HomeMy WebLinkAboutPermit Plumbing 1995-8-25
RESIDENTIAL
PERMIT APPLICATION
,
LOT'
.
SPRINGF~ELD ",
.
C\~L\4-
BLOCI"
JOB NUMBER
225 Filth Slreel
Springfield, Oregon 97477
TAX LOT:
n \'5'W
"
SUBDIVISION'
OWNER: J.\l~rH\' X~ ~\DYl>. \J, PHONF'
ADDRE~'~.-;~'\\-()S Vs\.~lJlO W U\()Jlo ~
CITY: ~'l..l)JU(\C\i~n 011 ~ STATE:~\\fJlf\rt(\
\ ~~ 1\ ,\ _
DESCRIBE WORI<\_ ~ a -\)~ \ ~I::\\l M c.\- \ f\.D~
NEW REMODEL ADDITION
CONTRACTOR'S NAME
DEMOLISH
OTHER
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Y l'tl-'
- A
~l()tWt&LY
ZIP:
CONST,
CONTRACTOR'
PHONE
ADDRESS
::~:':G:mflLLCiD~ 0\ Jl1l1OllQr
MECHANICAl ' ~\
ELECTRICAl'
\1;{\P?.;t
EXPIRES
e'\5Lfo ?ft6.@1-~
- OFFICE USE _
QUAD AREA: , LAND USE: FLOOD PLAIN'
. OF BLDGS: . OF UNITS: ZONING CODE:_
OCCY GROUP: CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATEn: RANGE: _ SQUARE FOOTAGE: _
To request an Inspection, you must call 726,3769, This Is a 24 hour recording, All Inspections requOSled beforo 7:00 a,m, will be
made the same working day. Inspections requested after 7:00 a.m. will be made tho following work day. . ..0
o Tornpornry Electric
o Slto Inspection - To be mado
after excavatIon, but prior to
sOiling forms.
o Underslab Plumblngl Electricall
Mechanical - Prior to Cover.
o Fooling - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting,
o Foundallon - Atter forms are
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to IIIl1nQ trench,
o
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Boa~- Prior to floor
Insulation or docking.
r\:"1...,itoor Insulallon - Prior to
~clecklng,
~nltary Sewer - Prior 10 tilling
tronch.
~lorm Sewor - Prior to filling
trench.
~ator Line - Prior to filling
trench.
~ROU9h Plumbing - Prior 10
cover.
REQUIRED INSPECTIONS
o Rough Mochanlcal - Prior to
cover.
o Rough Electrical - Prior to
cover. '
o Electrical Service - Must be
approved to obtain pcrmanent
electrical power.
o Flroplace - Prior to facing
materials and framing Insp,
o Fram,lng - Prior to cover.
,0 Wall{Celllng Insulallon - Prior to
cover. ,
o Drywall - Prior to taping,
o Wood Stovo - Attor Instal/allon.
o Insert - After fireplace approval
and Installation of unit.
o Curbcut & Approach - After
(orms are (Hocted but prior to
placemont of concrolo.
o Sidewalk & Driveway - After
excavation Is completc. forms
and sub.base material In place.
o Fence - When com~leted.
D Stroot Troes - Whon all required
trees are planted.
III ~ Plumbing _ Whon all
Lifr;;~;blng w9.rl< Is complot,e.
D Final Electrical - Whon 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 Sel.Up - When all
blocking Is complete,
o PlumbIng Connoctlons - When
homo has been connected to
water and sewer.
o
Eloctrlcal Connocllon - When
blocking, set.up, and plumbing
Inspecllons have beon approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, sklrllng, decks, and
venting have been Inslallod. .'
,,.
Lot faces Lot Type. Setbacks . THE PROPOSED WORK IN THE
Lot sq, ltg, Interior I P.L. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this appllcallon must be signed
Is I and approved by Ihe Hislorlcal
Topography Panhandle I Coordinator prlor 10 permit issuance.
Total height Cul,de.sac W
,E I APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on the express cor,dition IIlat the saId
construction shall, In all respects, conform to Ihe Ordinance
adopted by the City 01 Springficld, including the
Development Code. regulating the cOf)$truction and use of
buildings, and may be suspended or revoked al any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
Date Paid:
Total Value
ReceIpt Numbcl:__.
Building Permit Fee
Slate Surcharge
Received By:
Total Fee
(A)
Plans RovlcWC'd"'Oy..m______--
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City Ii mils whicl1 Brc being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FIxtures
~
FEE
PO
Residential Bath(s)
N'
Sanitary Sewer
FT,
Ae:;
AS
~s
Water
FT,
Storm Sewer
FT,
Mobile Home
Plumbing Permit
cO
I~S,
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
. By signature, I slate and agree, thai 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 01 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 wllh ORS 701,055 will be used on this
prolecl.
Exhaust Hood
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Sltrcharge
Total Permit
(D)
Date
I further agree 10 en
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
Ii
Curbcul
Ii
Demollllon
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
l\.Q11tJ
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT REC
RECEIVED BY
\~3f_
A'~S."t'\
- ~1O
State Surcharge
Total Miscellaneous Permlls (E)