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HomeMy WebLinkAboutPermit Plumbing 1995-1-26 RESIDENTIAL PERMIT APPLICATION .. SPRINGFIELD Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK' /1/.')9;/ I '-It, () ASSESSORS MAP: / ? I') ~ -;;''7 .d ') LOT' BLOCK: .- q~8 JOB NUMBER 225 Flllh Slreel Springfield, Oregon 97477 ./Vte- PAasQ/V PIA c. ~ TAX LOT: 00 r e Z) SUBDIVISION: Se..VI~~"PH~~~N<'Y OWNER: HCliJ"'v') 4 vrh or'dy ft L()""MII~~'fv ADDRESS:' ~C)O'VII. r:AI~VJ"w Dr CITY: Sf'Y"IN!;,J .f;.o.h< Plu", biN" '-ror DEscnlBE WORK' A-dlt{ REMODEL 'I.... ADDITION NEW STATE: ..CL\'"' ~ 6.K.7- "1010 ZIP: q7'17~_ ~ 111 --- W A-.s- A I /V ., ./vI A- c. A i/V e. - OFFICE USE - LAND USE: . OF UNITS: _I 1\ CONSTn. TYPE. _ HEAT SOURCE: RANGE: o Rough Mochanlcal - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - MuSI be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - PrIor to cover. o WalllCefilng Insulation - Prior to cover. o Drywall - PrIor to taping. o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation 01 unit. o Curbcut & Approach - Alter forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - Afler excavation Is compietc, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all requIred trees are planted_ . \!' CONST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' EXPIRES GENERAL: EArl 8J(; ~,k.... fib 1350CI,/H"J"...... (..,..~...." '17130 IO&il:L.5 PLUMBING'/" Art $..c.'rk<. rIb /1.J'O Ch,H..};.."J.' r"",>c'M ~7?30 1~/19/'1.5 I - - MEC,HANICAI' ELECTRICA' . DEMOLISH OTHER QUAD AREA' . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER' PHONE 3'1"1b902. 3 "(~ 6.' 162. FLOOD PLAIN' ZONING CODE: _ . OF BDRMS: SECONDARY HEAT: ___. SQUARE FOOTAGE: .' To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requesled bel~re 7'00 ~ -m-:il1 b made the same working day, Inspections requested aller 7:00 a.m. will be made Ihe following work day, ... 0 REQUIRED INSPECTIONS o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electricall Mechanical - Prior to cover. o Footing - Aller trenches are excavated. o Masonry - Steel IDeation, 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 Insulation or decking. o Floor Insulation - Prior to decking. ' o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior 10 filling trench. o Water Line - Prior to filling trench. rRI Rough Plumbing - Prior to ,cover. r::::1l Final Plumbing - When all ~ plumbing work Is complete. D 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 completed. DOthor 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 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 faces LOI Typee ,. . f~: . . Lot sq. fig. Interior Setbacks I PL. I HSE GAR I N I I S I Iw I I I ~J ACC I I IS THE PROPOSED WORK IN THE. ""HiSTORiCAL DISTRICT, OR ON THE HISlORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Lot coverage Corner Topography Total height Panhandle Cul.de.sac APPROVED: BUILDING PERMIT ITEM SQ. FT. X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit Is granted on the express condition thai the said construction shall, 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 Carport Plan Check Fee: Total Value Date Paid: Building Parmi I Fee ReceIpt Number: Slate Surcharge Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM Fixtures 2.. FEE 2.0,00 ADDITIONAL COMMENTS Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit /0" 1- ,1,.0 , , (C) " . (p C> ....2:./,f.?O State Surcharge Tolal Charge 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 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 thai 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 project. Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensuro that all re~ulred Inspections are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all Urnes d~ construction. Signature ~/5~ I - ;J-[, --q 5 Date MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcul fI Demolition State Surcharge VALIDATION: RECEIPT NUMBER DATE PAIr> /0/// /12~hr 2../6~ ~4~__ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B, C, D, and' E' Combined) 2/,bO AMOUNT RECEIV~" RECEIVED BY