HomeMy WebLinkAboutPermit Plumbing 1995-10-24
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SPRINGFIELD
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RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Office: 726.3759
'95./=?2 ~
JOB NUMBER
225 Filth Street
Sprlnglleld, Oregon 97477
LOCATION OF- PROPOSED WORK: -6 ~ N/~1?< ~ ~ .
ASSESSORS MAP: / .7~,':3 - ? ::? - /;:; TAX LOT' c:P /;?~ l../
SUBDIVISION'
BLOCK'
LOT:
.OWNER' ""5;YLA"~ ~. ~~?
ADDRECC" ~ y~S-- ~~<;.' W~~ {'..,.;/,
- ~CZ>_ -, - STATE:_~A
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DESCRIBE WORK' .~~L~.4-~
"7 ~..~ V9" V
PHONE:
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ZIP: '.././$'.//
CITY'
aG"h-~~..-?~/~ ~/?r-~~Y~...'5.*r:
OTHER
DEMOLISH
ADDITION
REMODEL
NEW
CONST,
CONTRACTOR #
EXPIRES
PHONE
ADDRESS
CONTRACTOR'S NAME
GENERA' '
~ /~~ /..:7'A7~...~/-
PLUMBING: <!I,;;~ L7 ,--'.:P:("~F.i!'~ ~/
- s:" /"', " .. / ' . . / r
MECHANICAl'
ELECTRICAl'
/L'J/~.2Y ~~ ~~...?5-
r ,-
- OFFICE USE -
FLOOD PLAIN:
ZONING CODE:_
# OF BDRMS'
LAND USE:
QUAD AREA:
# OF UNITS'
CONSTR. TYPE:
# OF BLDGS'
OCCY GROUP:
# OF STORIES: __
WATER HEATER:
SECONDARY HEAT:
SQUARE FOOTAGE:
HEAT SOURCE:
RANGE: _
To request an Inspection, you must call 726,3769, This Is a 24 hour recording. All Inspections requesled belore 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
r17l Final Plumbing - When all
j.A-.l plumbing work Is complete,
. ,
D Rough Mechanical - Prior to
cove~ .
D Temporary Electric
-. ,
D Rough Electrical - Prior to
cover.
D Slto Inspection - To be made
after excavation, but prior to
setting forms.
D Final Electrical - When all
electrical work Is complete.'
D Final Mechanical - When all
',' mechanical work 15 complete.
"
D Underslab Plumblng/Electrlcalf
Mechanical - Prior to cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
D Fireplace - Prior to facing
materials and framing Insp.
"
D Masonry - Steel locatlon, bond
beams, grouting.
D Framing - Prior to cover.
DOthor
D Foundation - After forms are
erected but prior to concrete
placement.
o Wall/C'elllng Insulallon - Prior to
cover.
D Underground Plumbing - Prior
to filling trench.
D Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
D Underlloor Plumbing/Mechanical
- Prior to Insulallon or decking.
D Wood Stovo ~ After Installation.
D Blocking and Set.Up - When all
blocking Is complete.
o Post and Beam - PrIor to floor
Insulallon or decking.
D Insert - After fireplace approv~1
and Inslallatlon of unit,
D Plumbing Connections - When
home has been connected to
.. water and sewer.
D Floor Insulation - Prior to
decking,
o Curbcut & Approach - Alter
forms are erected but prior to
placement of concrete.
D Sanitary Sewer - Prior to filtfng
trench.
o Electrlcs'l Connection - When
blocking, sel.up, and plumbing
Inspections have been approvod
and the home 15' connected to
the service panel.
D Sidewalk & Driveway - Alter
excavatlon 15 compieto, forms
and sub.base material In place.
Cl Storm Sewer - Prior to filling
trench.
D Fence - When completed.
D Water Line - Prior to filling
trench. . .
rt:t Rough Plumbing - Prior. to
~ cover.
D F,lnal - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
D Street Troos - When all required
trees are planted.
.-
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I \ IS "THE PROPOSED WORK IN THE,
. 'HISTORICA~ DISTRICT, OR ON
THE HISTORICA~ REGISTER?
If yes, this eppllcatlon must be signed
and approved by the Historical
CoordInator prior to permit Issuance.
Lot faces
~ot Type.
....
Setbacks
I p.~, I HSE GAR
I N I
I S I
Iw I I II
lLLLL I
ACC I
I I
~ot sq, flg,
Interior
lot coverage
Corner
Topography
Total height
Panhandle
CUI.de.sac
APPROVED:
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VA~UE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
Garage
'.
This permit is granted on the express condition that the said
construction shal" 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.'
Carport
Plan Check Fee'
Total Value
Date Paid:
Building Permit Fee
Receipt Number'
Received By:'
Stale Surcharge
Total Fcc
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Systems Development Charge Is due on all undeveloped
properties within the City IImlls which are being improved.
,-
.,',
Fixtures
~
FEE
h::;::). ...-
ADDITIONAL COMMENTS
Residential Bath(s)
N'
Sanitary Sewer
FT.
FT,
FT.
Water
Storm Sewer
Mobile Home
MECHANICAL PERMIT
..6f:? --
T:1Z. 2--~
T.,?" 7,~
6:..o/".~
Plumbing Permit
State Surcharge
Total Charge
(C)
Furnace
Exhaust Hood
Van I Fan
N'
By slgnature,/ stale and agree, that I have carefully examined
lhe completed application and do hereby cerll (y 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 or the Clly or Springfield, and the ~aws
of the State or 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 certlry that only contractors and employees who
are In compliance with GRS 701.055 will be used on this
project.
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State SurCharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested at the proper Hmo, that each address Is readable
from the street, that the per"" card Is located at the fronl
of the property, a1td th rP ved set or plans will remain
on the site at~ Ii dur. 9 construction.
Signature / /f .../
/ I / V -
Date t!'O~ 2-r; %"'"
/
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
It
Curbcul
ft
Damolltlon
State Surcharge
VALIDATION:
Tolal Miscellaneous Permits (E)
RECEIPT NUMBER /~"'"'?
/p~.'?'S
AMOUNT RECEIVED .& ~B-t:7
RECEIVED BY ~. /......,"'-.~:...Y _.
/" vJ?";.:'
DATE PAID
TOTA~ .AMOUNT DUE (excluding elec\[lcal)
lA, B, C, 0, and E Combined) .