HomeMy WebLinkAboutPermit Plumbing 5-6-15
RESIDENTIAL.......,
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:
LOT:
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BLOCK:
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
, TAX LOT:
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SUBDIVISION:
OWNER: H-~\ ,{J\
ADDRESS: 2535 .:r
CITY: S fR- V'~ <':'-K \;:: ~ ""'\"")
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STATE:
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PHONE: x-lflt-OO'\C,
ZIP:
DESCRIBE WORI<:
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NEW
REMODEL
EXPIRES
CONTRACTOR'S NAME
'.
GENERAL:
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ADDITION
DEMOLISH
S(:)l.....AR- W~ '\-\..~
OTHER R~F-\\
ADDRESS
CON ST.
CONTRACTOR #
PHONE
PLUMBING: _.
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MECHANICAUM5.....1 l~ r..."lt\ ,\lO>E2:rSr. ~
ELECTRICAL:
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QUAD AREA:
il OF .BLDGS: .
OCCY GROUP:
(I OF STORIES:
WATER HEATER:
- OFFICE USE -
, ,
LAND USE:
# OF UNITS:
CONSTR. TYPE:
\1"
'J ,,1
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FLOOD PLAIN:
ZONING CODE:
(I OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:_
HEAT SOURCE:
,RANGE:
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, Insp~ctions requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPEC.TIONS
ii<.~
D Rough Mechanical - ~jlor to
cover. '.. :1',
D T~mporary Electric
o Site Inspection - To be made
after excavation, but prior to
, setting forrns,
o Underslab Plumbing/ Electrical!
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.
D
Underground Plumbing - Prior
to fillinQ trench,
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D
Post and Bea~ - Prior to floor
Insulation or decl<ing.
o Floor Insulation - Prior'to
decking.
o Sanitary Sewer - Prior to filling
,trench,
o Storm Sewer - Prior to filling
trench.
o
'\ . .'.
Water Line - .Priodo filling
trench. , "-",
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Rough Plumbing ---. Prior to
cover, ';.
o
.
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.
)Z(Framing - Prior to cover,
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
':',,'\. ,
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete:,.
, ,) .
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o Sidewalk & Driveway:" After
excavation Is complete, forms
and sub-base material In place.
I
o Fence - When completed,
o Street Trees - When all required
trees are planted. .
~ Final P.lumbing - When all
~ plumbing W9rl< Is complete.
o 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.
D Othor
MOBILE HOME INSPECTIONS
o Blocking and Set. Up - When all
blocking is complete.
"0 Plumbing Connections - When
home tlas been connected to
wat:(W<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, skirting, decks, and,
venting have been Installed.
Lot faces
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..,
Lot Type '/
Interior
\
Lot sq. Itg.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM
SO. FT.
X $/SO. FT.
Main
Garage
Carport
~ A1ey~~SeJ7 fi'M
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Total Value
Building Permit Fee
State Surcharge
,7.r+,~f
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
Fixtures
J
Residential Bath(s)
NO
Sanitary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge , 7 j...,.,~..r :.
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
,State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
\":. .
Setbacks
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FEE
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IS'~
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- THE PROPOSED WORi~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.
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 tile Ordinance
adopted by the City .ot' Spring'field, including the
Development Code, regulating the. cOl)struction and use of
buildings, and may be suspended or revoked at any time
upon v(olaiion of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number:__..__
Received By: _.__.._
AJ~'~~
4~J.L?'L.L
Plans~eviewed By
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,SYSTEMS PEVELOPMENT_CHAR~E'(SDC)
Systems' D~velopment Cha~ge is' due on a I;' undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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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 the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested at the proper lime, 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
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Date
VALIDATION:
RECEIPT NUMBER
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DATE PAID
AMOUNT RECEIVED
,. RECEIVED BY