HomeMy WebLinkAboutPermit Plumbing 1995-8-30
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726.3759
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LOCATION OF PROPOSED WORK: _,
ASSESSORS MAP'
LOT'
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.
SPRINGFIELD
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27 1<L
BLOCK'
OWNER:
ADDRESS:
CITY'
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DESCRIBE WORI~: /JIb..-)
NEW ~~EMODEL
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STATE:
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'95/4/7
, ,
JOB NUMBER
225 Fifth Slreet
Springfield, Oregon 97477
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TAX LOT:
c)'?3~
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SUBDIVISION:
PHONF'
/./..2e?~- /./A.J~ (Tb A?~~
,
ADDITION DEMOLISH OTHER
97~?7
U J t=--/./ ,)
-J
ZIP:
CONST,
CONTRACTOR'
CONTRACTOR'S NAME ADDRESS
GENERAL: .::t22_A<; ~..-/....}tI'7)
PLUMBING:
MECHANICAl'
ELECTRICAL:
EXPIRES
PHONE
QUAD AREA: ,
. OF BLDGS:
OCCY GROUP:
. OF STORIES: _'_
WATER HEATER:
- OFFICE USE -
LAND USE:_
. OF UNITS:
CONSTR. TYPE: __
HEAT SOURCE:
RANGE: _
FLOOD PLAIN: '
ZONING CODE:_
--
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: _'
To request an inspection, you must call 726.3769. This Is a 24 hour recording. AlIlnspectlons requested before 7:00 a.m. wIll be
made the same working day, lnspect~ons requested aflar 7:00 a.m. will bo made the following work day.
o Tompof<lfY Electric
o
Slto Inspection - To be mado
after excavallon, but prior to
setllng lomls.
o
Underslab Plumblng/Electricall
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
10 IIl/lnQ trench.
o
Underlloor Plumbing I Mechanical
- Prior to Insulatlon or decking.
o
Post and Boam- - Prior to floor
Insulatfon or d~cldng.
o Floor Insulation - Prior to
decking.
o
Sanitary Sewer - Prior to fUllng
trench.
o
Storm Sewer - Prior to filling
trench.
'r91' Water Line - Prl'or to filling
~tronch.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Pdor to
cover.
o Rough Eleclr~cal - Prior to
CQver, '
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o
Fireplace - Prior to facing
materials and framing Insp.
o Fram.lng - Prior to cover.
.0 Wall/Celllng Insulation - Prior to
cover. .
o Drywall - Prior to taping,
o Wood Stovo - After Installatlon.
o Insert - After fireplace approvlll
and Installation of unit. '
o
Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Driveway - After
excavation Is completo, forms
and sub.base material In place.
o Fence - When com~leted.
o Slroel Troos - When all required
trees are planted.
o
Final Plumbing - When all
plumbing W9.r1< Is complet.e.
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
complelod.
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 - When
blocking, sel.up. and plumbing
Inspections have been approved
and the home Is connected to
the service pariel.
o Final - After all required
Inspections are approved and
\ porches, sklrllng, decks, and
ventlng have been Installed.
"
Lot Type~ , .S THE PROPOSED WORK IN THE
Lot faces Setbacks
I P.L HSE GAR ACC I HISTORICAL DISTRICT, OR ON
Lot sq. ftg, Interior IN I THE HISTORICAL REGISTER?
Lot coverage Corner II yes, this applicatlon must be sIgned
Panhandle Is I and approved by the Historical
Topography Iw I Coordinator prior \0 permit issuance.
Total height Cul.de-sac IE I
APPROVED: .
BUILDING PERMIT
ITEM SO. FT. X $/SO, FT.
VALUE
BUILDING VALUE, PLAN .CHECK
AND BUILDING PERMIT
Garage
Carport
"
This permit is granted on the express condilion that the said
construction shall, In all respects. conform \0 tl1€ Ordinance
adopted by the City of Springfield. including the
Development Code, regulating the cOr)s\ruction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinancos.
Main
Plan Check.Fec:
Date Paid:
Total Value
Receipt Nurnbcr:__~_____
Building Permit Fee
Received By:
State Surcharge
Total Fee
(AI
Plans RovicwCd"8y--"'---'------
Dale
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within lhn City limits whicl1 are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water
FT L5ot'
:z 5."" 0
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge ;.:;'S' of- ,7S-
Total Charge (C)
-z.5r
2J?O
;z. 7. ~O
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By signature, I state and agree, thall have carefully examined
the completed application and do t1cHeby certify that all
Information hereon Is Irue 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 worl< described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety DivisIon.
I furlher certify thaI only contractors and employees who
are In compliance wtth ORS 701.055 will be used on this
project.
Exhaust Hood
Wood Stove/lnserl/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
Stale Surcharge
Total Permit
(D)
I further agree \0 ensure that all required Inspections are
requested at the proper time, that each address is readable
from the street, that the pcrmlt.card Is located at the front
of the property, and the approved set of plans will remaIn
on the sll e/Ja I I t/esnrin~ruction.
)slgnature~~i(Ad~
Data
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
II
Curbcut
II
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER
Total Miscellaneous Permits (E)
DATE PAID
/~ ~ 'b 2
~rJ
2';7,,,,.0
~
-., e-' ~
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
~eo
AMOUNT RECEIVED
RECEIVED BY ____