HomeMy WebLinkAboutPermit Plumbing 1993-3-17
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ADDRESS: iP72 A.A..Jl)~D!..) 1-1/.
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3.759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: )703
LOT:
OWNER:
CITY:
97-f'77
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SPRINGFIELD
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BLOCK'
STATE:
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DESCRIBE WORK:
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NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL:
oWa6<
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PLUMBING:
MECHANIC~L:
ELECTRICAL:.
DEMOLISH
OTHER
u,Cr ID ,
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.O~-'7. ? /'
JOB. NUMBER / LJ~ __ b:::'
225 Fifth Street t?J /0077
Springfield, Oregon 97477
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TAX LOT:
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SUBDIVISION:
PHONE:
72~-
z..~7 CJ
ZIP:
ADDRESS
CONST.
CONTRACTOR It.
EXPIRES
PHONE
'.
- OFFleE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
It OF BLDGS: It OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR. TYPE: It OF BDRMS:
It OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: .RANGF' SQUARE FOOTAGE:
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, inspections requested after 7:00 a.m. will be made the following work day.
o. Temporary Electric
D
Site Inspection - To be made
after excavation, but prior 'to
setting forms..
D
Underslab Plumbing I Electricall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated. . .
. .
D Masonry - Steel location, bond
. beams, grouting.
D Foundation - After forms are
. . erected but prior to concrete
placement.
D
Underground Plumbing - Prior
to filling trench.
.0
Underfloor Plumbingl Mechanical
- Prior to insulation or decking.
D
Post and Beam - Prior to floor
insulation or decking,
o Floor Insulation - Prior to
. decking.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench. ..
o Water Line ---: Prior to filling
trench. ,
" ,
r><lRough Plumbing ..;..: Prior to
" ,cover , ',.
REQUIRED INSPECTIONS
o Rough Mechanical -. Prior to
cover .
D 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.
o Framing - Prior to cover.
o Wall/eeiling Insulation - Prior to
cover
o
Drywall - Prior to taping.
o Wood Stove - After installation.
o Insert - After. fireplace approval
and installation of unit. .
o Curbcut & Approach - After
. forms ,are erected but prior to
placem(;nt of concreto.
D Sidewal'< & Driveway - After
. excavation is complete, forms
and sub-base material in place.
o Fence - w~en completed.
o $treet Trees - .Whcr> a~1 required
trees are p!anted.. , '\ .
o
Final Plumbing - When all
plumbing worl< is complete.
D 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.
.rxlOther /#~A- bF
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MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete,
o Plumbing eonnections - When
home has been connected to
water and sewer.
o Electrical eonnection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
L~' Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
Lot faces Lot Type Setbacks
I HSE ACC I
Lot sq. ftg. Interior I P.L. GAR
IN
Lot coverage Corner
Is
Topography Panhandle
Iw
Total height Cul-de-sac -.--
IE I
BUILDING PERMIT
ITEM SQ, FT. X $/SQ. FT.
VA LU E
Main
Gar~ge
Carpor.t
t.
. ,~
i
c:::,f)() cv
/?/r,(J, -Jf-i fYD
.7r
_I b- '75'
SYSTEMS DEVELOPMENT CHARGE (SDC)
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
FEE
Fixtures
I
~,
Residential Bath(s)
NO
Sanitary Sewer
FT,
Water
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
J5,t)D
.7J
/5,?S
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan .
NO
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
MechaQ,ical 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)
3l 'fi"O
.HE PROPOSED WORK IN THE
1'f/STORICAL 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 ttle said
construction shall, in all respects, conform to ttle Ordinance
adopte9 by .the City of Springfield, including the
Development Code, regulating. the construction and use of
buildings, and may be suspended o~ revoked at any time
upon violation of any provisions of said ordinances.
PI?n Check Fee:
Date Paid:
Receipt Number.
Received By:. .
-U~
Plans Re:;(~ci By
Date
Systems Development Charge is due on all undeveloped
properties within the 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
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 ttlat 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 time, that each address is readable
. from ttie street, lIlat the permit card is located at the front
of the property, and the approved set of plans will remain
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/ Date '3 liP /9.$
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VALIDATION:
RECEIPT NUMBER
7~2..~
3/17/9~
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DATE PAID
AMOUNT RECEIVED
RECEIVED BY