HomeMy WebLinkAboutPermit Plumbing 1995-06-21:iPNIN IELr)
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LOT;
JOB NUMBER
LOCATION Of: PI]OPOSED WOB
ASSESSOBS MAP;
RESID ENTIA L
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.9259
TAX LOT:
-
SUBDIVISION:
225 Fifth Street
Sprlngf ield, Oregon 97477
OWNER:
ADDRESS
CITY:
PHON E:
STATE:ZIP:
ADDII'ION DEMOLISH OTHER
DESCRIBE WOt]I(:
NEW *-___- f:IEMODEL
CONST.
CONTRACTOB /ADDRESS
EXPIRES PHONE
CONTBACTOB'S NAME
GENERAL
PLUMBING:
MECHANICAL
ELECTBICAL
_ OFFICE USE _
LAND USE:
/ OF UNITS:
-
ZONING CODE:
/ OF BDRMS:-_._-_
RANGF.
QUAD ABEAI
,' OF BLDGS
SECONDABY HEAT:
SQUABE FOQTAGE;
OCCY GROUP:
r OF STORIES:
CONSTB. TYPE
HEAT SOURCE:
To request an inspection, you must call 726.3made the sanle working day, lnspecttons req
[-_l Ternporary Etectric
Sile lnspcction - To be madoatter excavation, but prior toSettinO loil|s,
U-nderslab plumbing/ Electrical/Mechanical - prioi to cover.
Foollng - Af ter trenches areexc avated.
Masonry - Steel locailon, bondbeams, grouting.
Foundallon - Af ter forms areerected but prior to concretepracemen t.
Underground plunrbing _ priorto fllllng lrenctr.
Underlloor plumbing/ Mechanical
- t,ilor to lnsulation or decl(lng.
Post and Bearry.- prior to floorlnsutation or decking.
Floor lnsulation - prior todecki ng.
Sanitary Sewer - prior to f illingtrench.
Slorm Sewer - prior to flllingtrench.
Water Line - prlor to (illing
trench,
Rough Plurnblng - prior tocover.
769. This ls a24 hour rccordlng, All inspecuested af ter 7;00 a.m. will be made the fol
REQUIRED INSPECTIONS
Bough Mechanlcal - prlor tocover.
Rough Electrical - prior tocover.
Electrlcal Servlce - Must beapprovod to obtaln permanentotectrlcal power.
Flreplace - prlor to facingmaterlals and framlng lnsfi
Framlng - prlor to cover.
f] \4/-atl/Ceiling tnsutatron _ prlor to
-
cover.
J-_l Drywail - prtor to taping,
l--l Wood Stovo - Afrer instailatlon
ll:11 -; After trreptace approvqland lnstallailon of unit.
Curbcut & Approach _ Afterlorms are erected bUt prior topracemonl of concrete.
Sidewalk & Drlveway - Afterexcavailon ls cgmpleto, formsano sub.base materlal ln place.
Fence - When completed,
tlons requested beFore 7:00 a.m, wlll belowlng work day,
FInal plumbing _ When ailptumblng worl( ls complete.
Fjnal Electrical _ When atletectrical work ls complete,
Flnal Mechanical _ When allmecnanical work ls complete.
Final Buildlng - When allrequtred.lnspecilons have beenapproved and bullding lscompleted.
Othor
MOBILE HOME INSPE TIONS
[-l B.tocking and Set.Up _ When alt.- blocklng ls compleie.
Plumbing Connections _ Whennome has been connected towater and sewer.
Eleclrical Connection _ Whenpl::Iil9, set.up, and ptumbrnsrnspo.cilons have been approvedand the .homo is connected totne servlce panel.
E 9,_r:", Treee - When ail roqutred
-
Irees are plant€d.
FInal - Afrer all requiredInspecilons are approved andpor:.hosl sklrtlng, decks, andventlng have been lnstalled,
WATER l-t EATEF: *-*=
n tlTrn
-{ -{
Lot faces
Lot sq. ftg.
Lot coverage
Iopography
Total helght
Lot Typev
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
P,L.HSE GAR Acc
N
S
E
IS THE PFIOPOSED WORK IN THE
HISTOFIICAL DISTRICT, OR ON
TIlE HISTORICAL REGISTER?
-
lf yes, thls application must be slgned
and approved by the Hlstorical
Coordinator prior to perrnit issuance,
APPROVED
BUILDING PERMIT
ITEM SO. FT.
Main
Garage
VALUE
(A)
X $/SO. FT,
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is granted on the cxpress concJition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Sprirrgfield, including the
Development Cocje, regulating the coDstruction and use of
bulldings, and may lte suspended or revol<cd at any tlme
upon violation of any provisions of said ordinances.
Recei pt Nurnbcr:--
Plans Rcvlewed l3y Date
Plan Check Fee:
Date Pald
Recelved By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Developmcnt Charge is clue on all undeveloped
properties wlthln thc City linrits which are being improved,
ITEM
Flxtures
Resldentlal Bath(s)
Sanltary Sewer
Water
Storm Sewer
Moblle Home
(c)
FEE
N0
FT,
PLUMBING PERMIT
Plumblng Permlt
State Surcharoe
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
(D)
N0Vent Fan
Mechanlcal Permlt
lssuance
Stale Surcharge
Total Permlt
MECHANICAL PERMIT
Furnaco
Exhaust Hood By slgnature, I state and agree, that I have carcf ully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City ol Sprlngf ield, and the Laws
of the State of Oregon pertalnlng to thc work descrlbed
hereln, and that NO OCCUPANCY wlll be macJe of any
structure wlthout perrnission of the Bulldlrrg Safety Divislon.
I further certify that orrly contractors and employees who
are In compllance with ORS 701.055 will be used on thls
prolect.
lfurther agree to ensure that all required inspections are
requested at the proper tlme, that each adc.Jress ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will re
Slg natu re
Date
aln
on the site a lt mes during c ructi
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
sioewaix
-
ft
Curbcut ft
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Comblned)
c(rybx
DATE PAID
AMOUNT RECEIV
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
-wm
FT.