HomeMy WebLinkAboutPermit Plumbing 1995-7-26
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LOCATION OF PROPOSED WORK: _Z--l5;?-1AjL.vQ ?t- FIt>
ASSESSORS MAP: liD";) '2-7 I D
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT
.
SPRINGFIELD
BLOCK:
OWNER: ~-f'1t6 'Cf GYles
~~~RESS: ~1f~I~--~-~ ~+
-----
~ ZIP: q7<-f77
o.yf-tMdll~ wthd;mQ , 'M f:M ~ If=>'
IlEMODEL ____ ADDITION DEMOLISH OTHER
DESCRIBE WORI~: .,Th!_ r];VCLi V1
NEW
~ ID
__ STATE:
.
JOB NUMBER
q011qJ
225 Flllh Streel
Springfield, Oregon 97477
TAX LOT:
'-/-L/ CO
SUBDIVISION'
PHON'"
EXPIRES
CONTRACTOIl'S NAME
ADDRESS
CON ST.
CONTRACTOR'
PHONE
GENERAl'
PLUMBING~V\ lis..k? - ~- TIll -1'11'-' (CA,id-fttl5)5 ~PPY1W.dhlJ fZJJh)
MECHANICAl'
ELECTRICAL:
QUAD AREA:
. OF BLDGS: ___
OCCY GROUP:
. OF STORIES: __,_
WATER HEATER: _,
- OFFICE USE _
LAND USE:
. OF UNITS:
CONSTA. TYPE:
HEAT SOURCE:
RANGE: _
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:_
To requeSl an Inspccllan, you musl call 726.3769. This Is a 24 hour recording. Alllnspccllons requesled belore 7:00 a.m, will be
made the sanlS working day, Inspoctlons requested after 7:00 a,m. will be ma~e tho following work day.
o Tomporary Eloctrlc
o Slto Inspection - To be mado
after excavation, but prior to
settJng forms.
o Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Fooling - Aller Irenches are
excavated.
o Masonry - Steel location, bond
beams, groullng,
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plllmbing - Prl,or
10 IIl1lnQ Irench,
o Underlloor Plumblnol Mechanlcnl
- Prior to Insulation or decl<lng.
o Post and Beam;, - Prior to floor
Insulallon or decking.
o Floor Insulation - Prior to
decking,
o Sanilery Sewer - Prior to filling
trench.
o Storm Sower - Prior to filling
trench,
O Waier L1no - Prior to fIJlin.g:""~
trench. -.
o Rough Plumbing - Prior to
cover. .,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o 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 Fram.lng - PrIor to cover.
o Wail/Coiling Insulation - Prior to
cover.
o Drywall - Prior 10 laplng:
o Wood Stovo - After Installat/o'n.
o Insert - After fIreplace approvftl
and Installallon 01 unit. .
o Curbcut & Approach - Alter
forms are erected bllt prior to
placemont of concrolo.
o Sidewalk & Driveway - Aller
excavation Is COmpiele, forms
and sub.base material In place.
o Fence - When completed.
, -
o Slreet Troos - When all required
trees are planled.
o Final Plumbing - When all
plumbing warl< Is complet,e,
D Final Electrical - When all
eleclrlcal work Is complete.
o Final Mechonlcal - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
compleled.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complele.
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connoctlon - When
blocking, sel.up, and plumbing
Inspections have been approved
and the homo Is connected to
the service panel.
o Flna' - Aller all required
Inspections are approved end
porchos, skirting, decks, and
venting have been Installed.
,,'
Lol facos Lot TYP"4t Setbacks .S THE PROPOSED WORK IN THE
Lot sq. flg. Inlerlor I P.L. HSEIGARIACcl HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner II yes, Ihls application must be signed
Topography Panhandle Is I I nnd npproved by Ihe Historical
Iw I I I I Coordinator prior 10 permit Issuance.
Total height Cul-de.sac lLLLL, I
APPROVED:
BUILDING PERMIT
ITEM SQ, FT: X $/SQ, FT. '= VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on lho express condition thallhe said
construction shall, in all respects, conform to 1119 Ordinance
adopted by the City 01 Springfield. including the
Development Code, regulating the constructlon and use Of
buildings, and m.,y be suspended or rcvol<ed at any lime
upon violation of .:tny provisions o( said ordinances.
Main
Carport
Plan Check Fee:
Totnl Value
Dnte Paid:
._.n........ _...__.__._._.
Bul/ding Permil Fee
State Surcharge
Total Fee'
Receipt Number:.__. _._____.~__
Received By:
(A)
Plans Revie-wed .'8y'...--------
Dale,
SYSTEMS 'DEVELOPMENT CHARGE (SDC)
ClI-w
(B)
Systems Developmenl Charge Is due on all undeveloped
propertlos within Iho City limits which are being Improved.
PLUMBING PERMIT
ITEM
Fixtures I
Residential Bath(s) . N'
Sanitary Sewer FT.
Water FT. IS'
Storm Sewer FT.
Mobile Home
ADDITIONAL COMMENTS
FEE
io.o'O
'2.fi. OD
Plumbing Permit
Slate Surcharge \-75 -r 1.05
Total Charge (C)
~'l. 6t>
7 _ jfQ_
31.~o
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Venl Fan
N'
By signature, 13tato and agree, that I have cnrofully examIned
the compleled application and do horeby cerllly thai all
Information hereon Is Irue and correct, and I (urther certify
that any and all work perlormed shall be done in accordance
with the OrdinancllS of the City of Springfield, and Ihe Laws
of the State of Oregon pertaining to Ihe work described
herein, and that NO OCCUPANCY will be made of any
struclure without permission or Ihe Building Sofety Division,
I further certify thai only conlractors and employees who
are In compliance with ORS 701,055 will be used on this
prolec!.
Wood Stove/lnsert/Flrepleee Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensuro that all required Inspections are
reQuested at the proper time, that oach address Is readable
(rom tho street, that the pormlt card Is located at the front
of the property, and Ihe approved set ot plans will remain
on the site at all Urnes during construction.
Signature ~ ~S~/l.trv
Date_fJ'l- .}(.,-qS-
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcherge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
_U---1- [j)
VALIDATION: 0
RECEIPT NUMBER l ~ L{ too
DATE PAID J -1,;f ~ 11-6
AMOUNT RECEIVf.D:~M_ ~: '
.. RECEIVED BY _.....! _J~
Total Miscellaneous Permits (E)