Loading...
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 ' ------.--- ----...... , ~/'"\. '. TAXLO;-I~~4rO .' SUBDIVISION: PHONE: "~J3''I~-63/7 ~ ,-'------ OWNER: ......---- -:.JO}11Ll AIJ dE:e.&cJ/J //' ADDRESS: /#.:2 7 /J1lI1J~oAJ LA>>~' ~Fr~ ,*~nJ-fleJo!. -----------. 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~