HomeMy WebLinkAboutPermit Plumbing 1993-11-4
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Oflice: 726.3759
LOCATION OF PROPOSED WORK'
ASSESSORS MAP:
LOT
.
SPRINGFIELD ..
'1/-03
BLOCK'
OWNER: ;;(f'/u'H./ /l4//~./>P'~
ADDRESS:' '113 )jiq
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STATE: _/) ~
DESCRIBE WORK' C,O I .-1\1 A ,l4' v 71:: hi
If \A Jc.t"" ) - :")0 I
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAL'
PLUMBING:
o 'AI\A OAr
MECHANICAl'
ELECTRICA' .
DEMOLISH
OTHER
.
JOB NUMBER
q3 J laic, (.,
225 Flf'h Stleet
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
oc::..,-+O()
MP SL,7:3
L<A-B
PHONE:
7/1'7 - /J.. <)'[, If
ZIP'
9"7 -Y;??i A
*,
ADDRESS
CONST.
CONTRACTOR'
PHONE
REQUIRED INSPECTIONS
o Rough Mechanical - Pri~r 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 Framing - Prior to cover.
o Wall/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wo~d Slove - After installation.
o Insert - After fireplace approval
and installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence"":" When completed.
o
Street Trees - When all required
trees are planted.
EXPI RES
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN'
. OF BLDGS' . OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: . OF BDRMS:
. 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 be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prior to
setting forms.
o
Under.lab Plumblngl Electrlcall
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
to filling trench.
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o
Post <lnd Beam - Prior to floor
Insulation or docking.
o Floor Insulation - Prior to
decking.
l2rSanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. .
@water Line - Prior 'to flillng
trench.
o
Rough Plumbing - Prior to
cover.
o Final Plumbing - When all
plumbing work Is complete.
o Final Electrical - When alt
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
completed.
o Other
MOBILE HOME INSPECTIONS
D 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, set.up, and plumbing
inspections have been approved
and the .home is connected to
the service panel.
o Final - After all required
Inspections are approyed and
porches, skirting, decks, and
venting have been Installed.
.
Lot faces
Lot Type
Lot sq, ltg,
_ Interior
Lot coverage
_!lC.orn.9r
Topography
Total height
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT
Main
Garage
Carport
Total Value
Building Permit Fee
Slate Surcharge
Total Fcc
(A)
/'
'THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by tho Historical
Coordinator prior to permit issuance.
Setb'lcks
I P.L I HSE GAR I ACC
I
W I I
LL_~
N
S
VALUE
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT. SOl
Water FT. SO'
Storm Sewer FT.
Mobile Home
Plumbing Pelmlt
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
FEE
~s.oo
d-c, () Q
C,()OO
:J SO
_~ .c,()
Total Miscellaneous Permi ts (E)
, !:i
TOTAL AMOUNT DUE (excluding electrical) :s '7> .c"a...
(A, B, C, D, and E Combln~d)
,:;
~ J
APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition 1I1at the said
construction shall, in all respects, conform to the Ordinance
adopted by the City 01 Springfield, including the
Development CoeJe, 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:
Dale Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Syslems Development Charge is due 'on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
sDO -M.k~ (}/lLl,/.l./IuP.
Lul--,,-/\ J J\YCl"'/\.a. /:lu...io I/VI ;-j~
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By signature, I state 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 tile Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
heleln, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division,
I further certify 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
requesled at the proper time, that each address is readable
from the street, that the permit card 15 located nt the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signatule\) 'Y/1a~.t~ - ~/~
/!j \:: .
Date /I~ 1- <f'...'7
VALIDATION:
RECEIPT NUMBER
IOJ~1
11\'-1 \C)~
S;:) .sO
QB
DATE PAin
AMOUNT RECEIVEn
RECEIVED BY