HomeMy WebLinkAboutPermit Plumbing 1994-12-19
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOT:
JOB NUMBER
C(4jg81-
BLOCK:
225 Fifth Street
Springfield, Oregon 97477 '
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'. TAXLO;-I~~4rO
.' SUBDIVISION:
PHONE: "~J3''I~-63/7
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OWNER: ......---- -:.JO}11Ll AIJ dE:e.&cJ/J
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ADDRESS: /#.:2 7 /J1lI1J~oAJ LA>>~'
~Fr~ ,*~nJ-fleJo!.
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DESCRIBE WORK: -r]1;Sm'd.~ -A/etJkh9 TF/e. ' SE;eVIO;;-
NEW
REMODEL
CONTRACTOR'S NAME
L
LJNE ^"" /,;2.0 I
OTHER ~)A(,F (jt..LJ L/lVe- '.
CU-l> /I'}/lI/1 Jt/AJ.L) ~rtll C€ AI1A/V,ClJ1.JEt:J
CONST.
CONTRACTOR #
STATE:
tJR.
ADDITION
DEMOLISH
ADDRESS'
GENERA' .
PLUMBING,~ - e~J/n))/)1V UA-TEZ iLlsr.eJc.r
MECHANICAL:
ELECTRICAL:
I
/
ZIR:'
/
'97L177
EXPIRES
PHONE
7~b-J6 76
QUAD AREA:
# OF BLDGS'
OCCY GROUP'
# OF STORIES:
WATER HEATER:
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANGI='
FLOOD PLAIN:
. ZONING CODE:
# .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 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.
o Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
o Footing - After trenches are
. excavated; ,
o Masonry - Steel location, bond
beams, grouting.
o Foundation - After forms are
erected' but- prior to concrete
placement.
o Underground PlumbIng - Prior
to filling trench.
0, , Underfloor Plumblngl Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
O Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewe'r - Prior to filling
trench.
twa~er LIne - 'Prior to filling
trench. '
Rough PlumbIng - Prior to
cover.
REQUIRED INSPECTIONS
o Rough MechanIcal ~ Prior td
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.
o Wall!Celllng InsUlation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stove - Afti:Jr Installatl?h.
o Insert - After fireplace approvl!ll
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 ~omPleted. .
o Street Trees - When all required
trees are planted. .
D Final Plumbing - When all
plumbing w9rk Is complete.
o Final Electrical - If\I.hen 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.
D Other
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - Whep all
blocking Is complete. .
o Plumbing Connections - When
home has been connec,ted to .
water and ,sew1r.
o Electrical Connection - When
blocking, set-up. and pluroblng
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.
'I
Lot faces
Lot Type
Lot sq. ftg.
Interior
Lot coverage
Corner
Topography
Total ~elght
Panhandle
Cui-de-sac , .
BUILDING PEtRMIT
ITEM sa. FT. x $1 sa. FT.
f\1al n
Gacage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
, '.<'~ ~:i:'.;-.'~~i.'~';
,:) THE PROPOSED WORK, tN THE -
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Iss'uance.
Setbacks
I' P.L. . HSE GAR ACC
IN
Is
Iw
IE
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
, ITEM
Fixtures
,
Residential Bath(s) NO
Sanitary Sewer
Water
FT.
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
Stat~. SurCharge, ~%
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuahce
State 'Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
: , State Issuance
State Surcharge
Sidewalk
ft
ft
Curbcut
Demolition
State Surcharge
FEE
4\).(1)1
'40.oJ
, 'l~''LO
'43,W
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (eXC'-Udlng electrical) ': 46.~
(A, B, C, 0, and E Combined)
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on th~ express 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 C.heck Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within tho 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 aliwork 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 property, and the approved set of plans will remain
on the, site at all times during construction.
,d1flature (J ~A1 vi lid
oaf' /).-/9- tjtJ
VALIDATION:
RECEIPT NUMBER _ \ 51 <67
DATE PAID 1~,II(q .Q1',,-
AMOUNT, RECEIVFU ' 1'3. W
RECEIVED BY C/ \l~