HomeMy WebLinkAboutPermit Plumbing 1996-3-22
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RESIDENTIAL
PERMIT APPLICATION JOB NUMBER
Inspeclions: 726,3769 225 Fifth Street
Office: 726,3759
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LOT: BLOCK: SUBDIVISION:
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PHONE~--I .C\~(~
ZIP:
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OWNER: ~CW\ c., \Zt'\'FtQ ->. ,
ADDRESt \ 4~(~ \ ~Ml.\Ltmm
CITY: .. ~}JJ\f\Y 0 ~C\ . . STATE: ~( --l
DESCRIBE WORK: ,~~ ~~o dJ-,_cb.~ \t{Y J).1lfU
NEW REMODEL ADDITION DEMOLISH OTHER
CONTRACTOR'S NAME
EXPIRES -. PHONE
ADDRESS
CONST.
CONTRACTOR .
GENERAL'
PLUMBING' \)OS, ))\ j,q .ri\ Xl ~
MECHANICAL'
ELECTRICA' .
4 \ 9L15
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- 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- RANGF' SQUARE FOOTAGE:
To requesl 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
O Site '"spocHon - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlcal/
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 Insula lion - Prior to
decKing.
o Sanllary Sewer - Prior 10 filling
trench.
~ 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.
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 Orywall - Prior to taping.
o Wood Stovo - After Installation,
0' Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement ot concrete.
o Sidewalk & Driveway - After
excavation Is compiete, forms
and sub-base material In place.
o Fence - When c.ompleted.
o Street Trees - When all requIred
trees are planted.
o Final Plumbing - When all
plumbing work Is complete.
. .
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 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, sklrllng, decks, and
venting have been Installed.
Lot faces
Lot TY~~.
Lot sq. Itg.
InterIor
Lot coverage
Corner
Topography
Total height
Panhandle
Cul,de,sac
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.S 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.
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BUILDING PERMIT
ITEM sa. FT. x $/SO. FT. = VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(E:11~TI;l(:' I4AItP SV/l.f'~s) (B) NiP,
PLUMBING PERMIT
ITEM
Fixtures
,
Residential Bath(s)
N'
Sanitary S!3wer
Water
FT.
FT.
FT.
Storm Sewer
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
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
.ft
ft
Curbcut
Demolition
State Surcharfte
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludi~ electrical)
(A, B, C, D, and E Combined)
FEE
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APPROVED'
. . ,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condltlon that the saId
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the constructlon 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'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the Cily limits which are being Improved.
ADDITIONAL COMMENTS
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 of the City of Springfield, and the Laws
of the State of Oregon pertaining to tho work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certlfy that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I further agree to ensuro 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 Imes during construction.
SIgnature
Date
VALIDATION: nm
RECEIPT NUMBER pOJ'-'rl
DATE PAir ,1).,.:..Li.-G\ to'
AMOUNT RECE!V~D :' B,2./;)
RECEIVED BY '0\)~