HomeMy WebLinkAboutPermit Plumbing 5-3-27
.. RESI TIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
Job Location:
5Y q { 0 C:J ~~t9 00 r
\ L b'd.34~ ~ Tc;c Lot uDJ4rx:)
Assessors Map /I
Subdivision:
(AJner: UCi ~ QJ(~
Address:C~qq ( '0
CibJ'. ~~ ff1
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G tstll QJ2 t
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Net)
Addition
Remodel
Mobile Home
Date of Application
Contractors
General
i Plumbing
~f'/
Electrical
Meahar.ical
C01UJt1'Uct1.on LendeI'
Phone:
y)l/f) ~809'7
q'A f/9?)
Receipt #-
(\0
Zip:
Describe riork:
Value
AdcL~ess
'-.../ I
Si~~~
Date: '-~ '7-8 '\
Lisc.1I
Expires
Phone
It is the responsibility of the permit holder to see that aU inspections are made at the propeI' timt::.3 that each v.dd:ress is readabZe
fl'Om the stI'eet, and that the permi t card is located at the f1'Ont of the property.
*Bui!ding Divicion approved plan shall remain on the Building Site at all times.
PROCEDURE FOR INSPECTION RE'QUEST:CALL 726-3769 (recorder) state your City designated job nwr;ber, job address, type of inspec-::icn
requested ar.d when you will be ready for inspection, Contractors or (AJners name and phone number. Requests received before 7:00 ~
z...iZl be made the same day, requests made after 7:00 am wiU be made the next working day.
8sO:Q8 (
Reouiped Tnsvections
D SITE INSPECTION: To be made after
excavation, but prior to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
MECHANICAL: To be made before any
work is covered.
O FOOTING & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but pri to
pouri~ concrete. ,
rf1 JJ~ROUND PLUMBING SEWER WATER.
~ DRAINAGE: To be ma ~ to fiZ-
ling trenches.
o
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation of
floor insulation or decking.
POST AND BEAM: To be made prior to
installation of floor insulation or
, decking.
ROUGH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be covered
,until these inspections have been
made and approved.
FIREPLACE: Prior to placir~ facing
materials and before framing inspec-
tion.
D FRAMING: Must be requested after
approval of rough plwr;bing, dectri-
cal & mechanical. AU roofing
bracing & chimneys, etc. r.r~st be
:' completed. No work is to be con-
,~,cealed until this inspection has
"been made and approved.
o
D
D
Your City Desigr.ated Job Number Is:
D INSULATION/VAPOR BARRIER INSPECTION:
To be made after all insul~tion a~~
" required vapor barriers are in place
, but before any lath, gypsum board or
waU covering is applied, and before
'any insulation is concealed.
---, DRYWALL INSPECTION: To be made
~ after all drywall is in place,
but prior to any taping.
O MASONRY: Steel location, bond
' beams, grouting or verticals in
accordance with U.B.C. Section
2415.
D WOODSTOVE: After installation is
acmpleted.
D
CURB & APPROACH APRON: After forms
are ereoted but prior to pouring
concrete.
DEMOLITION OR ;~fOVED BUILDINGS
~ Sani tary sC'.Jer capped a.t pr:.opert"d line
:==J Septic tank pumped and filled with gra~el
--, Final - [{hen above items are completed
~ and when demolition is complete or struc-
ture moved and premises cleaned up.
, Mobi le Homes
~ Blocking and Set-up
~ Plumbing connections s~er and water
~ Electrical Connection - Blocking, set-up
~ and plumbing connections r.r~st be approved
before requesting electrical inspection
:=J Acoessol"d Bui lding
I Final - After porches, skirting, decks,
~ etc. are completed.
D
All project conditions, such as the installation of street trees, co~letion of the
required landscaping3 etc., must be satisfied before the BUILDING FINAL can be requested.
D FINAL PLUMBING
o FINAL MECHANICAL
o FINAL ELECTRICAL
J~
o
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plwnbinq
Electrical, and Mechanical Inspections have been made and approved.
D
SIDEWALK & DRI'/EWAY: For all con-
crete paving within street right-
of-way, to be made after all exca-
vating complete & form work & sub-
base material in plaoe.
*ALL MANHOLES AND CLEANOUTS MUST BE ACCESSIBLE, ADJUST!fENT TO BE 1,L1DE AT NO COST TO CITY Page 1 of 2
D
PENCE: h'hen complete -- Provide
gates or movable sections through
P.U.E.
o
JOB-NO.
Zone:
Lot Sq. Ftg.
% of lot Coverag~
# of Stories
Total Height
,Topography
lITEM
I Main
I GaPac;e
I Carvort
Accessorl/
I
I
SQ.FTG
TOTAL VALUE
S.D.C.
(va~ue)
1.5 x
Building Permit
State Sur'charge
Total Charges
lITEM
I Fi:r:tures
I Residential (1 bath)
Sani tary SeWer
Water
I
Plumbing Permit
State Sur'charge
Total Charoes
ITEM
Res. Sa. fto.
New/Extend Circuits
jTemporary Service
Eleatrical Permit
State Sur'cflarqe
Total Charr;es
'ITEM
Furnace BTU' S
Exhaust Hood
Vent Fan
Woodstove
Pemt Issuance
Mechanical Permit
State Sur'charoe
Total Charaes
-- ENCROACHMENT --
Sec:untl/ Devosit
I Storage
I Maintenanae
Permit',
Total Charqes
I Curbcut
SideWalk
Fen:Je
I Electrical Label
Mobile Home
TOTAL AMOUNT DUE: *
Page 2
L -CO G*
SOLARI
E S S R E Q.-
Type/Const:
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1
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Occupancu Group:
LOT TYPE
Interior
Corner
Panhandle
Cul-de-sac
X Value
I NO. I
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I
I
FEE
CHARGE
NO.
FEE
CHARGE
NO.
FEE
CHARGE
VI*
I Lot Faces -
I
I P.L.
iNorth
lEast
ISouth
IWest
I Access.
I
I
I
/
Beaooms:
I Enerq,l/ Sources
I Heat
I Water Heater
I Range
I I Fireplace
I j Woodstove
I j
TIlDe
Setbacks
I House - Carage
I
Fees
I
I
I
-I
I
Building Value & 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, ,inaZuding the Zoning Ordinance, regulating the construction
and use of buildings, and may be suspended or revoked at any time upon vio-
lation of any provisions of said Ordinances.
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*
Plan Check Fee:
Date Paid:
IRec~ipt #:
I Signed:
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Plumbing Permit
No person shall construct, install, alter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which ,is owned, leased or operated by the appli-
cant.
Electrica I
Perm it
Where State Law requires th4t the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
the label has been signed by the Electrical Contractor.
Mechanical Permit
*
Plan Examiner
Uat;e
I HAVE CAREFULLY EXAMINED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
further certify that any ard all work performed shall be done in accor-
dance with the Ordinances of the city of Springfield, and the L~~s of the
* State of Oregon pertaining to the work described herein, and that NO OCCU-
PANCY will be made of any structur'e without permission of the Building Di-
vision. I further certify that only contractors and employees who are in
compliance with ORS 701.055 will be used on this project
f)f1ILlAili ~rV/
3-d~ 8-5-
Signed
Date