HomeMy WebLinkAboutPermit Plumbing 1995-1-26
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RESIDENTIAL
PERMIT APPLICATION
Inspecllons: 726.3769
Office: 726.3759
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SPRINGFIELD
LOCATION OF PROPOSED WORK: / '-/27 /, LIZ q ,/I1~Pk.r.so-v
178"1 2-7 4-z.,
ASSESSORS MAP'
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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TAX LOT: ~ /?J-rJ
SUBDIVISION:
S.?r V/~ ~vPH"l~~N';:)I'
OWNER:Jf(l.J~I.v.} !}vth or'd'y_'i L.o-,....",I/~>f"
ADDRESS" =? DO 'IN r-::A lrVlew Dr
CITY: Sf'rl/V!} -f'",.b<.
PIL, h\ bw., +0 'r
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DESCRIBE WORK: -A-dd.
REMODEL 'I...
NEW
STATE: _/") \"" <r
62J-if010
ZIP:
Cf7 'I -; "7
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ADDITION
DEMOUSH
OTHER
, CONn
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAL: EArl ~(;~~'''- fib /350Ch.tlnb,',.r (...~-
PLUMBING: (Arl iter/<;< rIb /150 ChA-Mb.....J.' E~c'M
EXPIRES
'1713 0 10//1/'15
"(7130 /(1/19/"5
PHONE
3 '1'1 b '102.
3 '1"( 6:> ? (J2..
MECH,ANICA' .
II ELECTRICAl'
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN'
. OF BLDGS' . OF UNITS: \ ZONING CODE:__
;' CONSTR. TYPE.
OCCY GROUP: -- . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT: __._.
WATER HEATER: RANGF' SQUARE FOOTAGE:
To request an Inspection, you must-call 726.3769. This Is a 24 hour recording. Afllnspeco;;-;,~ r~qUeSledbefore 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
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electricall
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,
.. 0 Underlloor Plumbing/Mechanical
. - Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulallon or deckIng.
o Floor Insula.llon - Prior to
decking,
o Sanitary Sewer - Prior to tilling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
~ROU9h 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 Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
o Insert - AHer fireplace approv~1
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sidewalk & Driveway - Afler
excavation Is complete. forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted.
~Inal Plumbing - When 011
~Plumblng wc;>rk Is complete.
o Final Electrical - Wh~n 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.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
-
Lot (aces
Lol TYP'-
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.
Setbacks
I P.L. HSE GAR ACC
IN
Is
Iw I I I
lLLLL_
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.
Lol sq. fig.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de.sac
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT. _ VALUE
APPROVED: .
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permllls granled on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the Clly.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
Carport
Plan Check Fee:
TOlal Value
Date Paid:
Building Permit Fee
Recelpl Number:
Received By:
Slate Surcharge
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Syslems Developmenl Charge Is due on all undeveloped
properlles within tile Clly limits which are being Improved.
PLUMBING PERMIT
ITEM
FIxtures
2--
FEE
2...0
ADDITIONAL COMMENTS
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
jO...!? +.,"0
(C)
/~O
2../ ,(;,0
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
By signature, I state and agree, that I have carefully examined
the completed application and do hereby eartHy 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 01 the City of Springfield, and the Laws
of the Stale of Oregon perlalnlng to the work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify thai only conlractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensuro that all required Inspections are
requested at the proper time. that each address Is readable
(rom the street, that the pormlt card Is located at the front
of the property, and Ihe approved set of plans will remain
on the site at all times during construct'!)".
Signature ~~~
/~;yj. -1' ~
OslD
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER
/0/",:/
/ /2. to /p..r-
. r ~5~<?
~X-,
Total Miscellaneous Permits (E)
DATE PAIr>
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and' E' Combined)
7-/ ,~ 0
AMOUNT RECEIVED
RECEIVED BY