HomeMy WebLinkAboutPermit Plumbing 1996-09-18SPRIh.GFI ELD
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
-I TemPorarY Electric
ll
RESID ENTIALpenrulr APPLIcATIoN
lns
ofl
pections: 726'3769
ice: 726'3759
JOB NUMBER
225 Fifth Street
Spring(leld, Oregon 97477
TAX LOT:
SUBDIVISION: -
7a
LOT: BLOCK:
Site lnspeclion - To be made
after excavation, but Prior to
setting {orms.
Underslab Ptumbing/ Electrical /
Mechanical - Prior to cover'
Footlng - After trenches are
excavated,
Masonry - Steel location, bond
beams, grouting.
Foundatlon - After forms are
erected but Prior to concrete
placement.
Post and Beam - Prior to floor
insulation or decking.
Floor lnsulation - Prior to
decki ng.
SanitarY Sewer - Prior to f illing
trench.
Storm Sewer - Prior to filling
trench.
Water Line - Prior to filling
trench.
Rough Plumbing - Prior to
cover.
Bough Mechanical - Prior to
cover.
Rough Electrical - Prior to
COVET
All inspections requested before 7:00 a'm
ade the following work daY.
Final Plumbing - When all
plumbing worl( is comPlete.
Final Electrical - When all
electrical work is comPlete.
Final Mechanical - When all
mechanicat work ls comPlete.
wlll be
TorequeStaninSpection,youmuStcallT26.3T6g.Thlsisa24hourrecordlng.
made the sanle working day' lnspections requested after 7:00 a'm' will be m
REQUIRED INSPECTIONS
Underground Plumbing - Prior
to filling trench'
Drywall - Prior to taping
[-l Underlloor Plumbing/Mechanical [--l Wood Stove - After lnstallationI I -' Prior to insulation or decking' I I "--- -'-'-
Electrical Service - Must be
approvecl to obtain Permanent
electrical Power.
[I Fireplace - Prlor to faclngU materlals and framing lnsP.
Framing - Prior to cover.
Wall/Ceiling lnsulation - Prlor to
cover,
lnsert - After flrePlace aPProval
and installation of unlt'
Curbcut & A1:Proach - After
forms are erected btrt Prior to
placement of concrete.
Sidewatk & Driveway - After
excavation is comPlete, forms
and sub-base material in Place'
I Fence - lvhen completed'
Street Trees - When all required
trees are Planted.
Flnal Building - When all
required lnsPectlons have been
approved and building is
completed.
Other
MOBILE HOME INSPE TIONS
Blocking and Set'UP - When all
blocking is comPlete.
Electrical Connection - When
blocking, set'uP, and Plumbing
inspections have been approved
and the home is connected to
the servlce Panel.
Final - After all required
inspections are aPProved and
porches, skirting, decks, and
venting have been installed.
STATE:
PHONE:
CITY:
ADDRESS:
OWNER:
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEW"-.--- BEMODEL
ADDRESS EXPIRES .:, PHONE
CONTBACTOR'S NAME
PLUMBING:
GENEBAL:
MECHANICAL:
ELECTBICAL:
CONST.
CONTRACTOR #
r OF BDFiviS:
- OFFICE USE _
FLOOD PLAIN
WATER HEATER BANGF-:
SECONDARY HEAT:
SQUARE- FOOTAGE:
OUAD AREA:
I OF BLDGS:
LAND USE:
ZONING CODE:
OCCY GFIOUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
a
E
E
fl
E
n
[--l Plumbing Connections - WhenU home lras been Connected to
water and sewer.
E
6
{Ya:q
ztPt ?4V
Er E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Totat height
Lot Type
_- lnterior
-- Corner
-
Panhandle
_- Cul-de-sac
back
PL.HSE GAR ACC
N
S
E
IS THE PFIOPOSED
HISTOFIICAL DISTR
TI.IE HISTORICAL R
WORK iN THE.
ICT, OR ON
EGISTER?
lf yes, this application must be signedand approved by the HistoiicalCoordinator prior to permit issuance.
APPROVED:
BUILDING PERMIT
VALUE
(A)
SQ. FT. X $/SQ. FT.
ITEM
Main
Garage
Carport
Total Value
Building permit Fee
State Surcharge
Total Fee
.ry.gJALUE, PLAN CHECKUILDING PERMIT
This permit is granted on the cxpress condition that the saidconstruction shalt, in all respecis,
"onior.n io tne Ordinanceadopted by the City
. of SpringfietJ, lncrudtng theDevelopment code. regurating irru ""on"tru"tion ,nd u"e ofbuildings, and may be suspended or revoked at any timeupon violation of any provisions of said orJ,nrn."".
Plan Check Fee: -..--__
Date Paid:
Date
Plans R cviewed t3y
BUILDI
AND B
Fleceive<i By:
ELOPMENT CHARGE (SDC)
(B)
SYSTEMS DEV
Systems Develop
properties within
ment Charge is due on all undevelopedthe City linrits which are being improved.
ITEM
Fixtures
Flesidentiat Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBTNG PERMIT
FEE
(c)
N0
a+
FT.
FI
-fr-ya
Ft.a;74
2.
Plumbing permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Fireptace 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 carefully examinedthe completed application and do hereby certify that allinformation hereon is true ancj correct, and I f urther certifythat any and all work performed shall be done in accordancewith the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to thc work describedherein, and that NO OCCUPANCy will be macJe of anystructure without perrnission of the Building Safety Division.I further certify that only contractors anOlmptoyees whoare in cornpliance wiil.r ORS 70i.055 will be used on thisproject.
I f urther agree to ensure that all required insrequested at the proper time, that each
from the street, that the pcrmit card lsof the property, and the approved set
t?/ L
pections are
address is readable
located at the front
of plans will remainon the site at all times during ruction.
Signatu
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk t|
Curbcut -.-- ft
Demolition
State Surcharge
Total Miscellaneous perrnits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVEDTOTAL AMOUNT DUE (exctudinq electrican(A, B, C, Q and E Comblncd)RECEIVED BY
R
q,
7
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