HomeMy WebLinkAboutPermit Plumbing 1996-4-17
OWNER: \J\W,i~_r - (~'(C\S\-r
AOORE~' ~~Jo C-:\ (&Ql\~ ~ _ \ "l'{~\) ~ _
CITY: STATE: l) '>J:J.J'trrf\
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OESCRIBE WORK"' ~ ~ ()\C\ ('Q _ \ ~O t{{ ) \ \ f\ 0 )
REMOOEL \
RESIDENTIAL. ,----.
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT'
NEW
CONTRACTOR'S NAME
BLOCK'
ADDITION
OEMOLISH
OTHER
JO~-N'U-~~~R- QI~~D
225 Filth Street
Springfleid, Oregon 97477
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TAX LOT: -.trl:ZrfJ
SUBOIVISION'
PHONE:
ZIP:
\)'14, l
ADDRESS
CONST.
CONTRACTOR #
EXPIRES -. PHONE
GENERAl' (\ M \,~ - '
PLUMBING:~V_ Y\ V U iYI_h
MECHANICAl'
ELECTRICAl'
QUAD AREA:
# OF BLDGS:
OCCY GROUP'
# OF STORIES:
WATER HEATER'
~ct LO\o~
- OFFICE USE -
LAND USE:
# OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGF'
LI- ~-4 ''SLl2 -
FLOOD PLAIN:
ZONING COOE:
# OF BORMS'
SECONDARY HEAT:_,
SQUARE FOOTAGE: _
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspecllons requesled belore 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.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspection - To be mado
after excavatIon, but prIor to
setting forms.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
o
Undeflloor Plumbing/Mechanical
- Prior to Insulation or decking.
o
Post and Beam - Prior to floor
InsulatIon or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
~ )renCh. ,
[2j ~ater Line - Prior 10 filling
trench. .
o Rough Plumbing - Prior to
cover.
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 'Framlng - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover. .
o Drywall - Prior to laplng.
o Wood Stovo - After Installation.
o Insert - After fireplace approvlll
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.
D Fence - When completed.
D Street Trees - When all required
trees are planted.
o
Final Plumbing - When all
plumbing wc;>rk 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.
DOther
MOBILE HOME INSPECTIONS
o 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 requi red
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces Lot Type .
Lot sq, fig. Interior I P.L.
IN
Lot coverage Corner
Is
Topography Panhandle' Iw
Total height Cul-de-sac IE
. BUILDING PERMIT
ITEM SO. FT. X $/50, FT.
Main
Garage
Carport
Total Value
BuildIng Permit Fee
Stale Surcharge
Tolar Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary S~wer
Water
FT,
FT.~
Storm Sewer
FT
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
fl
Curbcul
Oemoillion
State Surcharge
Tolal Misceilaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
VALUE
"
FEE
~~
4f}~
4-f2fr
+~.~
"~', ;",!."l;\: ;'\}i,\~l
( IS aPROPOSEO WORK IN THE,
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this appllcalion must be signed
and approved by the Historical
" Coordinator prior to permit Issuance.
Setbacks
HSE GAR ACC
APPROVED:
,~.. . , '!
BUILDING VAlliE, PLAN CHECK
AND BUILDING PERMIT
ThIs permit is granted on the express condition that the said
construction shall, In all respecls, conform to the Ordinance
adopled 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
Oate
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 appllcalion and do hereby cerlify that ail
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinanc"s of the City 01 Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY wiil be made of any
structure without permission 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.
VALIDATION: \ c:J '"
RECEIPT NUMBER !:J \ \-~
DATE PAID 4- \"1 C{to
AMOUNT RECEI~ 1Q.J()
RECEIVEO BY C1lt~ )