in compliance with ORS 701.055 will be used on this
pro ject.
I further agree to ensure that all required inspections are
rcquested at the proper time, that each adclress is readable
frorn the street, that the permlt card ls located at the front
Signatu
r|yDale
pproved of plans will remainof the property,
ruct ionunnion the site at
MISCELLANEOUS PERMITS
Mobile Horne
State lssuancc
State Surcharge
Sidewalk --- ft
Curbcut --- ft
Demolition
&5@0L
S
Miscellaneous Permlls (E)
S u rc harge VALIDATION:
RECEIPT NUMBE
DATE PAID
AMOUNT R
RECEIVED
TOTAL AMOUNT DUE (exclucling elo(:tric
(A, B, C, D, ;rttrl E Crirnbined)
2_
CITYff SPF,_ .f F|ELO
t
225 FTYTE STREEI
SPRTNGPIELD, OREGoN 97477 Jcr!;:
INSPBCTTON REOT'BST
OPPICE: 726-3759
: 72615.969
a3
u0t
Aurhori--.rd
1.. LOCATION OP INSTALIATION954 S. 44th btreet
EIJCTRTCAL PERHTT
Clty Job Nunber
SCEEDT'I.E BELOS
18021521 TL 6f00
IJGAL DBSCRTPTTON
Ney Resldentlal-Single orIlulti-Famtly per av-Itlng unit.Serviee Included:
A
B
c.
D.
B.
ftens Cost
t s 85.00
Sum
JOB DBSCRIPTION
Permits are non-transferable and expireif vork is not started vlthin fgO aaysof issuance or if vork is. suspendea for180 days.
2. COMRACTOR INSTALIATION ONLY
Electrical Contractor Rose Corp,
1500 sq.ft. or Less
Each additional 500sq. ft or portion
thereof
Each Hanufrd Home orHodular DveIIing
Service or Feeder
Services or Feeders (10 Braneh Clrcuitslnc_luded). rnstatlation, eiiei"iior"or.Relocation:
S F Resrden ce ^e{
-dR-,s 1s.00
s 3s.00
s 36.00
s 36.00
Ci ty NF
Address 89976 Daq Lane 100 amps or less
101 amps to 400 amps
-401 amps to 600 amps
-601 amps to loo0 amps-Over 1000 amps/volts
Reeonneet Only
Supervisor License Number
Expiration Date lo-1-92
Phone 586-0905
15685
s 3s.00
s 60.00
$ e0.00
s130.00
s300.00
s 3s.00
constr contr. Number 54431
Explration Date 9-30-92
Signa rvis Blectrlclan
Temporary Services or FeedersInstallatlon, Alteratlon or Relocation
201 amps to 4oo anps
-
S ao.oo0ver 401 to.600 amps _ $ 8O.OOover 600 amps or rboololls i""-;i; aE6F
Branch Circuits
Nev, iglteratlon or Extenslon per panel
7
0uners Name capstone Homes , fnc .ofOR
Address P.o. Box 226 36
Ci ty I'ugen e , oR Phone o -5 567
97402
OITNBR TNSAALI.ATTON
One Circult
Tvo to ten Circuits
Each Addtrl ten or .--
portion thereof
$ 3s.00
s s0.00
s 1s.00
The installation is belng made onproperty I ovn vhlch ls not intendedfor sale, lease or rent.
Ovners Signature:
Hiscellaneous (Service/feeddr not lncluded)-Each lnstallation
Pump or irrigationStgn/outline Light lns-Signal Circuit irlimlted energ.y panel
5DATE:
RECEI\IED BY:
ST'BTOTAL OP ABOVE5Z Stite Surcharge
TOTAL
s 36.00