HomeMy WebLinkAboutPermit Plumbing 1996-8-21
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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.
SPRINGr:IELD
W..,
JOB NUMBER ...%/.e:>d:/
225 Fillh Strcel
Sprlngflcld, Oregon 97477
LOCATION OF PROPOSED WORK: 1P/Y'9 #~ -S...><'/
ASSESSORS MAP: /~2-~.'r- "3 Y'
LOT:
BLOCK'
OWNER: ~~~.,1 ~Ao'/E ~Y'
ADDRESS" ';~~ A'~ ~LL ~.
CITY: ,.....,-;;,~J~ ~~. ;;ATE:
DESCRIBE WORK:..J2;~
NEW
REMODEL
CONTRACTOR'S NAME
GENERAl'
PLUMBING: ,~~
MECHANICAl'
ELECTRICAl'
QUAD AREA"
. OF BLDGS:
OCCY GROUP'
. OF STORIES:_
WATER HEATER:
TAXLOr- ~.~
SUBDIVISION:
PHONF' ~~ .q<'.!i!a
~.
Ih:vr~&:"5 ~~ /7'#
,P/~~.--;..
ADDITION
DEMOLISH
OTHER
ZIP:_9~'.-.;/ .
ADDRESS
CON ST.
CONTRACTOR'
PHONE
REQUIRED INSPECTIONS
o Rough Mechanlcal'- P~lor 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.
- OFFICE USE -
LAND USE:_
. OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE: __
EXPIRES
A
"""'h
~
,1Y ~
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspcctlon, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons 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.
o Temporary Electric
o Site Inspection - To be made
afte', excavation, but prior to
setting forms.
o Underslab PlumblnglElectrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location. bond
beams, groutlng,
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
, to filling trench.
o Underlloor Plumblng/Mcchanlcal
- Prior to Insulation or decking.
o Post and Boam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior 10 fillIng
trench. j
O Water L1no - PrIor to .filllng
, trench.
ru Rough Plumbing - Prior 10
LLJ cover. ....
o
o
Framing - Prior to cover.
Wall/C.clllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installallon.
D Insert - Aftor fireplace approvel
and Installation of unit.
o
Curbcut & Approach - After
forms are erected bllt prior 10
placemont of concrete.
o Sidewalk & Drlvew3V - After
excavatIon Is compietc, forms
and sub.basc material In place.
o Fenco - When completed.
o Slreet Treos - Wh~n all rOQulred
trees are planted. . .'
lZl
Final Plumbing - When all
plumbing worl< Is complet.e.
o Final Electrical - When all
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.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - Whcn all
blocking Is complete.
o
Plumbing Connections - When
home 1185 been connected to
waler and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
In5pecllons have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
J
I:".
Lot facos
LOI Type .
Lot sq. Itg.
Interior
I P.L.
IN
Is
Iw.
IE
Setbacks
HSE GAR Accl
I
I
i. THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON
THE HtSTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
APPROVEf"
ITEM
SQ. FT.
X $/SQ. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
BUILDING PERMIT
Garago
Carporl
"
This permit is granted on the express condition that the said
constructIon shall, In all respects, conform to the OrdInance
adopled 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.
Main
Plan Check Fee'
Date Paid:
Total Value
Building Permi I Fee
Receipt Number"
Re'celved By:
State Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within lho City limits which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
Fixtures
?
FEE
4..0. -
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
-2&>' ~
p~ I'~
2/.60
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By signature, I state and agree, that I have carofully 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 tho Ordinanc(!s of the City of Sprlngfleld, and Ihe Laws
of the State of Oregon perlalnlng to the work descrIbed
herein, and Ihat 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.
Exhaust Hood
Wood Stovellnserl/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I furlher agree 10 ensure that all required Inspections are
requested at the p,ropcr time, that each address Is readable
from tllO streel, that the permll card Is localod at the fronl
of the property, and Ihe approved set of plans will remain
on the sIte ~l times dUrl~g co.nstructlon.
Slgnatur~ ~OAA
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Date
8 - 2./-c, (,
I
Curbcut
It
Demolition
State Surchargp
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
?L.L.c>
RECEIPT NUMBER -;Z? ~q~
~...::2/.q.6
AMOUNT RECEIVED 'Z/.6~
~~
~//J
DATE PAID
Total Miscellaneous Permits (E)
RECEIVED BY