HomeMy WebLinkAboutPermit Plumbing 1993-5-13
RESIDENTIAL
PERMIT APPLICATION
Inspections 726-3769
Office: 726':l759
LOCATION OF PRqPq'f(' WORI$C- ,. '-~\~ \_)
ASSESSOR~3 MAP: \q ID~~~~'
LOT:
, BLOCK:
;.,
q?/J~
JOB NUMBER
OWNER (~c\i ~ bq\}...~ ILrt '_k .. PHONE \..9 ~~ -4"0& ~
ADDRESS:.\\.ob \~llDl_),\l\~r_CP\\I&J\lUU " /
CITyn~_flL . j STATE' l~e' ZIP ~~I
DESCRIBE WORK,~fI\ t()J\u./~J._tUX' \'l'ill\O l' J-. \LY\\ , r \ ~Q\. '10 ~
NEW ,REMODEL ADDITI~ DEMOLISH' OTHER ~ .i..1"\Q ~
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
QUAD AREA:
" OF BLDGS:
OCCY GROUP
" OF STORIES:
WATER HEATER:
ADDRESS
CONST.
CONTRACTOR. II
EXPIRES
PHONE
, j
_ OFFICE USE :.....J '
LAND USE:
/I OF UNITS:
CONSTR, TYPE:
HEAT SOURCE:
RANGE'
FLOOD PLAIN: '
, ZONING CODE:
II OF BDRMS:
SECONDARY HEAT:
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
mad,) the same working day, inspections requested after 7:00 a',m. wi/i be made the following work day, '
o
Tempor<lry Electric
D
Site'l,nspection - To'be made
after excav<ltion, but prior to
~etting forms,
Cl
Underslab PlumbinuJ Electric<ll J
Mechanical - Prior to cover.
o
Footing - .After trenches are
excavated,
D
Masonry - Steel location, bond
beams, grouting,
D
Foundation ,- After forms are
erected IJut prior to concrete
placement.
Cl
Underground Plumbing - Prior
to fillin~J Irencl),
o
Underfloor Plumbing/Mechanical
- Prior to insulation or decking,
o
Post and Beam - Prior to floor
insulation or dec!<ing, ,
.. .... \\
~ .. . \ 'f
Floor I.nsul~.t!;>_~co-:- Prior t<\
decking.. .;:\ "', ":.""~ .t' ,
.. \ ~.,.'->''''''''''.'
Sanitary Sewer -'.p'rior to filling'
trencl), .:.. '-.~ ,,;>, \ . I~
"\ \
D
~
o
Storm Sewer - Prior to filling
trencl),
CJ
Water Line - Prior to filling
trenct],
D
Prior to
Rough Plumbing
cov!",
REQUIRED INSPECTIONS
D Rough Mechanical- Prior to
cover. '
D Rough Electrical - Prior to
cover.
D
Electrical Service - Must be
approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
materials and framing Insp,
D
Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
, cover,
o Drywall - Prior to taping,
o Wood Stov~ ..:.. 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.'3ideW<llk & Driveway":"" After
0xcavation is comlJlete, forms
and sub.base material in place,
o Fence - When completed,
o
Street Trees - When ai: required
trees are planted,
D
Final Plumbing - When all
plumbing work is complete,
o
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,
o Other
MOBILE HOME'INSPECTIONS
o Blocking and Set-Up - When all
blocking is complete. '
D
Plumbing Connections - When
home has been connected to
water and sewer,
o Electrical Connection ,'"- When
blocking, set-up, and 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. 'ltg.
Interior'
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de-sac
BUILDING P~HMIT..
ITEM SO, FT, X $/SO. FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
;~
)...,. .
Setbacks
HSE GAR, ACC
I P.L.
IN
'I S
Iw
IE
I"
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDCf
, .. ' , (B) illS L<b1:
PLUMBING PERMIT
ITEM
Fixtu res
Residential Bath(s) NO
Sanitary Sewer FT.
'.
Water FT.
Storm Sewer FT.
Mobile Home
I
Plumbing Permit
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
, , NO
Wood Stove/lnsertJFireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sipewalk
Curbcut
It
ft
Demolition
State Surcharge
Total Miscellaneous, permits (E)
TOTAL AMOUNT DUE (excluding electrical)
FEE
L\t),LO
~.~
4~,cD
ryj-3'. At
I
I
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this ~pplication must be signed
and approved by the Historical
Coordinator prior to permit issuance,
APPROVED'
SW:ILOING 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 Springfield, including the
Development G9de, regulating the construction and use of
buil9ings', and may be suspended or revoked at any time
upon violation of'any provisions of said ordinances.
Plan Check Fee'
Date Paid:
Receipt Number'
Received By:
Plans Reviewed 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 ~he Ordinances of the City of Springfi'eld, 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 that only contractors and employees who
are in compliance with ORS 701,055 will be used on this
pr()j ec t.
I further agree to ensure that all required inspcction~ are
requested at the proper time, that each address is readable
.. .,from the street, that t ,epermit card is located at the front
of the property, and e.approved 0 plans will remain
, on the site II r e5"'(I ring cq5n tr ction,
Signature
l f ",
Date r1 I"L /3,
fIV{ (. / I
,
i ,
75
, ,VALIDATION: n/).O"'\
RECEIPT NUMBER 'rr-~r)\ ",,'
DATE PAID(.,ff\D...:.x~v\?J, Clo ,
AMOUNT R~C~IVjED.. \J ryCf3,G;1-'
".. /'=J lAD.J