Loading...
HomeMy WebLinkAboutPermit Plumbing 1997-8-13 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.37S9 :. SPRINGFIELD OWNER:#II..f'<> {!o flOU.5'/LQ Au.l.-L ADDRESS" ....-=<[(1.::;- (,J, h;rl!"..pu.j CITY- _<5dJ/ /1. or:::: e I c!J 7 ""'--\ DESCRIBE WORK' ~C ~/J;t1. e=' ASSESSORS MAP: LOT' NEW REMODEL ADDITION CONTRACTOR'S NAME GENERAl' PLUMBING: f'(o-k) f(O(~~J.C'T) MECHANICA' . ELECTRICA' . QUAD AREA' , OF BLDGS' OCCY GROUP' , OF STORIES: WATER HEATER' BLOCI" STATE: 6r Ke.J~ if / DEMOLISH OTHER . q7 1 217 \~ JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 [)y. TAX LOT: -,10/01 SUBDIVISION' PHONE: ~ - :;;C;-f?1J ZIP: 97477 ADDRESS CONST. CONTRACTOR' EXPIRES '.-:- PHONE 41C: .k\v~a /iv - OFFICE USE - LAND USE' · OF UNIT'" CONSTR. TYPE: HEAT SOURCE: RANGF' To request an Inspection, you mus made the same working day, Insp ?ll{z2 ~9' 0J9-!,7// \ ; FLOOD PLAIN: ZONING CODE: , OF BDRMS' SECONDARY HEAT' SQUARE FOOTAGE: a 726,3769, Is Is a 24 hour recording. All Inspections requested beloro 7:00 a.m. will be ed after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric o Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall Mechanical - Prior to cover. D Footing - After trenches Bre excavated. D Masonry - Steel location, bond .beams, grouting. D Foundation - After forms are erected but prior to concrete placemor:'t. O Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. O Post and Beam - Prior to floor Insulation or decking. .' D Floor Insulation - Prior to deckl ng. m Sanitary Sewer - Prior to filling ~ trench. o Storm Sewer - Prior to filling 'trench. " D Water Line - Prl~r to filling trench. . , D Rough Plumbing - Prior to cover. D Rough Mechanical -.:. Prior to cover. o Rough Electrical - Prior to cover. D ElectrIcal Service - Must be approved to obtain permanent electrical po~er. D Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Celllng Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stovo - Alter Installation. o Insert - After fireplace approvlll and Installation of unit. O Curbcut & Ar>proach - After forms are erected but prior to placement of concrete. O Sidewalk & DrIveway - After excavation Is compicte, forms and'sub.base material In place. o Fence - \-"hen cor.'1pleted. D Street Trees - When all required trees are planted. o Finer Plumbing - When ell plumbing wc;>rk Is complet,e. o Final Electrlcnl - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complet.e. o Final Building - When all required Inspections have been approved and building ,. completed. o Other MOBILE HOME INSPECTIONS o Blocking end Sel.Up - When all blocking Is complote. D Plumbing Connoctlons - When home 'has been connected to water and sewer. O Electrical Connoctlon - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. , Lot faces Lot ~yp. Lot sQ. fig, Interior Lot covera"ge Corner \ Topography Panhandle' Total height Cul.de,sac ~: . \ i.' 'j"',:"" i;';~ii!;:'~l, . - '.1') Setbacks. BUILDING PERMITi ITEM SQ. FT. '- " '1 X $/SQ. FT. ~ Main Garage .Carport Total Value Building Permit Fee State Surcharge Total Fee (A) I P.L. IN /5 Iw IE VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~w'3r FT. g1) Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge +'3'70 Tolal Charge ~~ A~'^- (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan NO Wood Stovellnsert(Flreplace Unit Dryer Vent Mechanical Permit "Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Su rcharge Sidewalk fI Curbcul fI Demolillon Slate Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C. D, and E Combined) FEE _2{1,@ I. ;U; "'7-:;- 27.07) ;27, 07J HSE GAR Ace'l ";S THEPROPOSEO WORK IN THE. "'HISTOJ:lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. I I I I-L-.J BUILDING VALlJE, PLAN CHECK AND BUILDING PERMIT I' APPROVED: This permli 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 Code. regulating the construction and use of buildings, 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 certUy that all Informatlon hereon Is true 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 tho work descrIbed herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Saf~ty Division. I further certlfy that only contractors and employees who are In compliance with ORS 701.055 will be used on this project. I further agree to 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 --011 Ill'll;: t all times during c uct n. Signature <' Oate VALIDATION: RECEIPT NUMBER 2.. 70& 'S g---jg- 11 AMOUNT RECEIVED c;J.. I tJ?J , RECEIVED BY _ 1{/ DATE PAID