HomeMy WebLinkAboutPermit Plumbing 1993-4-13
RESIDENTIAL
PEHMIT APPLICATION
Inspectioflt:: n6-37G~)
o If ice:: 7 2G':l" :',9
LOCATION ()I" PROPOSED won,,:
ASSESSORS f'MP: __L?"'?;>~_'3;I,/-4:.:>
LOT:
-'770
t1s1eY
B LOCI<:
OWNER:__,~Y.M~F '-; ~~~. 6A~
ADDRESS: _,., 1400_, CAt.J o Lt::. LL6-H-r .J/tf. :2l 238.
CITY: ~U6ENE: I 01< . STATE:
DESCRIBE WORI<: M~\J~'Wtro
NEW V REMODEL
ADDITION
~i\A~,
~Mt==JL)r ~ ~~
I
DEMOLISH OTHER
CONTr~ACTOri'S NAMI': ADDFIESS
GEr~I:11AL _~~-/l~,g~,~,---~~~~-~~~-~~~'
) "II / I 'r/ itl '
r I.UMI:IINC.: ,
CONST.
CONTRACTOR II
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~_*:_ Z:~_~ I!_~__
MECHANICAI_ - -~ ,. ...'----- #o.~X-'371..--'
E L Eern IC/\ L: "B.!l~.,_";l.IEZ- I.. ----...-'EU14i/J~3; ~ _'_ _____,_,66 7QC;
_ ," .c:O n )(~ ')
QUA l.J An EA.._.......J,p;:.....u ..
:~;yB~~::pR3j-N1._.
it OF STOntE::;: ...___(_______ '
WATER HEATER: _~ ~
- OFFICE USE -
LAND USE: ~t.-L0()
, 'II OF ~NITS:, --.:-:-t- . _ )
CONSfR, TY-PE: _V L\../
HEAT SOUI;~~: F P-
r" c2
El.A:NG-E: r ~
/
JOB NUMBEFl..g3-Q~J12
225 Fillll Streel
Sprinu1iulel, Ore\Jon 97,177
TAX LOT:
6'~~
SUBDIVISION:
PHONE:
6Efs- 2&1.9-_
ZIP:
9740 '2-
UJcllL~- ~D +eA-MG ~.
,
EXPIFIES PI'IOI'IIC
___..,!ZbI93____ ~." ~-7761..
!.IL~"-/9 3.... ,6B9-776Z-
_, 9 "!n..:/f7-/C/
FLOOD PLAIN: __,_,._ ,. --
ZONING CODl:: W_e....::2_..,..
1/ OF BDRMS: ~~_-_ _
SECONDARY HEAT: --n-~uD
SQUARE FOOTAGE: _ t~____,__
To requcst an inspection,you IlIUst c~lil 726-3769, Tl1is is a 24 hour recording, All inspections requcsted before 7:00 ;t,m, willl:>c'" --.-'
made the same world ng (lay, I nspec'tions reques tecl after 7:00 a,rn, will be made tile followl ng work day,
o Temporary Electric
o Site Inspection - To be made
after excavation, I:>ut prior to
sclti1lfJ iorms,
,~
~Unclerslilb Plum,bi,~ IElectric:'I~'
L..E:I Mecl131t1cal - 1"1'101' ' '
'Cp
o
Footin9 - Afler trenches are
excava I ,:el.
Masonry - S\("ol location, bond
bearns, ~Irouting,
q;ouncl<Olion - After forms are
ereclecl IJut prior 10 concrete
placerlJ(:;nt. '
o
Under~Jlound Plurnbing - Prior
to fillino trencl),
o
'",,-
Undcrfloor PlumbiflgIMechanical
- Prior to insulation "o'hlecking,
o
Post and Beam - Prior to floor
insulation or eJecldng,
I, 0 Floor Insulation - Prior to
decl,lng,
l7f);anitary Sewer - Prior to filling
\ lrencll.
C/1storrn ~:;ewer - Prior to rillin~J
l'trencll.
r;7)7water Line - Pri,:>r to fillinD
~'tren<.:ll.
o ROUDh f'lumbinD - Prior to
covel,
REQUIRED INSPECTIONS
[=:J Rough Mechanical - Prior to
cove~ ,
~~:'hElq~
[rti)lectrical Service - Must be
\' :pproved to obtain permanent
electrical power. ~
I=:J Fireplace - Prior to facing
materials and framing Insp.
~Framing - Prior to cover.
o Wall/C'eiling Insulation - Prior to
cover. '
D Drywall - Prior to taping,
o Wood Stove - After installation,
o Insert - After fireplace approval
ancl installation of unit.
l=:l
Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
I=:J Sidewalk & Driveway - After
excavation is complete, forms
and sub,I;:lc;e Illalerlal i,n place,
\
Fellce - Will'" completed,
[J
1=:J
Street Trees - When all required
trees are planted,
o Final Plumbing - Wilen an
plumbing worl, is complete,
~I Electrical - Wilen all
L..J7j;~ trical q~~te,.)
o Final Mechanical - ~en all
,mecl1anical worl( is complele,
/7
I \.Lf.)'inal Building - When all
~ required insp'cctions have bl,:<:,n
approved and buildin'J is
completed, qo.A~,
o Other
MOBILE HOME INSPECTIONS
~IOCking and Set-Up - Wlkn all
T' ~IOCking is complele,'
~IUmbing Connections - Wlll~n
Lt-l ;)ome has been conn0.cted to
water and sewe~
74leClriCal Connection - Wilen
blocking, set.up, anci I'lull1binn
~nspections Il,we been "'1.1provt:t1
ancl lite 110me IS connected Il'
the service panel.
~' inal - Afler all requir';,!
inspections are approved anci
porches, skirting, clecl<s, and
venting Iwve I)cen in~;liJlleel.
Lol faces
Lot Type
Lot sq, ftg,
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-de-sac
BUILDING PERMIT
ITEM SQ, FT. X $/SQ, FT.
Main /~ur~tF-YjJ_~e
Garage 5/br ,
Carport
~~~
Total Value
Building Permit Fee
State Surcllarge
Total Fee
(A)
Setbacl<s
P.L. HSE GAR ACC
,~THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
N
S
Iw
~-
VALUE
~_.....~
7
~~
~ ~7:?
SYSTEMS DEVELOPMENT CHAR~~ JSEE)
(B) l)(;]k)
LP 'It (f){)
(IQ,CfX)) 9!).r;3)
, 'T. , D13
~.(~
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT.
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
Stale Surch,IITle
Total Cllarge
(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
Stale Issuance
State Surcharge
Siclcwall< -0
(j5
fl
ft
Curl.lcut
Dernol; lion
Slate Surcharge
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
~f)%
c<J5. ,
CJ 0'CO
'l~.06
~~
t?5
---;;
L(J'S~
~().
~5~
J;tJh -':s
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 thai 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 qr revoked at any time
upon violation of any provisions of said ordin;lI1ces,
, r-'
Plan Check Fee:'. '
_ __, ~_".J
Date Paid:
Receipt Number:
Received By:
- ........
_ 7~ "M~v
Plains Reviewed By (-
~/f-',I2.L,
&i-~
Systems Developm,ent Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
~?~ ~p ~~r~
J "\
~~~1JTL(' )
W5\~l ") .
- ,- $- 1C1 ('
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 willloul 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 plan:,; will rernilin
on the site at all tirnes during cOIl::;truction,
Signalu'. /~ I '-t.f---
. Da Ie ___~LV.9...3.._,_,__,-.__-.---
VALIDATION:
t:l '6)Di
DATE PAID '-if e) 03
AMOUNT RECEIVED _..._4~.......(p__,~3
rn
RECEIPT NUMBER _
RECEIVED BY