HomeMy WebLinkAboutPermit Plumbing 1993-06-24SPRI,\rGFIELE)
RESIDENTIAL
i;En rvt tr Ap p t-t cnrl o r.t
lnspections:726-3769
Of{ice: 726'3759 Zfr,
JOB NUMBER q 1)8?
225 Fifth Street
Springfield, Oregon 97 477
?LI) S 4L@ ALOCATION OF PROPOSED WORK:
l3 oa Sr).TAX LOT:OS IO ea
ASSESSORS MAP
LOT:
Si I
BLOCK:SUBDIVISION
PHONE
ZIP:STATE:llJfr Q234t-
-4otkebL )q)
OWNER
ADDRESS:
CITY:
NEW _- - REMODEL _-- ADDITION DEMOLISH OTHER
DESCRIBE WORK:
ELECTRICAL:
PHONEEXPIRESADDRESS
q 4
CONTRACTOR'S NAME
MECHANICAL:
,o\ Q)vag
Aq
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
gR.sQUAD AREA:
RANGE:
* OF BDRMS:
_ OFFICE USE -
LAND USE:
ZONING CODE:
FLOOD PLAIN
* OF UNITS:
SECONDARY HEAT:
SQUARE FOOTAGE:
# OF BLDGS.. ----
OCCY GROUP:
3 OF STORIES
CONSTR. TYPEr
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. wlll be
made the same working day, inspections requested after 7:0O a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.COVET
Underslab P!umbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - ln4ust be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - Af ter trenches are
excavated.Fireplace - Prior to fac!ng
materials and framing insP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
bearns, grouting.Framing - Prior to cover.
Other
Foundation - After lorms are
erected but Prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
I Underground Plumbing - Prior
to f illing trench.Drywall - Prior to taoing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.
Posl and Beam - Prior to floc',r
insulation or decking.lnserl - After f ireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking." a+l,"b owl- ,hJ^"
Sanitary Sewer - Prror to fillirrg d
trench.
Curbcul & Approach - After
fornrs are erected but Drior to
pl:rcernerrt of concrcte.
Plumbing Connections - When
home has been connected to
water and sewer.
Storm Sewer - Prior to filling
tren ch.
Sidewalk & Driveway - After
excavation is complete, lorms
ar:rl sub-base materiai ir, lrlace.
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Ferrce - IVhen cornpleted.
Rough Plumbing - Prior to Street Trees - When a!l required
trees are plante,J.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
V
cove r.
,,,L
tI
r
tl n
r tl
tl
tl
Wood Stove - After installation.
tl E
Ll-
Waler Line - Prior to filling
trenc h.tl
n
I
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type .!_,
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Sctbacks
P.L.HSE GAR
N
S
E
ACC
roTHE PRoPosED woRK tN THE
HI:ITORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-_
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPBOVED:
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, irrcluding the
Deveiopmerrt Code, re(JUlating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisrons of said ordinances.
DatePlans Reviewed By
Plan Check Fee:
Date Paid
Receipt Numbcr:- .-.
Received By
VALUE
(A)
X $/SO. FT,
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
Carport
Systems Development Charge is due on al I undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
Obla,^r.L
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
AS OO
35 oo
le<]s.ar(c)
FT.
FT.
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
No
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
(D)
N0Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood []y signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
inforrnation hereon is true and correct, and I f urther certif y'that
any and all work pcrformed shall be done in accordance
with the Ordinances o{ the City of Springfield, and the Laws
of the State of Oregon pcrtaining 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 corfiractors 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 inspectio.ns are
requested at the propcr time, that each address is readable
f rom the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times during constru
ure
blav lq^
on
sig
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
--
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricaO2b-21
(A, B, C, D, and E Combined)
VALIDATION:
RECEIPT NUMBER -4rgs
DATE PAID t'1'o.lq>
AMouNr RECET'ED -ah;s
-RE.ET,ED BY
-- -- aB
1C.1