HomeMy WebLinkAboutPermit Plumbing 1992-8-7
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3'159
I.OCATION OF PF10POSED WOFlK: ____Lq~-'i._---sl-
ASSESSORS MAP: ~/7/y3 5 ~ _.~~
,
LOT:
OWNER:
,~r Waye.
, /q ~ /-/ s-:;I-
~- gq;,jy--;??j k/
. - -'.
ADDRESS:
CITY:
DESCRIBE WORK:
::;G'"~v ~
NEW
REMODEL
CONTRACTOR'S NAME
ADDITION
BLOCK:
STATE:
CJI<
JOB NUMBER
92/62Cf3
P~~-B~a1~r:
DEMOLISH
OTHER
225 Fifth Street
Springfielej, Oregon 97477
TAX LOT:
440u
,ADDRESS
CON ST.
CONTRACTOR /I
SUBDIVISION:
, ,
'. '
PHONE: '7 fL. 7 r?~
ZIP:
EXPIRES
PHONE
Q-IrNERAL: , "
yalk. S'i"~./ ':h . ~ ,', ,.
I"LU M B I N~,/;{r!i//,dj>YL~J...._e~ec_4f_._.t1"~_~(!"Z~--._e._.-__JS'Z..JfL2-
MECHANICAL:
ELECTFlICAL: __._.______
OUAD AREA: __._
/I OF BLDGS: __...
OCCY GFlOUP:__
/I OF STORIES: ___
WATER HEATER:
- OFFICE USE -
LAND USE:
II OF UNITS: __.___.______._____
CONSTR. TYPE: ______.____
HEAT SOURCE:
RANGE:
:J - 22::.5?LZ-___~tff",. Y(f ~
FLOOD PLAIN:
ZONING CODE: ______
/I OF.BDRMS:
SECONDARY HEAT:
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 clay, inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D
Site Inspection - To be made
after excavation, but prior to
setting forms.
D
Underslab Plumbing! Electrical!
Mechanical - Prior to cover.
o
Footing - After trenches are
excavated. .
D
Masonry - Steel location, [Jonel
beams, grouting.
D
Foundation -:- After forms are
erected but prior to concrete
placement.
D
Under{)round Plumbing - Prior
to filling trench.
D Underfloor Plumbing! Mechanical
'~, Prior to insulation or deckin(].
D
Post and Beam - Prior to floor
insulation or decking.
D
Floor Insulation - Prior to
decki ng.
~(Sanitary Sewer - Prior to filling
~trench.
D Storm Sewer - Prior to filling
trench. .
D
Water Line - Prior to .fllling
trench.
D
Rough Plumbing - Prior to
cover.
.'
'REQUIRED INSPECTIONS
O Rough Mechanical - Prior to
cove~ '
-.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
, malerla/sane! framing Insp.
o Framing - Prior to cover.
r~ Wall/Ceiling Insulation - Prior to
L-J cover.
D Drywall - Prior to taping.
o Wood Stove - After installation.
D Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o
Sidewalk & Driveway - After
excavation 15 complete, forms
and sub.base material in place.
D Fence - Wilen completed.
o Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing worl~ Is complete.
o Final Electrical - When all
electrical worf~ is complete.
D
Final Mechanical - When all
']..e.~hanical work is complete.
o Final Building-When all
required inspections have been
approved and building is
completecl.
o Other
MOBILE HOME INSPECTIONS
D Blocking and Set-Up -:- When all
blocking is complete. .
D Plumbing Connections - When
home has been connected to'
water and sewer.
D
Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
,.
":':
D Final - After al/ required
. inspections are,approved and
, porches, sl<irting, 'decks, and
venting have been installed.
Topography
Total, hei ght
Panhandle
Setbacks
I PL. HSE GAR' ACC I
IN
Is
Iw
I_.~___-,==,---_.__.===.
THE PROPOSED WORK IN THE
ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved. by the Historical
Coordinator prior to permit issuance.
Lot faces
Lot Type
, "
Lot sq. ftg.
Interior
Lot coverage
Corner
Cul-de-sac
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT. VALUE
Main
Garage
Carport
.r
Total. Value
Building Permit Fee
State Surcharge
'Tot'al Fee (A)
BUILDING VALUE, PLAN CHECK.
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform tei the Ordinance
adopted by the City of Springfield, including the
Development Code: regulating the construction and use of
buildin~Js, and may .be suspended or revoked at any lime
upon violation of any provisions of said ordin'ances.
Plan Clleck Fee.
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being,improvcd.
(B)
PLUMBING P'ERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) NO
Sanitary Sewer
FT.
hC::;'
f2'060
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbihg Permit
Total Charge
(C)
2~
efZ~-tJ
State Surcharge
MECHANICAL PERMIT
Furnace
Vent Fan
NO
By signature, I state andagrce,that I have carefully examined
the completed application and do hereby certify tllat all
information hereon is true and correct, and I further certify,
that any and all worl< 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:, worl< described
herein, and Ihal NO OCCUpANCY will 'be nlade of any
structure without permission of the Building Safety Di'vision:
I further certify t11at only contractors and:employees 'wh,o
are in compliance with ORS 701.055 will be.'used on \I1is
project.
Exhaust Hood
Wood Stove/lnsertlFireplace Unit
Dryer Vent
Mechanical Permit
Issuance'
State Surcharge
Total Permit
(D)
I further agree 10 ensure that all required inspections are
requested at the proper time, thai each address is readable
from the street, Ihat the permit .card is located at the fr~l~t
of the property, and the approved set of plans will remain'
~. on the site at all ~n~ construction,.. ., " .
,XgnaL~~r- ~~
~. - '/" - '7-<-
Date
MISCELLANEOUS, PERMITS
Mobile Homo
.; ,~v<~ ~
. State Issuance
State Surcharge.
Sidewalk
It
Curbcut
ft'
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A,B, C, D, and E Combined)
42 0-0
~
VA~IDATION: .
RECEIPT NUMBEFl '..sB 14-
DATE PAID 53/~2-
AMOUNT RECEIVED 1 4"'2- ~
..r?JX~ .
r''i[::'C(::IVED BY
State Surcharge
Total Miscellaneous Permits (E)
~ -+'