HomeMy WebLinkAboutPermit Plumbing 1993-2-8
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK:.-!=iJ :::l LJ (;". yY) (&..<............
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ASSESSORS MAP'
LOT
BLOCK'
OWNER:
ADDRESS'
CITY'
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STATE:
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JOB NUMBER
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225 Fifth Street .
Springfield, Oregon 97477
TAX LOT:
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SUBDIVISION'
PHONE:
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ZIP:
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DESCRIBE WORK:
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OTHER
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
DEMOLISH
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EXPIRES ~\ONE
ADDRESS
CONST.
CONTRACTOR'
GENERA' .
PLUMBING: ./)e-v,^^U ~"^ Pi....,/-->. i IS.,/
MECHANIC'^" 6
ELECTRICA' .
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- OFFICE USE -
OUAD AREA: LAND USE: FLOOD PLAIN'
. OF BLDGS' . OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRM'"
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SOUARE FOOTAGE:
To request an inspection, you must call 726-3769. ThIs 15 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.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumblngl Electricall
Mechanical - Prior to cover.
o 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.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. .
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D 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 Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - When all required
trees arc planted.
~nal Plumbing - When all
plumbing work 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 - When all
blocking Is complete.
o Plumbing 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 required
Inspections are approved and
porches, skIrting, decks, and
venting have been Installed.
Lot faces
Lot Type
it
Lot sq. ltg.
Interior
Setbacks
I P.L. HSE GAR ACC
IN
Is
Iw
IE
'. .THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot coverage
Topography
Total height
Corner
Panhandle
Cul-de-sac
APPROVED'
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
This permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Garage
Carport
Plan Check Fee'
Dale Paid:
Total Value
Receipt Number.
Building Permit Fee
State Surcharge
Total Fee
Received By:
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
,
Water FT.
Storm Sewer FT.
Mobile Home
Piumblng Permit ~
State Surcharge
i c; .n()
'7,
_I"'" 15..
Total Charge (C)
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon is true and correct, and I further certlfy
that any and all work performed shall be done in accordance
with the Ordlnanc~s of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
t further certify that only contractors and employees who
are in compliance with GRS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk -
It
Date
Curbcut
It
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER
J LlL().
~)Q leI?,
..$ /<.. IS'
f)>,
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electriCal).:Ji, IS,S
(A, B, C, 0, and E Combined)
DATE PAID
AMOUNT RECEIVED
RECEIVED BY