HomeMy WebLinkAboutPermit Plumbing 1992-3-31
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
SPRINGFIELD
, ".
LOCATION OF PROPOSED WORK: q?y /~ ~T
ASSESSORS MAP: 17.-~"?""'~ - (3
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DESCRIBE WORK: ~/----C.#C'E .4.z:;.rl~-X
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REMODEL ADDITION
.LOT:
OWNER:
ADDRESS'
CITY:
NEW
CONTRACTOR'S NAME
/?;::;? -
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BLOCK:
STATE:
DEMOLISH
OTHER
JUB NUMBER ~//
225 Fifth Street
Springfield, Oregon 97477
TAX LOT: 6 59~6
SUBDIVISION:
PHONE:
ZIP:
9?7/;;>~
ADDRESS
CONST.
CONTRACTOR /I
EXPIRES
PHONE
I
GENERAL: ------ ----------:..-~- ._I.' --- _ ~&;>~-'3-51~ ----------
PLUMBING:~e~LZ:'~p~~~ ___~Bt 6-/~ .9'2._2~_'f--5..-4-
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MECHANICAL:
ELECTRICAL:
QUAD AREA:
/I OF BLDGS:
OCCY GROUP:
/I OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
/I OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
FLOOD. PLAIN:
ZONING CODE:
/I OF. BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an inspection, you must call 726.3769. This is a 2_4 hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m'. will be made the following work day.
REQUIRED INSPECTIONS
o
Temporary Electric
o
Site Inspeciion - To be made
after excavation, but prior to
setting forms.
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.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing! Mechanical
- Prior to insulation or decking.
o
Post and Beam - Prior to floor
insulation or .decl<ing.
o Floor Insulation- Prior to
decl<ing. -
CKJ
Sanitary Sewer - Prior to filling
trench.
o
Storm Sewer - Prior to filling-
trench.
- \\
Water Line - Prior to filling'
trench. . .~
o
o Rough Plumbing - Prior t.o'
cover. . , . .
".., ~ '.
o Rough Mechanical;-' Prior to
cover. i
o Rough Electrical - p"rior 'to'
cover. :
'0 Electrical Service -'- Must be
. , approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Drywall - Prior to taping..
o Wood Stove - Afte.r installation.
i
D Insert - After fireplace approval
and installation of unit.
,
D Curbcut & Approach - After
forms are erected b'ut prior to I
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
. D Fence - When cO'T'pleted.
D Street Trees - When all required
trees are planted. ;
o
Final Plumbing - When all
plumbing worl<.is complete.
o
Final Electrical - Wilen all
electrical worl< is complete.
o
Fin-al Mechanical - When all
mechanical work is complete.
o
Final Building - When all
required inspections have been
approved and building is
completed.
o Other
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 - Wilen
blocking, set-up, ancl 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
Lot Type
Lot sq. ftg:
Interior
Lot coverage
Corner
Topography
Panhandle
Total height.
Cul-de-sac
-, .
BUILDING PERMIT
ITEM
SQ. FT.
X $fSQ. FT.
Main
Garage
. Carport
.~ ,",_ "r ~'.
,\
Total Value
Building Permit Fee
State Surcharge
Total. Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)'
(B)
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s)
,.
NO'
FT. ::z C>
FT.
FT.
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood StoveflnserlfFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
.J)
Total Miscellaneous Permits (E)"
'TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
Setbacks
p.L: HSE GAR ACC
N
Is
Iw
IE
VALUE
. ,
-'.
FEE
/Y7$ ~4"j .t:7P
~~
/ ., 2-=:>
2{;. 2-;;-
:.1
I
I
IS THE PROPOSED WORK IN THE
-'HISTORICAL DISTRICT,ORON
THE HISTORICAL REGISTER?
-II yes, this application miJst be signed
and approved by the Historical
Coordinator prior to permit issuance.
AJ;>PROVED:
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 the Ordinance
adopted by the City of Spri[1gfield., including the
Developmenl Code, regulating the co'nstruction and use of
bui.ldings, and may be suspended"oq'evoked at any timp
. upon violation of any provisions of said ordinances.
. -P.lan Check Fee: . -- ,
Date Paid:
Receipt Number'
Received..By:
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within tlie City limits which are being improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
informationj hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
. I
with theOrdinances of the City of Springfield, and the Laws
of the Slat~ of Oregon pertaining to the work .described
I. .
herein, and that NO OCCUPANCY will be made of any
structure witl)o~t permission of the Building Safety Division.
./ further cetify that only contractors and employees who
are in combliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required inspections are
requested ~t the proper time, that each address is readable'
(rom the st~eet, tll'at the permii card is located' at ttl~ front
of the proJerty, and the approved set of plans will remain-
on.the site at all times during c.onstruction.
Signature-.i)A- ~~~.\
Date
3-31-/~
I
VALIDATION:
I
RECEIPT NUMBER
DATE PAid -:3'~3/-92.
. I . ' .
AMOUNT RECEIVED 3 <:::- ~ 25
RECEIVED BY ~ ~ '
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