HomeMy WebLinkAboutPermit Plumbing 1992-01-21RESID ENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
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LOCATION OF PRO
ASSESSORS MAP:
POSED
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RK:
JOB NUMBER
225 Frttn Street
Springfield, Orcgon 97 477
TAX LOT:
LOT:BLOCK:SUBDIVISION
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PHONE:-7 >b - xc+=oD--vrlg K-oo rlr-la.cDOWNER:
ADDRESS:
CITY:
NEW
-
_ REMODEL
-
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
MECHANICAL:
ELECTRICAL:
EXPI RES PHONE%ae
tDt-P
CONTRACTOR'S NAME ADDRESS
lr.:qta.l,4,a-iDPLUMBING:
GENERAL:
CONST.
CONTRACTOR #
sRIDL
<1"RANGE:
* OF BDRMS:
WATER HEATER
* OF STORIES:
OCCY GROUP:
_ OFFICE USE _
LAND USE:
* OF UNITS:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE FOOTAGE:
QUAD AREA:
g OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
[--l temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When allplumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When att
electrical work is complete.cover.
Underslab Plumbing/ 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
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Final Building - When ail
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Foundation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.[-_l Drywatl - Prior to taping
MOBILE HOME INSPECTIONS
Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcul & Approach - After
forms are erected but prior toplacement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Electrical Conneclion - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Water Line - Prior to filling
trench.l---l Fence - When compteted
Slreel Trees - When all required
trees are planted.
Final - After all required
inspections are approved andporches, skirting, decks, andventing have been installed.
Rough Plumbing - Prior to
cover.
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Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
E
l__l other
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type "-,
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setback
PL.HSE GAR ACC
N
S
E
S THE PROPOSED WORK IN THE
-HrstoRtcAl DrsrRrcr, oR oN
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPFIOVED:
BUILDING VALUE, PLAN CHECK
AND 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, including 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 ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee
Date Paid
Received By:
VALUE
(A)
X $/SQ. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SQ. FT
Mai n
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PLUMBING PERMIT
N0
,5.7f,
FT.
FT.
FT.
/5r
7{
(c)
FEE
rulD,
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have carefully 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 Springf ield, 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
project.
I further 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 front
Date
of the property, and eap
2Gisnrtu,"
set of plans will remain
ructionon the site at
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk -- ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)7s/ -22 -fz-DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
fr'w//l
')-'t lno, I a
<o (9
Permit No:
Address
a
4 4 /_A A
//.2lssuedDate
OR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
underORS 701.010(7), need not submit this statem-ent. This statement will be
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38:
2
I own, reside in, or will reside in the completed structure.
I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
My general contractor is
Contractor registration num
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
I will be my own general contractor.
lf.l hire subcontractors, lwill hire only'subcontractors registered with the Construc-
tion Contractors Board. lf I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
3.A
3.8
OR
I hereby certily that the above information is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
Signature of Permit Applicant
CONSTRUCTION CONTRACTORS BOARD
0244J 8191
Date
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
Z4
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This lnformation Notice to Property Owners About Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS 701-055(5),
passed by the 1989 Oregon Legislature.
lf you are acting as your own contractor to construct a new home or make a substantial improvement to an
existing structure, you can prevent many problems by being aware of the following responsibilities and areas
of concern.
EMPLOYER RESPONSIBILITIES:
lf you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an
"employer" and the people you hire will be "employees". As the employeL you must comply with the following:
Oregon's Withholding Tax Law: As an em ployer, you must withhold income taxes from employee wages at
liable for the tax payments even if you don't actually withhold thethe time employees are paid. You will be
tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390.
Unemployment lnsurance Tax: As an employer, you are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224.
Workers' Compensation lnsurance: As an employer, you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your
employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 973-7434.
U.S. lnternal Revenue Service: As an e mployer, you must withhold federal income tax from employees'wages
You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call
the lnternal Revenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet
code requirements that may be brought to your attention through inspections.
Liability and Property Damage lnsurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc-
tures, fire, or work that must be re-done.
Time to Supervise Em ployees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work
of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform
the required inspections.
lf you have additional questions, write to Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
0244J 10t24t89
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SOLAR and INSTANT WATER HEATER' - Gas or Elcctric
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Installation Details for th-
.COPPER CRICKETTNI'
48"
32"
125 5/8"
PIANVIEW
cDI I FCTORPANEL
MOUNTINGBRACKET
5/16" S/S ROD w/
NUT & WASHER
ROOF
ELEVANON
8
3/4"
SPACER
3/4" COPPER FLEXES
2 L/2" ROOF JACK
RAFTERS
4x4 BETWEEN RAFTERS
MOLINTEDT*TffH;
(r) t0o NAILS @ EACH END
(oR)
SI}{PSON U41W/
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MOUNTINGBRACKET
(BEDDED IN MASNC)
2x4 SPANMNG
2 RAFTERS
MOUNTING
OPTION # I
MOTINTING
OPTION #2
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ROOF PENETRATION: FOR INSTALLATIONS WITH ATTIC SPACE
TOP ROOF JACK
2 W" HOLE
3A' ANCHOR HOLES
(TYPICAL)
3/8" ANCHOR HOLES
(rYPrcAL)
5"
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PLAN VIEW