HomeMy WebLinkAboutPermit Plumbing 1997-2-24 (2)
RESIDENTIAL
. PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3?59
LOCATION OF PROPOSED WqBJ<: _
ASSESSORS MAP: I 70 .:) "'<
Lor
.
SPRINGFIELD
,
q70;2g~
BLOCK:
JOB NUMBER
SUBDIVISION:
PHON~.
:~DNREE:S:. ~~~II ~~~~~IV\litA.~
~7J..f!iJ)A(l,\ 1 STATE:J1f2..
YUhH/ Wttf't7/Y //~
I
CITY:
DESCRIBE WORK:
NEW
REMODEL
PHONE
CONTRACTOR'S NAME
GENERAl'
PLUMBING: JIfIJ1:1Ir4<<IL
MECHANICAl -
ELECTRICAl'
ADDITION
DEMOLISH
ZIP:~/42.7
OTHER
ADDRESS
CON ST.
CONTRACTOR'
~7-( cd/l1wA11iJiflt,
" )
EXPIRES
4~b27
l(-7.7-97-7 Lfl.~
QUAD AREA-
. OF SLOGS:
OCCY GROUP:
. OF STORIES: ___..
WATER HEATER:
- OFFICE USE _
LAND USE:
. OF UNITS-
CONSTR. TYPE:
HEAT SOURCE:
RANGE: _
FLOOD PLAIN:
ZONING CODE:__
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:__
To request an Inspection, you must call 726.3769, ThIs Is a 24 hour recording. AlIlnspecllons requested before 7:00 a.m. will be
made the sallle working day, Inspectfons requested <:Ifler 7:00 a.m. will be made the followIng work day,
REQUIRED INSPECTIONS
o Temporary Electric
O Silo Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab PlumblngJ Electrica"
Mochanlcal - Prior to cover.
o Footing - After trenches arc
. excavated.
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected bul prior 10 concrete
placement.
o Underground Plumbing - Prior
10 filling Irench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post nnd Boam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
. decking.
o Sanitary Sewer - Prior 10 filling
trench.
o Storm Sewer - Prior to filling
trench.
~ ~atcr Line - Prior to filling
~ench.
o Rough Plumbing - Prior 10
cover.
o Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover.
D Electrical Service - MuSI be
approved 10 obtain permanent
electrical power.
o Fireplaco - Prior to facing
materials and framing Insp.
o Fmmlng - Prior to cover.
o Wall/e'clling Insulation - Prior to
cover.
o Drywall - PrIor to laplng.
o Wood Stovo - After In~tallatlon.
o Insert - After fireplace approval
and InstallatIon of unit.
o
Curbcut & Approach - After
forms arc erocted but prior to
placement of concrote.
o Sidewalk & Drlvewav - After
excavation Is complete, forms
and sub.base material In place.
o
Fence - Wt10n completed.
o
~Hroot TreQs - When all required
trecs are planted.
o Final Plumbing - When all
plumbing w9rl< Is complcl.c.
D Final Electrical - When all
electrical work is complcte.
D Final Mechnnlcal - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
DO'hor
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 tl1e home Is connected to
the servIce panel.
o
Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been installed.
LOI faces
, .\:!: > ;, <<HE PROPOSED WORK iN THE
'.t'
.,
Lot Type Setbacks
Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT. OR ON
IN I THE HISTORICAL REGISTER?
Corner II yes, this application must be signed
Is I and approved by the Historical
Panhandle Iw I Coordinator prior to permit issuance.
Cul.de.sac
IE I APPROVED'
Lot sq. ftg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM
SO. FT.
X $/SQ. FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on the express condition that the said
conslruclion shall, in all respects, conform to tho Ordinance
adopted by the City 01 Springlleld. 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.
Main
Carport
Plan Check Fee:
Date Paid:
Tolal Value
Building Permit Fcc
Receipt Number:
Slate Surchmge
Received By:
Tolal Fcc
(A)
Plans Reviewed Oy
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undevoloped
properties within ttle City limlls which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wcr
Water
FT.
E!JftD
FT.
lJh tlfl, tJO
Storm Sower
Mobile Home
State ~urcharge
Total Charge
(C)
t-{O ,(J1J
J.t/V
-,',)(;
-y2, .1 t)
Plumbing Permit
MECHANICAL PERMIT
Furnaco
Ven t Fan
N'
By signature, I stale and agree, that I have carefully examIned
Ihe completed application and do hereby certlfy that all
Informallon hereon is Irue and correcl, and I furlher certify
that any and all work performed shall be done in accordance
with the Ordjnanc~s of the City of Springfield, and the Laws
of 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 Safely Division.
I further certHy that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StoveJlnsertlFlroplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
r~quested at the proper time, that oach address Is readable
from the street, thaI 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 durlng construction.
Signature ~ AP.APA"_< fl?~ "'.l.t.
(', ~ /
Dal(l/7 )..- 'ZC/ - 97
(
MISCELLANEOUS PERMITS
Mobile Home
. State Issuance
State Surcharge
Sidewalk
It
Curbcul
fI
Demolition
Slale Surcharge
VALiDATION: /] L( ~ 7
RECEIPT NUM~R r Z-
DATE PAID ",L-.:Ll(.-?f7
AMOUNT RECEIVED /(-1: ~O
_HECEIVED BY ~_ ..::.
Total Miscellaneous Permits (E)
.yg',o2/')
TOTAL AMOUNT DUE (excluding electrical)
(A, S, C. 0, and E Combined)