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Home My WebLink AboutPermit Plumbing 1995-8-25 .o~ l/' f- ;". ..., L l-e ADD.RESS: II 30 C~f2>);v( CJct.Y' SJI:'/I'>/Ac.rtlr-elcl r STATE: · - V ' DESCRIBE WORI<: ~~C:;7'Z?~. , RESIDENTIAL PERMIT APPLICATION 5- Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: __ ASSESSORS MAP: /"7 /) ~ LOT: OWNER: CITY: NEW REMODEL ADDITION OTHER CONTRACTOR'S NAME GENERAL: PLUMBING: MECHANICAL: ELECTRICAL: hJ A-z:;, ( TAX LOT: '"" .... SPRINGFIELD t@ //30 C<<S'~ ~4 ( ~~ BLOCK: , rJe.. 1~2#. f 4/K L/4.Jb DEMOLISH .....- "/' -.- .. 9 5/3 ~ 7 JOB NUMBER 225 Fifltl Street Springfield, Oregon 97477 /fJ"7/6v - , , , SUBDIVISION: PHONE: "7 -< G .-7r'3C/ ZIP: GC\...'S ~'~/"h I I ..;. ADDRESS CONST. CONTRACTOR N PHONE .E:-2 '~CL/I /t /'1 hCi.S~'Acf1o(/' /\./// . ,,0/ u ~ ./; r'kc. A ... , ./ /v L" KJ I "'-c. , /- EXPIRES lObo b:l - 7"r~s-9or"' - OFFICE USE - , . QUAD AREA: LAND USE: FLOOD PLAIN: r N OF SLDGS: N OF UNITS: ZONING CODE: - OCCY GROUP: CONSTR. TYPE: N OF BDRMS: N OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE:: 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 bo made Iho following work day. o Temporary Electric O Slto Inspection - To be made afler 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, groullng. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to f1ll1nQ trench. o Underlloor Plumbing / Mechanical - Prior to Insulal/on or decking. D Post and Sealll(. - Prior to 1I00r Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. "'. . D Rough Plumbing - ~rlor to cover. . ~ REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to ~ cover. o Rough Electrical - Prior to CQver. , o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and (ramlng Insp. o Framing - Prior to cover. .0 Wail/Ceiling Insulation - Prior to cover. . o Drywall - Prior to taping. o Wood Stovo - After Installallon. o Insert - After fireplace approval and Installallon of unit. . o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - When com~'eted. D Street Trees - When all required trees are planted.' " o Final Plumbing - When all plumbing w9.rl< Is complet.e. D Final Electrical - When all electrical work Is complete. ~ ~ ~Inal Mechanical - When all ~nechanlcal work Is complete. o Final Building - When all required Inspections have been approved and building Is completed. )2g Other ~ LU./t7 (p;J~ ~ ( ~- I 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. D 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. 1 ~ .....- ,r f: . '.. " . _THE PROPOSED WORK IN THE 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Lot faces Lot Type. Interior Topography Total height Panhandle I P.L. IN Is Iw IE Setbacks HSE GAR ACC Lot sq. ftg. Lot coverage Corner Cul-de-sac APPROVED: BUILDING PERMIT ITEM sa. FT. x $/SO. FT. = VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage Carport , . This permit is granted on the express condition lhat the said construction shall, In all respects, conform to tile Ordinance adopted by the City of SpringfielcJ, including the Development Code, regulating the COl):olruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Plan Check Fee: Date Paid: Total Value Building Permit Fee State Surcharge Recel pt N urnber:_____ ____ Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS Fixtures I FEE /H /A.J.i Residential Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge ,7 f -;, ~ S- Total Charge (C) /59-0 /. 2- 'Q /.2.a +- ~ -"? MECHANICAL PERMIT Furnace Vent Fan NO q~ INS'lfA. T \^'Ogg ~t_u_1I r . "'-:. _.....;u.vO~l Mr~, . By slgnature, I stale 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 Ordlnanclls of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described heroin, and that NO OCCUPANCY will be mape 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 prol ec t. Exhaust Hood Dryer Vent ~A~'Lu~4 Mechanical Permit Issuance State Surcharge , 7 r f- f~ J Total Permit (D) 4: ,),0 ( / S- ~--o /0,6-0 ;2..0 ~2-o I further agree 10 ensure 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 front of the property, and the approved set of plans will remain on the~e at all times during constru tion. Slgn~ //I'~~ -a ..Ii!? -- ..2..s=- 9 S MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Date Curbcut It Demolition TOTAL AMOUNT DUE (excluding electrical) (A, 8, C, D, and E Combined) 'F~ VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED / ~~ J~ ~/2)/~J ~;;,~,o .tPk~ State Surcharge Tolal Miscellaneous Permits (E) '. RECEIVED BY ~