HomeMy WebLinkAboutPermit Plumbing 1994-10-18
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSEDOW~~ q~
ASSESSORS MAP: \ f) C) ~\o (:5' .
LOT:
BLOCK:
JOB NUMBER
C{4.533,
225 Fifth Street
Springfield. Oregon 97477
TAX LOT:
SUBDIVISION:
OCCJ~cx)
::::::r~MMJJ
PLUMBING:.~_'i\U.V.
MECHANICAL:' r7 '\
ELECTRICAL: ill ,"'.(ll> Y.-J
n
OTHER
PHONE: "4\.1'~[-\
ZIP: q~)4'/~J
~~
ADDRESS'
CONST.
CONTRACTOR #
PHONE
EXPIRES
- OFFICE USE -
QUAD AREA' LAND USl=' FLOOD PLAIN:
# OF BLDGS: # OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR. TYPE: # OF BDRMS:
# OF STORIES: HEAT SOURCE' SECONDARY HEAT:
WATER HEATER: RANGE: 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 same working day, Inspections requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrlcall
. Mechanical - Prior to cover.
D Footing - After ~renches are
excavated. .:
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to 'concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
-,Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking. .
o Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench. .
o Water Line - Prior to filling
trench. .
~. Rough Plumbing - ~rlor to
cover.
.,
- .
QUI RED INSPECTIONS
. c~:e~h $~'~lJ~
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
ramlng - Prior to cover.
i
all/C'elllng InsJlatlon - Prior to
cover.
Drywall - Prior to taping.
D Wood Stove - After Installation.
o Insert - After fireplace approv"l
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base materIal in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. .
Inal Plumbing - When all
plumbing W9rk Is complete.
Inal Electrical - \fIJ.hen all
electrical work Is complete.'
Inal Mechanical - When all
mechanical work Is complete.
Inal Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - Whep all
blocking is complete. .
o Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plu~blng
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 Lot Typ,
I
Lot sq. ftg. Interior I P.L.
Lot coverage Corner N
Topography Panhandle S
Iw
Total ~elght Cul-de.sac
IE
. :' .:: ',; ; ~..;\.;' ;j~:.~i'~f;':~'}'.-'
IS THE PROPOSED WORK tNTHE - .
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 .
HSE GAR ACC'
BUILDING PERMIT
ITEM SO. FT. X $/SO. FT.
VALUE
t0ain
Gatage
"
Carport
Total Value
. - - .- -'"
lJ./ '.
(LI
Building Permit Fee
~. g.~ \.31Cr 1-r1'
(A) "--t'"t).V I
State Surcharge
Total Fee
SYSTEMS DEY~WMENT CHARGE (SDC) .
/f1/ l1/o-/'Jt5fffPC. ~.: ~ ft;:-
.J
PLUMBING PERMIT
ITEM
Fixtures
,
o
,-~E.bO
.
Residential Bath{s) NO
Sanitary Sewer FT.
. Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
l S00{}oU
. +a.SO
st ~O()
State Surcharge
.-
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
"c.J)
\~W
to. _
. t.lJf?,
cQ to .:-JL/
Issuahce
State'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
ft
Curbcut
Demolition
State Surcharge
",6J
~ L.o, ~l
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Developme.nt Code, regulating the construction arid use of
buildings, and may be suspend)i\l or revoked at any time
upon violation of any provisions ~f said ordinances.
Plan Check Fee:
~~cr
\
Date Paid:
Receipt Number'
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
\..l ~ l~rr\. 0 J lj~~jS \1\0, uJ J~-)
~ u-\:i\mK~lMJ 0 .'
k) 0 u ) \ ck06wO ?i - '-~
-V
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 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 PI' rty, and the approved set of plans will remain
e slteJat alreS dUrlng2nstru~n. / 81 t...'fl
e ~U I~ ~
/' -r ~
Date
VALIDATION: lm~ .
RECEIPT NUMBER ~J 1,.//l 51 ZJo
DATE PAID ILl . -~';;;[l. .,....,.
AMOUNT RECEI~ ~-C~~l
RECEIVED BY V) lI;Y) ).