HomeMy WebLinkAboutPermit Plumbing 1996-3-12
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JOB NUMBER!Jj"n 3:!LL
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225 Fifth Street
Sprlnglleld, Oregon 97477
SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP'
LOT'
SUBDIVISION:
BLOCK:
OWNER: -:To {V\J \I~~,lI\......--
ADDRESS'- 77 i/- ~Jvid~, -
CITY:_~~
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ZIP:
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ADDITION DEMOLISH
DESCRIBE WORK:
OTHER
REMODEL
NEW
CONST.
CONTRACTOR .
EXPIRES ~, PHONE
ADDRESS
CONTRACTOR'S NAME
GENERAL:
PLUMBING:~ p~.A
MECHANICAl'
4-6S'::J~~' \l)C{1{7~2.
ELECTRIC" , .
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNIT'" ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGE: SQUARE FOOTAG'E:
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. Inspectlons requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
o FInal Plumbing - When all
plumbing work Is complete.
. .
o Rough Mechanical - Prior to
cover. "
o Temporary Electric
o Rough Electrical - Prior to
cover.
o Site Inspactlon - To be made
after excavatlon, but prior to
setting forms.
o FInal Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Un~erslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
o Final Building - When 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, grouting.
o Framing - Prior to cover.
o Other
o Foundation - After forms are
erected but prior to concrete
placement.
o Wall/C'elllng Insulation - Prior to
cover.
o
Underground Plumbing - Prior
to filling trench.
o Drywall - Prior to taping.
MOBilE HOME INSPECTIONS
Underfloor Plumbing I Mechanical
_ Prior to Insulation or decking.
o
o Wood Stovo - After Installation.
o Blocking and Set.Up - When all
blocking Is complete.
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - PrIor to
decKing.
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
D Sanitary Sewer - Prior to filling
trench.
o Electrical Connection - When
blocking, set-up, and plumbing
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
trene
o Fenca - When completed.
ater Line - Prior to filling
trench.
o Final - Alter all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
o Street Trees - When all required
trees are planted.
o Rough Plumbing - Prior 10
cover.
Lot (aces
Lot sq. ftg.
Lot coverage
Topography
Total height
i
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Total Val ue
Building Permit Fee
Slate Surcharge
Total Fee
Setbacks
I P.L. I HSE GAR I ACC I
I N I I
I S I I
Iw I I I
lLLLLJ
Lot ~p.
"':'
~ .
~; .
'.. :
Interior
Corner
Panhandfe
Cuf.de.sac
X $/SQ. FT. =
VALUE
'.
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
fTEM
FIxtures
Residential Bath(s)
Sanitary S~wer
Water
Storm Sewer
Moblfe Home
Pfumblng Permit
Slato Surcharge
Total Charge
FEE
N'
FT.
~' ~YSOJ
FT
(C)
c-lJS tv
L:J"-'
,~
&J.OU
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood StovellnsertlFlrepface Unit
N'
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
Curbcut
Demolition
State Surcharge
It
ft
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excfudln9 electrical) r\J' ) . OJ
(A, B, C, D, and E Combined)
.' .
.)~ 1\ ~ !:.,~ ~'{';: :\~'1
. IS THE PROPOSED WORK IN THE.
. '.'HISTORICAL DfSTRfCT. OR ON
THE HISTORICAL REGISTER?
It 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 o(
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:
Pfans Reviewed lly
Date
Systems Development Charge Is 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 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
01 the State of Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made of any
structure without permissIon of the Building Safety Division.
I further cartl fy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
VALIDATION: n 4....
RECEIPT NUM~R . ~ Dldrt:\-
. DATE PAIr> o'I~'~
AMOUNTRE~ ~').OU
RECEIVED BY~.llJD..J