HomeMy WebLinkAboutPermit Plumbing 1995-1-26
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
..
SPRINGFIELD
w.t~
LOCATION OF PROPOSED WORK' /'105/ /'107 /1,,-P).,~rS(Yv
ASSESSORS MAP: / 7 t<? .3 -2 7 4. 2-
LOT:
BLOCt<.
-
.
JOB NUMBER
q~
225 Fifth Slreet
Springfield, Oregon 97477
PI,tt.c.. <L
TAX LOT:
SUBDIVISION:
OFJ/<h ~:
6%7- '1010 V .
" V.... 4 '1 <!N<"y
So.?r J(........PHO~:
OWNER: H(Ji1~I,v,) !) vrh or'dx-~ L.o'irlmv~>f'V
ADDRESS" ~ DO'IN r::A II--VleW Dr
CI;Y' Sf'Y"I/V!} -f'/<?b<.
PI LJ lr\. b I/V" .-f'-o 'r
DESCRIBE WORK: Ad~'-
REMODEL '/..
NEW
STATE: .r"> \-0 ~
ZIP:
Cf7'f77
1I\IA-5 A 1/V.,/l1A-c...f...i/Ve
REQUIRED INSPECTIONS
o Rough Mochanlcal - Prior to
cover.
D Rough Electrical - PrIor to
cover.
o Electrlcal'Servlce - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Slovo - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
(orms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is compietc, forms
and sub-base materIal In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
OTHER
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES
GENERAL: LArl BJ';~kl<. Pib 1350CJ,,f)nJ,,.,.,r E...d_ '17130 w/~'1h5
PLUMBING: CArt l{:cerh rIb /1.5 0 ChHflb.."4' E~C>M <17130 ,4/9/-r,S
MECHANICM'
ADDITION
DEMOLISH
ELECTRICA' .
PHONE
:3 '/'1 b '102.
3 Y<f 6.,90.2..
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNITS: _ \ ZONING CODE: _
OCCY GROUP: CONSTR. TYP~. . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT: __._
WATER HEATER: RANGE: _ SQUARE FOOTAGE: _
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be
made the same working day, 'Inspectlons requested after 7:00 a.m. will be made the following work day.
o Temporary Electric
o Site Inspection - To be made
after excavation, but prIor to
setting forms.
o Underslab Plumbing I Electrlcall
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o 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 Underfloor Plumbing/Mechanical
. - Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
deckl ng.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
O Waler Line - Prior to filling
trench.
M Rough Plumbing - Prior to
o cover. .
MFlnal Plumbing - When all
~umblng w9rk Is complet.c.
o 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
comp/eled.
o Other
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 approvCd
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installecl.
-
" "0
.
Lot faces
Lot Type.
;.' . (.~~ ~
Setbacks
HSE GARIACCI
I
I
Iw I I I
lLLLLJ
I RL.
IN
Is
IS THE PROPOSED WORK IN THE.
"HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Lot sq. fig.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO, FT. c VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
Carport
"
This permit Is granted on the express condition that the said
construction shal" In all respects, 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.
Main
Plan Check Fee:
Total Value
Date Paid:
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
Fixtures
2-
FEE
'//J
ADDITIONAL COMMENTS
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
Water
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge I~() ~ 100
Total Charge (C)
:2.0<'1::>
/&,0
2/,~{)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
By'slgnature, I state and agree, that I have carefully examined
the completed application and do hereby certify 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 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 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
projecl.
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all rec:tulred Inspections are
requested at the proper time, that eech address Is readable
from the street, that the pormlt card Is located at the front
of the property, and the approved set of plans will remain
on the site at all times during construction.
Signature ~~
, C/
I - ;:J--b - l' .r
Date
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
fI
Curbcul
ft
DemolitIon
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, 6, C, 0, and' E' Combined)
7/r6tJ
I~ /r'"/
1/24?/'5'r
AMOUNT RECEIVED 2/. P 0
#;;P;;,
\.
DATE PAID
RECEIPT NUMBER
Total Miscellaneous Permits (E)
RECEIVED BY