HomeMy WebLinkAboutPermit Plumbing 1995-7-28
RESID.ENTIAL. _
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
ASSESSORS MAP:
LOCATION OF PROPOSED WORK:
\i o'"\. .~lA
LOT:
BLOCK:
OWNER: YA""T' tDAet..
ADDRESS: ~~~~~__.______~._._~_~~e.,
CITY: c:;..cr -F1::>_______ ___ STATE:
'-.
JOB NUMBER
q'&sl-~
225 Fifth Street
Sprlng(leld, Oregon 97477
TAX LOT:
~
SU BDIVISION:
PHONE:
DESCRIBE WORI~:
~~4-P=>
ZIP:
ct141,
NEW.
'it
'Dr'L -- t"Z... - Uo4
F1EMODEL __-"-_ ADDITION
DEMOLISH
OTHER
CONTRACTOR'S NAME ADDRESS
GENERAL: _l::L~~._\(d:Pre.DP__ 4S\ i"l.,ni f>L
CON ST.
CONTRACTOR II
5f:rM,,:> G~"'74-~
PHONE
~47-1433
PLUMBING:
MECHANICAL:
ELECTRICAL:
EXPIRES
C1! t O/q r;
I I
QUAD AREA:
II OF BLDGS:
OCCY GROUP: _____
II OF STORIES: ___.
WATER HEATER:_..
- OFFICE USE -
LAND USE:
I{ OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGE:
FLOOD PLAIN:
ZONING CODE:
II OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE: ___
To request an Inspection, you must call 726-3769. This Is a 24 hour. recording. All Inspections requested before 7:00 a.m. will be
made the sanJe worl<ing day, Inspections requested after 7:00 a.m. will be made tho (ollowlng work day.
REQUIRED INSPECTIONS'
o Ternpornry Electric
o
Slto Inspection - To be mado
after excavation, but prior to
setling (orms.
o
Underslab Plumbing/Electricall
Mechanical - Prior to cover.
o
Footing - A(ter trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting,
I
o
Foundation - After (orms are
erected but prior to concrete
placement.
o Underground PllJfllbing - Prior
to t111lnQ trench.
o
Undertloor Plumbing/Mechanical
- Prior to Insulation or decl<lng.
o
Post and Bea~ - Prior to floor
insulation or dec'<ing.
o
Floor Insulation - Prior to
decking.
o
. "-
Sanitary Sewer - Prior 'to (1lIIng
trench.
O Storm Sewer - Prior to (illlng
trench.
D Water LIne - Prior to (illing
trench.
~ Rough Plumbing - Prior to
JG1 cover.
o Rough Mechanical - Prior to
cover,
o Rough Electrical - Prior to
cover. ,
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o FIreplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
~over.
o Drywall - Prior to taping.
D Wood Stovo - After Instal/atlon.
, 0 Insert - After fireplace approval
'- and Installation o( unit. -
o
Curbcut & Approach - After
rorms are erected but prior to
placemont o( concrete.
o Sidewalk & Driveway - After
excavation Is compieto, forms
and sub-base material In place.
o
Fence - When completed.
o
Street Trees - When all required
trees are planted.
"I7l Final Plumbing - When all
~. plumbing worl< Is complete.
" ,/
D Final Electrical - When all
t--' '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.
D Othar
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete. '
o Plumbing Connections - When
homo 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 - Atter all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
Lot Type
Lot sq. Itg.
Interior
Lot coverage
Corner
Topography
Total heIght
Panhandle
Cul-de.sac
BUILDING PERMIT
ITEM sa. FT. x $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
Setbacks
I P.L. HSE GAR ACC
IN
Is
Iw
IE
VA LU E
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures 0
Residential Bath(s) NO
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge ~o~u
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
, (t
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
L..__
FEE
'00
, 00.0()
'2.4-0
~z...4l>
,'... "
~2.4-0
,-,.
IS THE PROPOSED WORt< 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.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition IIlat the said
construction shall, in all respects, conform to tile Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the cOr)struction and use of
buildings, and milY be suspended or revol<ed at any time
upon violation of any provisions of said ordinances.
Plan Check Fee: ____
Date Paid:
Receipt Number:____._n_________.~_
Received 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 cmefully examined
the completed application and do hereby certify that all
In(ormatlon 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
heroin, 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 agme to Elnsuro that all required Inspections are
requested at the propElr tI me, that each address Is readable
from the street, that the permit card Is located at the front
of the property, and the approved SElt of plans will remain
on the site at~)~nstrucllon.
Signature . 7
7/.47'/7'..5-
/ /
Date
VALIDATION:
RECEIPT NUMBER 01 &t;c>"'2--
DATE PAID 7/2.6 Jq_? ___.
f- I ~"2.. 40
AMOUNT RECEIVED _____.___ _
~l-~.
RECEIVED BY ..v ~