HomeMy WebLinkAboutPermit Plumbing 1996-10-14
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oftice: 726.3759
.
LOCATION OF PROPOSED WORK: ~ 4 ~
} 10'3 ']/ <] Lf
ASSESSORS MAP'
LOT'
BLOCK'
.
JOB NUMBER
Cf6 ! ~;/1~
, ....
TAX LOT:
SUBDiVISION:
OWNER: ~fn \--~\~caJfL . PHONE:.].9Jo.()f)c\()
ADDRE~~ \4.~ ~(\I_1\,\.s:" ~f' f\ ~
CITY: \nal\~P\fi .'. STATE:-L)(~()(\ ZIP: ~,4,1
DESCRIBE WORt<'. \ ^ Q -\ DUU'(\{)
REMODEL - \DDITION -
NEW
CONTRACTOR'S NAME
DEMOLISH
OTHER
ADDRESS
CONST,
CONTRACTOR'
EXPIRES " PHONE
GENERAl' \...\ , _ .
PLUMBING: ~'(\~U9l1~~\."5> ~Cl\~~X'{\'f'tJ
MECHANICAl . ~
ELECTRICA' .
000::[1
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- OFFICE USE -
QUAD AREA: LAND USE:_ FLOOD PLAIN'
· OF BLDGS' · OF UNITS' ZONING CODE:_
OCCY GROUP' CONSTA. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANG~' SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m, will be
made the same working day, Inspectlons requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
O Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Uriderslab Plumbing/Electrical/
Mechanical - PrIor to cover.
o Footing - Atter trenches are
excavated.
o Masonry - Steel location, bond
, beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
O Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
O Post and Beam - Prior to floor
Insulation or decking,
O Floor Insulation - Prior to.
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrlca' Service - Must be
. approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o FramIng - Prior to cover.
o Wall/C'elllng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Slovo - After Installation.
o Insert - After fireplace approv~1
and Installation or unit.
o Curbcut & AI,proach - After
forms are erected but prior to
placement of concrele.
o SIdewalk & Drlvew.y - Alter
excavation Is compictc, forms
and sub-base material In place.
D Fence - When completed.
o Street Troes - When all required
trees are planted.
~nat Plumbing - When all
plumbing worl< Is complete.
. .
o Final Eloctrlcal - 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.
o Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Cen'neetlen - When
blocking, set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - AHer all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces Lot Type Setbacks , IS THE PROPOSED WORK IN THE
p.L. HSE GAR 'Accl HISTORICAL DISTRICT, OR ON
Lot sq. fig. Interior I THE HISTORICAL REGISTER?
Lot coverage Corner N If yes, this appilcatlon must be signed
S I and approved by the Historical
Topography Panhandle Iw I Coordinator prior to permit Issuance.
Total height Cul.de.sac IE I
APPROVED:
BUILDING PERMIT
ITEM SQ. FT. X $/SQ, FT. = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City 01 Springfield. 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:
Total Value
Buliding Permit Fee
Receipt Number'
Stale Surcharge
Received By:
Totai Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Deveiopmcnt Charge is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
tTEM
ADDITIONAL COMMENTS
FEE
Fixtures
Resldenllai Balh(s) N'
Sanitary S~wer FT.
Water FT.
Storm Sewer FT.
Mobile Home ('
ru-PIUIV10 rrH.h 10. nO
Plumbing Permit
State Surcharge + 3 "/0 Ci-M( Mt'IIlf1 =-
Total Charge
(C)
I. ~n
/10. ;)0
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By signature, I stale and agree. that I have caretully examined
the completed application and do hereby certify that ali
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 tho work described
herein, and thai 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.
Exhaust Hood
Wood Stovollnsertl Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensuro that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the lront
of the property, and the approved set of plans will remain
:~g:::u:~~e; qx~;?, J
Date \\J.\L\ .Q.\r \ ~-
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
ft
Curbcul
Demolition
Slate Surchargll
.
.. .Total Miscellaneous Permits (E)
J10 .2n
VALIDATION:
RECEIPT NUMBER :23 17 ()
DATE PAID IIJ - J ~- q h
AMOUNT RECEIV~D ~2n
RECEIVED BY __ ~
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)