HomeMy WebLinkAboutPermit Plumbing 1994-10-20
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
C\ L\ \ 29/L
JOB NUMBER
TAX LOT:
LOT'
BLOCK:
SUBDIVISION:
OWNER: ~ ~'(.., ~ \\.~ 'C
ADDRES~~'~ \\~
CITY: \" \)_
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ZIP:
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NEW
REMODEL
ADDITION
CONST.
CONTRACTOR'
CONTRACTOR'S NAME
ADDRESS'
EXPIRES
q3a:i()
~ \0 ~ <14h \\\?-
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
· OF BLDGS: · OF UNITS: ZONING CODE:
OCCY GROUP' CONSTR, TYPE: . OF BDRMS:
· OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANG'" SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 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
o Temporary Electric
o Rough Mechanical ~ Prior to
cover.
o Final PlumbIng - When all
plumbing w9rk Is complete,
D Site Inspection - To be mado
after excavation, but prIor to
setting torms.
D Rough ElectrIcal - Prior to
cover.
D Final Electrical - \N.hen all
electrical work Is complete. C
o Undera'ab Plumbing/Electrlcall
Mechanical - Prior to cover.
o Final Mechanical - When all
mechanical ,work Is complete.
o Electrical Servloa - Musl be
approved to obtain permanent
electrical power.
o Footing - Aller trenches are
excavated. ~
o FInal Building - Whan all
required Inspections have been
approved and building Is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
o Masonry - Steel location, bond
,beams. groutlng.
o Framing - Prior to cover,
I
o Wail/Ceiling InsJlallon - Prior to
cover.
o Other
o Foundation - Alter lorms are
erected but prior to .concrete
placement.
o Underground Plumbing - Prior
to filling trench,
o Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Wood Stove - After Installation,
. 0 Blocking and Set,Up ~ Whep all
blocking Is complete,
o Post and Beam - Prior to floor
Insulation or decking,
o Insert - After fireplace approv41
and Installation of unit,
O Floor Insulation ,- Prior to
deckl ng,
o Plumbing Connectlons - When
home has been connected to .
water and sewer.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set.up, and pluroblng
Inspections have been approved
and the home Is connected to
the service panel.
o Sidewalk & DrIveway - After
excavation Is complete, forms
. and sub.base materIal In place.
o Storm Sewer - Prior to filling
trench. .
~ Water LIne - Prior to filling
trench.
Rough Plumbing - Prior to
cove~ .
o Fence - When completed.
O. Final - After all required
Inspections are approved and
porchos, skirtIng, decks, and
venting have been Installed.
o Street Trees - When all requIred
trees are planted. .
Lot faces
Lot Type
Interior
LOI sq, llg,
Lot coverage
Corner
Topography
Total ~elght
Panhendle
Cul.de.sac
,.
lP.L,
IN
Is
Iw
IE
BUILDING PERMIT
ITEM sa, FT, x $/SO. FT, ~ VALUE
Main
Ga,age
Carport
Total Value
Building Permit Fee
State Surcharge
Totel Fee
(A)
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
.
Residential Bath(s) N'
Sanitary Sewer FT,
- Water
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge -\-
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical PermIt
Issuahce
State'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B. Co 0, and E Combined)
FEE
4\).a.J
~
:\.2.0
~ '32..0
4(~~
: ,~' V'l ;\:1' :t:;i
. .. '~I. ..
Setbacks,
HSE GAR ACe' I
I
I
~,S THE PROPOSED WORK IN THE,
. "HISTOJ:lICAL DISTRICT, OR ON
"THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
APPROVED'
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.
Plan Check Fee:
Date Paid:
Receipt Number'
Racelved By:
Plans Reviewed By
Date
Systems Davelopmenl Charge 15 due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the compleled 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 of lhe City of Springfield, and the Laws
01 the Slate of Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made 01 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
01 the property, and lhe approved set of plans will remain
on the site at all times during construction.
Slg€Q-R D~~A~
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VALIDATION: \( ~?/
RECEIPT NUM~R B, .J
DATE PAID n ~ I). eft
AMOO", "'W~ 4'gTO
RECEIVED BY ~ tL..7