HomeMy WebLinkAboutPermit Plumbing 1993-3-3
RESIDENTIAL .'l.
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
ASSESSORS MAP'
LOT'
SPRINGFIELD
BLOC~'
JOB NUMBER
q~6
225 Fifth Street
Springfield, Oregon 974;'7
_ TAX LOT:
SUBDIVISION:
( JfJH(r)
OWNER:~d\\ ~ ~ \,Q. _\\\~ \ U2 ']
ADDRESS \ \4 \ -t -A'<\C ~ ,,,-
CITY: ~~~ ~_ __,_ STATE: (~Jl,Q ~_,
DESCRIBE WORJ ~ ~ ~ - t t' [] h f ~ \ "1 N .J
NEW REMODEL ~ :~1TI0N DEMOLISH OTHER
CONTRACTOR'S NAME
AODRESS
CONST,
CONTRACTOR'
PHONE: \41 ~! c1~
ZIP:..!i 7t 77
.
l3lY
EXPIRES
PHONE
GENERAl' fll\-
PLUMBING: 1.]0, f\ n'b f'I)~Q'n{l,~U_~~-~~
MECHANICAl ' -'-~-CS
4CR~~~-~
ELECTRICAL:
- OFFICE USE -
OUAD AREA'
. OF BLDGS'
OCCY GROUP:
. OF STORIES'
WATER HEATER:
LAND USE:
. OF UNITS'
CONSTR, TYPE:
HEAT SOURCE'
RANGE:
FLOOD PLAIN:
ZONING CODE:
,~
~l~ ;,
. OF BDRMS:
SECONDARY HEAT'
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.
o Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Underslab Plumbingl Electrical/
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundation - After forms arc
erected but prior to concrete
placement.
o
Underground Plumbing - Prlor
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 - Prlor to
decking,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
~ter Line - Prl~r to filling
~rench.
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 Wrtll/Cciling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - After Installation.
D 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.
D Fence - When completed.
o Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing work is complet.e.
D
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 buil,jing 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 Connec:tlon - 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 . Setbacks is T.OPOSEO WORK IN THE
Lot sq, ltg, Interior I P,L. HSEIGAR ACC I HISTORICAL DISTRICT, OR ON
IN I I THE HISTORiCAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Topography Panhandle Is I I and approved by the Historical
Iw ,I Coordinator prior to permit issuance.
Total height Cui-de-sac IE I
APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, ~ VALUE
BUILDING VALUE, PLAN CHECK
AN~ 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:
Date Paid:
Total Val ue
Receipt Number"
Building Permit Fee
Received 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 the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary Sewer
FT,
FT.
4t)~
Water
Storm Sewer
FT,
Mobile Home
Plumbing Permit
Total Charge
(C)
cO,~
-<V~ ,
State Surcharge
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
thai any and all work performed shall be done in accordance
with the Ordinances 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.
I further certify thai only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
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 front
of the property. and the approved set of plans will remain
on the site at all times duri C~!~_
Signatur ~a..k. -
I'
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Datc__
~ -,'3-9::S
Curbcut
It
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
1-c!J , QJ
VALIDATION:
RECEIPT NUMBER 'lIp f(:J-.
DATE PAin \ ~ '\.~ - q,~
~aJ
AMOUNT REC~Vr) . ...,-..v ,
RECEIVED B~.~ _ )
J
State Surcharge
Totat Miscellaneous Permits (E)