HomeMy WebLinkAboutPermit Plumbing 1996-11-16:;PFlIhr(;FTELD
RESIDENTIAL
PERMIT APPLICATION
Inspections:726-3769
Office:726.3759
LOCATION OF PROPOSED RK:
ASSESSOFIS MAP:
3 3/4
JOB NUMBER
225 Fif tlt Strcet
Sprlrtgtleld, Ore gon 97477
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2 ,)
TAX LOT:
SUBDIVISION
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\S tr_STATE:?'l tt o 8
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1lA-Da7sPHONE:
CITY:
ADDRESS:
OWNER:
ADDITION
C
#-
/2. c
EMOLISH OTHER
DESCRIBE WOFIK:
NEW
-
FIEMODEL
ADDRESS
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t)L/ q o
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4
EXPIRES ,.1 PHONE
MECHANICAL:
CONTRACTOR'S NAME
CONST.
CONTRACTOR #
12 t a?sgy r-
a.2.O?-
GENERAL:
PLUMBING
, OF BDFIMS
_ OFFICE USE _
LAND USE:
WATER HEATEFI
HEAT SOURCE:
QUAD AREA:
, OF BLDGS
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SOUARE. FOOTAGE:
OCCY GROUP:
r OF STORIES:
CONSTR. TYPE:
-
T.c request an Inspcct!on, ycu must cell 725-37$9. Thls ls a 24 hc':r recc:'Clng. Al! ln=pectlcris reciueslec! bcforc 7:0C a.in. v;lii be
made thc santo worklng day, lnspectlons requested after 7:00 a.m. wlll be macle the followlng work day.
REOUIRED INSPECTIONS
Temporary Eloclrtrc Rough Meclranlcal - Prlor to
cover.
Flnal Plumbing - When.allplumblng worl( ls complete.
Slte lnspectlon - To be madc
af ter excavallon, but prlor to
settlng loilns.
Rough Electrical - Prlor to Flnal Electrlcal - When all
eleclrical worl( is complete.cover.
Electrlcal Servlco - Must be
approvec'l to obtaln permanent
electrlcal power.
Final Mecharrlcal - When allmcchanlcal work ls cornplcte.
Flreplace - Prlor to faclng
materlals and framlng lnsp.
Flnal Buildlng - When all
requlred lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng -. Prlor to cover,
Foundallon - Afler forms are
erected bul prlor to concrete
placemont.
Other
Wall/Celling lnsulallon - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.[-_l Drywall - Prlor to taptng
Underlloor Plumblng/ Mechanlcal
- Prlor to lnsulatlon or decklng.
!uoB!LE !-toI.4E !NSPECTIONS
Wood Stovo - Af tcr lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approvgl
and lnslallatlon oI unlt.
Blocking and Set.Up - Wtren allblocklng ls complete.
Floor lnsulalion - Prlor to
decklng.Curbcut & Alrprroach - After
forms are ert,.cted but prior to
placemcr-r t of concrct<:.
&:m. i*1 ::: 1.".J ;,.,1""" * YJ ".
water and sewer.
Sanllary Sewer - Prlor to f llllng
lrcnch,Eleclrical Conneclion - When
blocking, set.up, and plumblng
lnspections have been,approved
and the home is connected tothe service panel.
Slorm Sewor - Prior to lllllng
trench.
Sidewalk & Drlveway - After
excavation is complete, fornts
and sub-base malerlal in place.
Water Llno - Prlor to filling
trench,[--l Fence - When compteted
Slreel Treos - When all requlred
trees are planted.
Final - After all required
inspections are approved and
porches, sklrtlng, decks, and
ventlng have been lnstalled.
Rough Plurnbing - Prior lo
cover.
!-1*
LOT; -- BLOCK:
l{s<c c',2 y- t u),, A*-.- ha a t
ELEgTRICAL:
RANGE:
, OF UNITS: _-
l---l Underslab Plumblng/ Electrical/|J Mechanlcal - Prlor to cover. I I
J--l Footlng - After trenches areu excavated.E
tl
tl
E
E
tl
tl
r
tl
E
tl
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typr-
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbacks
PL.HSE GAR ACC
N
S
E
r lS THE PROPOSEO WORK tN THE
HISTORICAL OISTRICT, OR ON
TI.IE H ISTORICAL REGISTER?
lf yes, thls appllcatlon must be slgnedarrd approved by the Hlstorlcal
Coordinalor prlor to permlt lssuance.
APPFIOVED:
BUILDTNG VALUE, PLAN CHECK
AND BUILD]NG PERMIT
Thls pernrit is granted on the express conditlon lhat the saldconstruction slrall, in all respects, conform to the Ordlnanceadopted by thc City of Springfteld, inctudlng the
Development Cocle, regulatlng the constructlon and use ofbulldings, and may be suspended or revokcd at any tlmeupon violation of any provisions of sald ordlnances,
Plan Check Fee:
Date Pald
Receipt Number:_
Received By:
Plans RcviewccJ By Date
Systems Development Charge is due on all undeveloped
properties withln thc City linrits which are belng improved.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have carofully examlned
the completed applicaUon and do hereby certlfy lhat all
lnformatlon hereon is true ancl correct, and I turlher cerilfy
that any and all work performed shall be done ln accorrJance
wlth the Ordinanccs of the Clty of Sprlngf ield, and the Laws
of the Statc of Oregon pertalnlng to tho work descrlbed
hereln, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bulldlng Safety Dlvislon.
I further certl,y that only contractors and employees who
are ln compllance with ORS 70.1.055 wlll be used on lhls
prolect.
I f urther agree lrr ensr.!re that e!! rcq.;lred Inspections are
roquested at the propcr tlme, that oach address ls roadablo
from tlro slreet, that the permlt card ls located at the lront
of the property, and the approved set of plans wlll remaln
on the slte at all times durlng conslrucilon.
Slgnature
Date It-6 -7Q
VALIDATION:
RECEIPT NUMBE
DATE PAID
R
(
AMOUNT RECEIVED
BUILDING PERMIT
VALUE
(A)
SO. FT. X $/SO. FT,ITEM
Main
Garage
Carport
Total Value
Bullding Permit Fee
State Surcharge
Total Fec
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Resldcntlal Bath(s)
Sanllary Sewer
Water
Storm Sewer
Moblle Home
stare surcharoe + 3% C,'t. fraa\n
FEE
A.1t
Total Charge (c)
K I lL
Plumblng Permlt
PLUMBING PERMTT
/b ?e
FT.
No
. FT.
MECHANICAL PERMIT
Fu rnacc
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Flreplace Unlt
Dryer Vent
/n\
Mechanlcal Permlt
lssuance
State Surcharge
Total Permil
MISCELLAN EOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (exclu<Jing elecrric:r ,rT/@
(A, B, C, D, ancl E Combincd)RECEIVED BY
ZS77b
+
l,->o
FT.