HomeMy WebLinkAboutPermit Plumbing 1996-5-22
.
.'
JOB NUM BER 1 C( I f'~ q
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
225 Filth Slreet
Springfield, Oregon 97477
,
51-
TAX LOT: dJ'i(}!- /tr'tJrJ
SUBDIVISION: ltIara.fh1l7-vt ~
ASSESSORS MAP'
2.
OWNER: /AIIIU--- /-k,tt/
'ADDRESS: ' ~!J~ sf- /-:#- cry
CITY'~. ojd
DESCRIBE WORK: '- 26p LAc E Fiw.
LOT'
BLOCK'
7t(t./- 9.2oL/
PHON'"
O~
~
-tlt--ha.e.<.. _
OTHER 7ifJlll./A' Jl_ .
Q7'177
STATF'
ZIP:
Pkvmb~
DEMOllS
NEW
REMODEL
ADDITION
CONST,
CONTRACTOR'
CONTRACTOR'S NAME
ADDRESS
EXPIRES -, PHONE
GENERAl'
PLUMBING: ~/11lof (;fl11fifYlf.{.:ii~____ 30)?; -S+, 7;10 Cj 0 fa
MECHANICAl'
ELECTRICAL'
//~~~
7'1f-j~92? l' I
- OFFICE USE -
LAND USE: JiLl
I
( P ^/ u )
QUAD AREA:
# OF BLDGS:
OCCY GROUP:
FLOOD PLAIN'
ZONING CODE:_
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
. OF BDRMS:
# OF STORIES:
WATER HEATER:
SECONDARY HEAT:
SOUARE FOOTAGE:
RANG'"
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 a,fter 7:00 a.m. wIll be made the following work day.
REQUIRED INSPECTIONS
ty{ Final Plumbing - When all
~'u.mblng w9rl< Is complel.c.
D FInal Eloctrlcal - When all
electrical work is complete.
o Temporary Electric
o Rough Mechanical - Prior to
cover.
O Site Inspection - To be mado
after excavation, but prior to
setting forms.
D Rough Electrical - Prior to
cover.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Final Mechanical - When all
mechanical work Is complete.
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.
DOthor
o Foundation - After forms are
erected but prior to concrete
placement.
o Wail/Ceiling Insulation - Prior to
cover.
o Underground Plumbing - PrIor
to filling trench,
o Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Slovo - 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 approvlSl
and Installation 01 unit,
o Floor Insulation - Prior to
decking,
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o SanitarY Sewer - Prior to filling
trench. :
o Electrical Connection - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected 10
the service panel.
o Sidewalk & Driveway - After
excavation Is complete. forms
and sub. base material In place.
D Storm Se~~'r - Prior to filling
trench.
o Water Line - Prior to filling
trench.
~ Rough PlumbIng - Prior to
~over.
o Fence - \Nhen completed.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
o Street Trees - When all required
trees are planted.
Lot faces Lot TYP"
Lot sq. ftg. Interior p.L.
Lot coverage Corner N
Is
Topography Panhandle Iw
Total height Cul.de.sac IE
.,..' ; \
'.;,." .
<I'
_IS THE PROPOSED WORK iN THE.
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by th'e Historical
Coordinator prior to permit Issuance.
I,
Setbacks
HSE GAR Accl
I
APPROVED:
,
BUILDING PERMIT
ITEM SQ, FT, X $/SQ. FT.,
VALUE
, .,.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
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 01
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Date Paid:
Total Value
Recel pt Number'
Building Permit Fee
Received By:
Stale 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
ADDITIONAL COMMENTS
ITEM
s
FEE
so. 00
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
5D, (}()
Stat.o Surcharge
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 certify
that any and all work performed shall be done in accordance
with the Ordinances of the City 01 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 certlly that only contractors and employees who
are in compliance with ORS 701,055 will be used on this
project.
Exhaust Hood
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Totaf Permit
(D)
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the stre ,at the permit card Is located at the front
of the pr erty, and e approved set 0 lans will remain
on the te at all tI es during Ion.
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surchalge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
RECEIPT NUMBER 2 ( & 20
?) -.2:2 ....q C.
AMOUNT RECEIVED 6'1. /'tiJ
Lb
DATE PAIr>
Total Miscellaneous Permits (E)
RECEIVED BY
-