HomeMy WebLinkAboutPermit Plumbing 1995-5-3
1Jt? ~
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726,3759
-.
LOCATION OF PROPOSED WORK: fj'?J!J>~
1'1 /) ~ !J f M
ASSESSORS MAP:
LOT:
OWNER: _rvutfJ/llP L
. t--:/J-,lJh
ADDRESS: /17//' /J
0f1jfi
=- I JJfP.Jf #'
"
BLOCK'
~
CITY:
DESCRIBE WORt<.
NEW V
, .
REMODEL
PLUMBING:
MECHANICAl'
ELECTRICA' .
^
f::,l.
ST~TE: __l)fL-
II RiU
ADDITION
DEMOLISH
OTHER
"<l
w.
U/0j676
JOB NUMBER
225 Filth Street
Springfield, Oregon 97477
~1Jf1 c0
TAX LOT'
SUBDIVISION'
IJ?J(P () I
PHONE: --21//- Q()q(P
ZIP:
a141~
CON ST.
CONTRACTOR'
EXPIRES
PHONE
- OFFICE USE -
OUAD AREA: LAND USE: FLOOD PLAIN'
· OF BLDGS:_ · OF UNIT~' ZONING CODE:_
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
· OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANG~' SOUARE FOOTAGE:
CONTRACTOR'S NAME ". /J L ADDRESS
GENERA" -nIAJJ1" 0 l'
7i'lJ1ll~ /
~/
TO request an inspection, you must call 726.3769. This Is a 24 hour recording. All inspections requesled before 7:00 a.m. wlli be
made the same working day, Inspections requested after 7:00 8.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblngl Electrical!
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
D 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 Plumblng/Mechanlcal
- Prior to Insulation or decking.
"'
D Post and Beam - Prior to floor
Insulation or deckIng. .
D Floor Insulation.... Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench.
I7'i71 Water Line - Prior to filling
L;LlJ 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.
D Fireplace - Prior to facing
materials and framing lnsp.
o Framing - Prior to cover.
o Wall/C'eillng Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - Alter Installation.
o fnsert - Alter fireplace approval
and Installation of unit.
o Curbcut & Approach - Alter
forms are erected but prior to
placemont of concrete.
o Sldewelk & Driveway - After
excavation IS compiete, forms
and sub.base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
,. \.' Final Plumbing - When all
"j.' J pl,umblng w~:.HI< Is complet.e.
D Final Electrical - When all
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.
DOlhor
MOBILE HOME INSPECTIONS
o Blocking and Sel'Up - When all
blocking Is complete.
o PJumblng 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 aU required
Ins1Jectlons are approved and
porchos, skirting, decks, and
venting have been Installed.
,.,...
Lot faces
LOIT.
_ Interior
Lot sq. fig.
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de.sac
, :.' " : :~/fj:' \h~~;'
,
I PL.
IN
Is
Iw
~
Setbacks .
I HSE I GAR I ACe' I
I
I
I
I
~ IS THE PROPOSED WORK tN THE,
....HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
It yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT. = VALUE
Main
Garage
Carport
Tolal Value
Building Permit Fee
State Surcharge
Total Fee
(A)
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
I
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
-Water FT. 90'
Storm Sewer FT.
Mobile Home
Pfumblng Permit
t5~
State Surcharge
Total' Charge
(C)
--
MECHANICAL PERMIT
Fu~naco
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Fireplace Unit
Dryer Vent
Mechanical Permll
Issuance
State Surcharge
Total Permit
(D)
MISCELL,~NEOUS PERMITS
Mobile ,Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
II
Demolition
State Surcharge
Tolal Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
lA, B, C, D, and E Combined)
FEE
4/C)6"l:J
v -
;(-OO
I ~ j,e -=--
~?J. fllf.)-
, ,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition thatlhe said
construction shall, In all res peels, 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 undevelopod
properties within the Cily limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree. that I have carefully examined
the completed application and do hereby certify thai all
Information 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 the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of Ihe 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 agreo to ensure that all required Inspections Bre
requested at the proper tlmo,' that each address Is readable
from the streel, that the permit card Is located at the front
of the property, and approved set of plans will remain
on the site at all ti ring construction.
, \,(\VAn..~J
lct9s
----
Date ['f'~ ':<,.
VALIDATION:
RECEIPT NUMBER 0 / 1~Ol/)
DATE PAIl' 6/l;/tir:; ,_
4 ,ClIO
'.
AMOUNT RECEIVE"
RECEIVED BY.