HomeMy WebLinkAboutPermit Plumbing 1995-9-1
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RESIDENTIAL
PERMIT APPLICATION
Ins pee lions: 726.3769
<(Ilice: 726.3759
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ASSESSORS MAP:
LOT'
r.
BLOCK:
.
JOB NUMBER
9<t::;"/~ V
,
225 Flflh Slreel
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pi J
TAX LOT' ~~ 0
SUBDIViSION:
OWNER: /-I-/01_VI (>c. V VI (' V-.
ADDRESS" ~:4 0 S- 4- /7 t, P-X:t h k ('
~V) VIe; :l-Ie //')
DESCRIBE WORK: --1b (' 10 \' I~ /'.
/
ADDITION ~
CiTY:
NEW
IlEMODEL
ADDRESS
CON ST.
CONTRACTOR'
"
CONTRACTOR'S NAME
OW~~V-
GENERAL'
PLUMBING:
MECHANICAl'
ELECTRICA' .
STATE:
- I
f(cI
0P.
,
C'Qu:::..'-?0Y f-
I
DEMOLISH
t..LLL~
OTHER
- OFFICE USE _
PHONE:
7L// -:2 1!- 3
_ ZIP:
97L/7J-
G7q~J:f-
dor
EXPIRES
PHONE
OUAD 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: SOUARE 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 some working day, Inspections requested after 7:00 a.m. will be made tho following work day.
o TomporllfY Eleclrlc
O Slto Inspection - To be mado
after excavation, bul prior to
selling forms,
o Underslllb Plumbing 1 Electrlcall
Mechanlc,,1 - Prior to cover.
o Fooling - After trenches are
excavated.
o Mosonry - Sleel locallon, bond
beams, groullng.
o Foundation - After forms are
erected bUI prior to concrele
placemont.
o Undorground Plumbing - Prior
to fllllnQ trench.
o Underfloor Plumblng/Mochanlcal
- Prior to Insulation or decking.
o Posl and 608m, - Prior 10 floor
Insulallon or docl~lng.
o Floor Insul3t1on - Prior to
decking.
o SDnltsry Sower - PrIor 10 filling
(ronch.
o Storm Sewor - ,Prior 10 filling
trench.
o Wator Uno - Prlo'r to filling
trench. .
o Rough P/umblng - Prior 10
cover,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
O' Rough Eleclr~cal - PrIor to
cover. ,
o Electrical Servlco - Must be
approved to obtl1ln permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
[Z] Fram.lng - Prior to cover,
,0 Wall/Celling Insulatlon - PrIor 10
cover. ,
o Drywall - Prior 10 taping.
o Wood Stovo -. Aftor Installallon.
o Insert - After fireplace approvlll
. and Installation of unit. .
o Curbcut & Approach - Aller
forms are crected but prior 10
placemont of concrotc.
o Sidewalk & Driveway - After
excavation 15 comp/Cle, forms
and sub.base material In place.
o Fence - When com~leted.
o Street Troos - When all required
troes are planled. ....
o Final Plumbing - When all
plumbing w9.rl< Is complel,e.
o Final Eloctrlcal - When all
electrical work Is complete.
o Final Mochllnlcal - When alf
mechanical work Is complete.
I\7l Final Building - Whon all
L,X-J required Inspections have been
approved and building Is
complotod.
o Othor
MOBILE HOME INSPECTIONS
o Blocking and Set,Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
homo has been connected to
water and sewer.
o Electrical Connection - When
blocking, sel-up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porch os, skIrting, decks, and
ventlne have been Installed.
Setbacks
I P.L. I HSE GAR i ACC I
IN
Is
Iw
IE
Lot faces
Lot Type.
Interior
LOl sq:' flg.
Lot coverage
Corner
Topography
Total height
Panhandle
Cui-de, sac
BUILDING PERMIT
ITEM SO. FT. X $/50. FT. = VALUE
Main
Garage
Carport
"
~-
~.-
:~
/.40 ~&?
SYSTEMS DEVELOPMENT CHARGE (SDC)
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
(B)
PLUMBING PERMIT
ITEM
FEE
Flxlures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Slorm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Totai Charge
(C)
MECHANICAL PERMIT
furnaco
Exhaust Hood
Vent Fan
N'
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permll
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcul
Demolition
Slate Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) 2"7.:'~~
lA, B. c. D, and E Combined)
,: '
_ THE PROPOSED WORK IN THE
. HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
. APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on Ihc express condllion Ihallhe said
construction shall, in all respecls, conlorm to the Ordinance
adopled by the Cily of Sprlnglielcl, Including the
Development Code, regulating lhe COQslruclion and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordlnancos.
~~
Date pald:__"7:L=3l~_
Recelpl Number:_._.../.~~~ __.
:~:~~'~-~~--?--~ ~'~7~
Plan Check Fee:
Systems Development Charge Is duo on all undeveloped
properties within tho City lImits which arc being Improved.
ADDITIONAL COMMENTS
. By signature, I state and ngree, that I have carefully examined
the com pie led applicalion and do hereby certlly that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinancus of the City of Springfield, and the Laws
of the Stato of Orogon pertainIng to the work described
herein, and that NO OCCUPANCY will be made 01 any
slructure wlthoul permlssi.on of the Building Safety 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 ensuro thai all required Inspections are
requested at the propElr time, thai each address Is readable
from the street, that the permit card Is located at the front
01 the. property, and the approved set of plans will remain
on the site at all tImes during construction.
Signature C21or..... (hG~
D; - ( - 9>"
Date
VALIDATION:
/5i:q~
RECEIPT NUMBER _ __~
9--/~
DATE PAID
AMOUNT RECEIVED _._~-:? . :_5
.. RECEIVED BY ~~ -..., o?
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