HomeMy WebLinkAboutPermit Plumbing 1996-9-5
RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726,3769
Office: 726.3759
.
SPflINCr:IELO
k~
"f...J .
ASSESSORS MAP:
LOCATION OF PROPOSED WORK: '-I '+ 21L._.::Tii~/~
/802 05' 13
LOT:
/
OWNER:
CheST€f '4
5 GlAt1.e..
Inre.1fa
'R a.:J tAM '^ J
ADDRE~~:
CITY'
BLOCK:
STATE:
...
::JOB NUMBER
...
C:Pt< /2~ 0/
'225 Filth Street
Springlleld. Oregon 97477
c;f'~,,1a/ 9L'-/7.g
TAX LOT: "<!OO/
SUBDIVISION'
I
PHONF'
DESCRIBE WORK'
fJ1"I.-fp
ZIP:_
~
"
NEW
REMODEL
V'e p I wm{,
lIoWle
ADDITION
DEMOLISH
OTHER
CONTRACTOR'S NAME
/l1.c.~""-.-e ,LI~y-
'P,..e.c. .5 to", P / tM+16; "'Q
V
CONST.
CONTRACTOR'
IO~~f.
II i> 028
PHONE
"'1-'1'+- <;'{ 13
f' \\
GENERAL:
PLUMBING:
MECHANICA' '
ELECTRICAl'
ADDRESS
EXPIRES
'f if?-
9/9r
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 Inspeellon, 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. InspectIons requested <ltter 7:00 a.m. will be made the following work day.
o Temporary Eloctrlc
o
Slto Inspoctlon - To be made
after excavation, but prior to
setting forms,
o U~derslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steol location, bond
beams, grouting,
o
Foundation - After forms are
erected but prior to concrete
placemont.
o Underground 'Plumblng - Prior
. to lIillng trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D
Post and 80am - Prior to floor
Insulation or decking.
D
..'-
Floor Insulation - Prior to
decKing,
D Sanitary Scwcr- Prior to filling
trench.
D Storm Sewer - Prior 10 filling
trench. '
D
Wnler Line - Prior 10 filling
trench.
D Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mochanlcal - Prior to
cover.
o
Rough Electrical - Prior to
cover.
o Electrical Servlco - Must be
approved to obtain permanent
electrical power.
o Flreplaco - Prior to facing
malerlals and framing Insp.
o Framing - Prior to cover.
o Wall/e'olllng Insulation - Prior to
cover.
o Drywall - Prior to tapIng.
o Wood Stovo - After Installation.
o Insert - After fireplace approv~f
and Instal/at/on of unIt.
o
.'
Curbcut & Approach - After
forms are erocted blll prior 10
placemont of concrotc.
o
Sidewalk & Driveway - After
excavation Is complete, forms
and sub.baso material In place.
o Fence - Wtlcn completed.
D
Street Troos - WhlJn all required
trees are planted.
[EJ Final Plumbing - When all
plumbing w~:)rl( Is complet.e.
D Final Elcctrlcal - When all
electrIcal work Is complete.
o
Final Mcchanlcal - When all
mechanical work Is complete.
o
Final Building - When all
required Inspections have been
approved and building is
completed.
OOthcr
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
D
Plumbing Conncctlons - 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 - Arter all required
Inspections are approved and
porches, sklrllng, decks, and
venting have been Installed.
Lot faces
Lol Type ".
Lot sq, ltg,
Interior
Lot coverage
Corner
Topography
Panhandle
,
Total height,
p~' Culoqe.sac
\
BUILDING PERMIT
ITEM so, FT,
X $/SO, FT. ~
Main
Garage
Carport
Tolal Value
~ . ..) ,
'.'
,',
Building Permi I Fee
State Surcharge
... ~ .....'-
. ,'.
~!:;.'\"\ \
. ,
.\ l:'
-\..\ ,
(A)" ,
Total Fee ,
.:".
( .THE PROPOSED WORK IN THE ..
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this applicatIon must be signed
and approved by Ihe Historical
Coordinator prIor to permit Issuance.
Setbacks
I P,L. HSE GAR ACC I
N
S
I w,,'
IE
VALUE
'.
,
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary S~wer .
Water
N'
FT,
Storm Sewer
FT.
FT,
Mobile Home
Plumbing Permit
~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flroplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcul
ft
Demolition
State Surchargp
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, 0, and E Combined)
FEE
l/PJ. -
, ., :;~:e.
~.~
. .
APPROVED'
BUILDING VALliE, PLAN CHECK
AND BUILDING PERMIT
. Thls.permlt is gra'ntc_d.pn.irc c~press cOh'dl tlonlhal the saId
constructIon Shall,ln all respects, conform to the Ordinance
adopled by the Cily 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 01 said ordinances.
Plan Cileck Fee: _
Date Paid:
Receipt Number'
Received By:
,I ,\ . __, ~ ", :. \..
Plans Revie-wed -:'i3y':~--;-'-'
. . - '
Date
Systems Development Charge Is duo on all undeveloped
properties within tllC City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I 51ale and agree, that I have carofully examined
the compleled application and do hereby certify that all
Information hereon Is true anel correct, and I further certify
that any and all work performed shall be done In accordance
with tho Ordinances of the City of Springfield, and the Laws
of the StDte of Oregon pcrtalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure wllhout permission of the Building Safety DivisIon.
I further certify that only contractors and employees who
ara In compliance with ORS 701.055 will ba used on this
project.
I further agree 10 ensure Ihal all required Inspections are
requested at the proper time, that oach address Is readable
from the street, that the permit card Is located at the front
of the property, and Ihe approved set 01 plans will remain
on the site at at [mas durlng construction.
Signature
Date
~r?ff - , r-;
'/'1'7 h
VALIDATION:
DATE PAID
?""'c:J~ '3
q-~,~t;;;.
q ?-=<~
'7~
RECEIPT NUMBE8
AMOUNT RECEIVED
RECEIVED BY