HomeMy WebLinkAboutPermit Plumbing 1995-4-25
RESIDENTIAL
PERMIT APPLICATION
InspectIOns 7263769
Office 726 3759
LOCATION OF PROPOSED WORK
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LOT
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OWNER
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ADDRESS
CITY
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DESCRIBE WORK
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NEW
REMODEL
CONTRACTOR'S NAME
GENERAL
PLUMBING ~&#r-U/A-y /1J~/1?4
MECHANICAL
ELECTRICAL
QUAD AREA
N OF BLDGS
OCCY GROUP
N OF STORIES
WATER HEATER
STATE
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JOB NUMBER
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225 FHlh Street
Springfield, Oregon 97477
, TAX LOT
SUBDIVISION
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ADDITION
DEMOLISH
OTHER
PHONE
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ZIP
'37477
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ADDRESS
CONST
CONTRACTOR N
PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - PrIor to
cover ,
o Rough Electrical - Prior to
cover
o Electrical Service - Must be
approved to obtain permanent
electrical power
o Fireplace - Prior to facing
materials and framing Insp
o Framing - Prior to cover
o Wail/Ceiling Insulation - Prior to
cover
o Drywall - Prior to taping
o Wood Stovo - After InstallatIon
o Insert - After fireplace approv~r
and Installation of unit
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete
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- OFFICE USE -
LAND USE
N OF UNITS
CONSTR TYPE
HEAT SOURCE
RANGE _
EXPIRES
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rLOOD PLAIN
ZONING CODE _
N OF BDRMS
SECONDARY HEAT _
SQUARE FOOTAGE
To request an InspectIon, you must call 7263769 This Is a 24 hour recording All Inspections requested before 700 am wlJ! be
made the same working day, Inspections requested after 700 a m will be made the following work day
D Temporary ElectrIc
D Site Inspection - To be mado
after excavation, but prior to
setting forms
o Underslab Plumbing/ Electrocall
Mechanical - PrIor to cover
D Footing - After trenches are
excavated
o Masonry - Steel location, bond
beams, grouting
o Foundation - After forms are
erected but prior to concrete
placement
o Underground Plumbing - Prior
to filling trench
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking
,
o Post and Beam - Prior to floor
InsulatIon or deckIng
D Floor Insulation -'- Prior to
decking
D Sanitary Sewer - Prior to 1IIIIng
trench
D Storm Sewer - Prior to filling
trench
D Water L1ne'- Prior to filling
trench
,
D Rough Plumbing - Prior to
cover
D Sidewalk & Driveway - After
excavation 15 completo, forms
and sub base material In place
o Fence - When completed
o Street Trees - When all requIred
trees are planted
~ Final Plumbing - When all
~Plumblng work Is complete
o Final Electrical - When alt
electrical work Is complete
o
Final Mechanical - When all
mechanIcal work Is complete
o
Final Building - When all
requIred Inspections have been
approved and bUilding Is
completed
D Other
MOBILE HOME INSPECTIONS
o Blocking and Set Up - When all
blockIng Is complete
o PJumbing Connections - When
home has been connected to
water and sewer
o
Electrical ConnectIon - When
blocking, set up, and plumbing
Inspections have been approved
and the home IS connected to
the service panel
o
Final - After all requl red
Inspections are approved and
porches, skirting, decks, and
ventlng have been Installed
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Lot faces lot Ty Setbacks IS THE PROPOSED WORK IN THE
, I Pl HSE GAR ACC 1 HISTORICAL DISTRICT, OR ON
Lot sq Itg Interior IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance
Total height CuI de sac lE ~
APPROVED
BUILDING PERMIT
ITEM SO FT X $/SO FT
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City 01 Springfield, Including the
Development Code, regulallng the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances
Marn
Carport
Plan Check Fee
Total Value
Date Paid
,
BUilding Permit Fee
Receipt Number
State Surcharge
Received By
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
propertIes within the CIty lImits which are beIng Improved
PLUMBING PERMIT
ITEM
Fixtures /
Residential Bath(s) N'
Sanitary Sewer FT
Water FT
Storm Sewer FT
Mobile Home
ADDITIONAL COMMENTS
FEE
/:?4l) ,
Total Charge
(C)
/s b'O
1,'2.'0
1(""" ;z.,o
Plumbing Permit
State Surcharge
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MECHANICAL PERMIT
Furnace
Vent Fan
N'
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 further certify
that any and all work performed shall be done In accordance
with the Ordinances 01 the City of Springfield, 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 701055 will be used on this
project
Exhaust Hood
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical PermIt
Issuance
Slate Surcharqe
Total Permit
(D)
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 Iront
01 the properly, and the approved set of plans will remain
on the site at all times during construction
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Date rJ1"'2 f!(i. \"
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
VALIDATION
RECEIPT NUMBER
Total Miscellaneous Permits (E)
DATE PAIr>
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TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
~24)
AMOUNT RECEIVED
RECEIVED BY