HomeMy WebLinkAboutPermit Plumbing 1996-10-29
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ADDRESS:5:/9h r6rSLj/-l't..(.a~0
5p-v/~.~uld
DESCRIBE WORK: _J2t!,'.I2//26P ()l.d ../lert' / t!!cJld
RESIDENTIAL,
PERMIT APPLICATION
Inspections: 726.3769
Office: 72~.375~ .'
ASSESSORS MAP:
LOT:
OWNER:
CITY:
NEW
REMODEL
()/,p ZIP: 97~7 X'
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OTHER
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SPRINGFIELD
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. BLOCK:
STATE:
ADDITION
DEMOLISH
.JOB NUMBER
225 Fifth Street
Springfield, Oregon 9747.7
f);e.
TAX Lbi-: _n:{ fYYQ
SUBDIVISION:
PtiONE: __7~ - 0ro~;2 .
, CONS~
CONTRACTOR'S NAME. ' ADDRESS, lA~ ., CONTRACTOR /I ~XPIRES ':' PHONE
GENERAL: ftJ.i tj!u~~~~ ~~ ~~ ' ,. ,lJtJh ~&/)Q.t) b'f:9-9'l . /(C!~7g 12/'94-
PLUMBING: . , , / JLJO'-~57-qq'//
MECHANICAL:
ELECTRICAL:
QUAD AREA:
/I OF BLDGS:
OCCY GROUP:
/I OF STORIES'
WATER HEATER:
~ OFFICE USE -
LAND USE:_
/I OF UNITS:
CONSTR. TYPE:
HE'AT SOURCE:
RANGE:
FLOOD PLf'.IN:
ZONING CODE:
/I OF BDRMS:"
SECONDARY HEAT:
SQUARE 'FOOTAGE:
To request a0 inspection, you must call726.376~. This is a 24 hour recording, All inspection,s'requested be'fore 7:00 a,m, willlJe
made the same working day, Inspections requested after 7:00 a.m.' will ,be made the following work:. day.
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
, setting forms.
D Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are.
excavated. '.
, REQUIRED INSPECTI,ONS
~ .
D noughMechanical -;-'"Prior to
cover. , ','
. ,."', '., '.
, D.noughElecfrical -:- :Pri9'r:to
,~o~~ .
D Electrical Service - Must be
'," approved to 'obtain permanent
, electrical power.
o
Fireplace ~ Prior, to facing
materials and: framing Insp.
D Mason.ry ~, Steel location, bond.
, beams,. grouting. . '
',0 ~ra~ing - Prior, to cover.
o Fou'ndation - After forms are
erected but prior to concrete
. placement.
D Underground Plumbing....., Prior
to filling trench; ,
D Underlloor Plumbing/Mechanical
- Prior to insulation or decking.
D Post and Beam' - Prio( toJloor
Insulation or decking. "
, ,
. '
D' Floor Insulation ~ Prior to
decking. ' , ,
D Sanitary Sewer - P.rior to filling-
trench.
D Storin Sewer'- Prior to filling
trench. " "
o Water Line - Prior to filling
trench. .
D Rough Plumbing .-'prior to; ,
cover. ' ,",. ,,::
",
o Wall/Ceiling Insulation, -Prior to
cover. ;
o Drywall - Prior to taping.
o Wood Stove .~After i~~tallailon.
o Insert - After,flreplace approvZjI
and installation of unit. ' '
" 0 Curbcut & Approach - After
forms are erected but prior to
placem'ent ,of concrete.
o Sidewalk & Drivewav -"After
'excavation is compiet~, Corf\lS
and sub.base mc\terial in place.
o Fence, - When comPlet~,d., '.,
, 0 Street Trees - When all required
" ,trees are planted. , ..'
~;
D Final,P.lumbing - WI:1e0all
, plumbing worl<is complete.
D Fjnal.Electrical .....,When all
electrical worl< is complete.
o FinallYlechanical - When all
, , mechanical' work Is complete~
o Final Building':'" When all
. .. required Inspections have been'
,approved.and building is
completed.
.~Othe'~~[~
MOBILE HOME. INSPECTIONS
o Blocking and Set.Up - When all
blocking is complete.
o Plumbing Connections -"- When
" ,home tlas 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
tl:1e service panel.
o f:=inal....." After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed"
;.
Lot faces
Lot Typ!
Lot sq. ftg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle "
Cul-de-sac
----'!;::----........
";.: :,
(.-;; IS THEPROPOSED 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.
Setbacks
I Pl.. I HSE . GAR I ACC I
I N II, I
I S I I
I w ~ I,),.
IE
, "i /i
BUilDING PERMIT
ITEM sa. FT. x $/ sa, FT. VALUE
Main , ,
, ~,
Garage "
Carport
\
Total Value
Building Permit Fee
State Surcha~ge
,
Total Fee (A)
(B)
SYSTEMS DEVELOPMENT CHARGE (SDC)
FEE
II), ()()
-1.2e2_
j{() · 'd-()
APPROVED: .
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
NO
Sanitary S!3wer
Water
FT.
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit '
State Surcharge +MVvti h. ~
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permi t
Issuance
State Surcharge
Total Permit
(D)
MISCEllANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
." ;.j, ,~- .~ -~.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
,,-Thi;>'permit is' granted_on the expres~'.condition that 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.
Plan' Check Fee:
Date Paid:
Receipt Number:
, Fleceived By:
""'"
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
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 Ordinanc~s of the City of 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 with ORS 701:055 will be used on this
prOject.
I further agree to ensure that all required 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 approv~d set of plans will remain
on the'site at all times during construction.
SignatureY' qh//'ca L ,,(}iA~
, (j7!)~~- ,_Uk
Date~/J /D -c2-9.-cpo
I~ '
VALIDATION:
RECEIPT NUMBER ;236 Cf.()
DATE PAID I ("J ~,.lq ~ q ~
10~Jj )
{f~_
, AMOUNT RECEIVED
RECEIVED BY