HomeMy WebLinkAboutPermit Plumbing 1995-1-26
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SPRINGFIELD
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK: 1112(,./ /'I2ff /'1~ PA<.r.>o/V
/7D3 27 d L....
ASSESSORS MAP'
LOT'
BLOCK:
.
JOB NUMBER q~~
225 Filth Slrcet
Springfield, Orcgon 97477
P)/-J-C-IZ-
TAX LOT:
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SUBDIVISION:
oS.?\'" VI~ ~""PH1~~...vo;;y
OWNER: H<1"",v.~ .4 vt-h or',.-fy i LO'irlm..u,;;''fv
ADDRESS: ~f?O"\AI ~A''rVJ~u) D'r
CITY: Sf'rIN;1 .f'J.?b<.
PIUh<o.b,N<1 '-rO'r
STATE: ..0... 'r <I!
ZIP:
(.,((7-o-j090,1,:- "
· 'I r?!
. .J.,. ,/ "
q7't77~1)~'
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DESCRIBE WORt<. Add.
REMODEL '/...
II\IA~ A IN.,/I1A-c-AiNe
NEW
ADDITION
DEMOLISH
OTHER
, CONST
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GE~ERAL: EA-~Bf: r k... fih I. 950.0,1l-""J".t-S' (...~",,<
PLUMBING'!' Arl Boer-k... rib /130 C/u.trtb.,,-. E.:-<)C'M
. - -
MECHANICA' .
ELECTRICAl'
- OFFICE USE -
I
I. . OF BLDGS'
OUAD AREA'
LAND USE:
. OF UNITS:
CONSTR. TYPE.
\
OCCY GROUP:
. OF STORIES:
WATER HEATER:
HEAT SOURCE:
RANGF'
EXPIRES
'-17130 to/~'f /.,5
"/ 7130 1~1191'15
PHONE
3 '1"1 b '102.
'3 '1"/6., 902.
FLOOD PLAIN:
ZONING CODE: ____
. OF BDRMS:
SECONDARY HEAT: ___..
SOUARE FOOTAGE:
To"request an Inspec"!r(fn-;-you musrcall 726.3769. This Is a 24 hour recording. All Inspections reQUeSICdRbE:HOrc-':uu~a:f1I:-wlll-Ul;J-)
made the same working day, Inspections requested after 7:00 a,m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Rough Mochanlcal - Prior to
cover.
D Site Inspection - To be made
after excavation, but prIor to
setting forms.
D Rough Electrical - Prior to
cover.
o Underslab Plumblng/Electrlcall
. Mechanical - Prior to cover.
D Electrical Service - Must be
approved to obtaIn permanent
electrical power.
o Fooling - After trenches are
excavated.
o Fireplace - Prior to facing
materials and lramlng Insp.
o Masonry - Steel locallon, bond
,beams, grouting.
o FramIng - Prior to cover.
o Foundallon - Aftor forms are
erected but prior to concrete
placement.
D Wail/Ceiling Insulation - Prior 10
cover.
o Underground Plumbing - Prior
to filling trench.
D Drywall - Prior 10 taping.
D Underlloor Plumbing/Mechanical . D
. _ Prior to Insulation or decking. Wood Stovo - After Installation.
D Post and Beam - Prior to floor
Insulation or decking. D Insert - After fireplace approv~1
and InstallatIon of unit.
o Floor Insulation""",,:, Prior to
decking.
,
o Curbcut & Approach - After
forms are erected but prIor to
placemont of concrete.
o Sanitary Sewer - Prior to IIl1lng
trench.
D Storm Sewer - PrIor to filling
trench.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place.
o Water Line - Prior 10 IIll1ng
trench.
o Fence - When complet~d.
~ Rough Plumbing - Prior 10
~cover.
D Street Trees - When all requIred
trees are planted.
~ Final Plumbing - When all
~plumblng work Is complet.c.
D Final Electrical - When all
electrical work is complete.
o Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
requIred InspectIons have been
approved and building Is
completed.
OOthor
MOBilE HOME INSPECTIONS
D Blocking and Set. Up - When all
blocking Is complete.
D 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.
D Final - After all required
InspectIons are approved and
porches, skirting, decks. and
venting have been Installed.
, " .
.",':" , '
Lol TYP. 0 ,
Lot (aces Setbacks I' IS THE PROPOSED WORK IN THE. I
I
I P.L. GARIACCI '" HISTORICAL DISTRICT, OR ON
Lot sq. fig. Interior HSE
IN I I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Topography Panhandle Is I I and approved by the Historical
Iw I I I CoordInator prior to permit Issuance.
Total height Cul.de.sac lLL-L I
APPROVED:
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
Main
Garage
"
Carport
Totar Value
Building Permit Fee
Slale Surcharge
Tolal Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM FEE
FIxtures -..2.. 2.0.00
Resldenlial Bath(s) N'
Sanitary Sewer FT.
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit 0" . (,(J
-I-
State Surcharge t, "0
Total Charge (C) --.kl. 6 0
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan N'
Wood StovellnsertlFlreplace Unll
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Moblte Home
State Issuance
Slale Surcharge
SIdewalk
II
Curbcut
ft
Demolition
Stale Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and' E' Combined)
2../.&0
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform 10 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 :lI1Y provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number:
Received By:
Plans Reviewed By
Date
Systems Developmcnl Charge Is due on all undev~loped
properlles within the City limits which are being Improved.
ADDITIONAL COMMENTS
By slgnalure, I slalc and agree, thai I have carefully examined
the completed appllcallon and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work pcrformed shall be done In accordance
with the Ordinances of Ihe City of Springfield, and the Laws
of the State of Oregon perlalnlng to thc work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safely Division.
I further cerllfy thai only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all re~ulred Inspections are
requested at the propcr lime, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and thc approved set of plans will remain
on the site at all times during constr~ctlon.
Signature ~ 63 ~~
C/
J - J.-t --1.5
Date
VALIDATION:
RECEIPT NUMBER
DATE PAIr>
AMOUNT RECElv"n
RECEIVED BY
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