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