HomeMy WebLinkAboutPermit Plumbing 1995-7-10
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726,3769
Office: 726,3759
LOCATION OF PROPOSED WORK: _.
ASSESSORS MAP' J "7 D .3
LOT:
..
,
BLOCK:
.
JOB NUMBER 9s /15"/
225 Fifth Street
Sprlnglleld, Oregon 97477
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TAX LOT: -~ /'!) /-;7
SUBDIVISION: _
PHONE:
7~7-,)?577
OWNER:~~/\/<; //f.. .J$~~~
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ADDRESS: /7/~ /,q)~""'.~) t'~~
d/fi-
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CITY:
STATE:
/M:7
_ ZIP:
/,?~7 ';J
DESCRIBE WORK:
NEW
REMODa
EXPIRES
CONTRACTOR'S NAME
/" /A-J-r: #?
//A/C
ADDiTION
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR'
PHONE
GENERA' '
PLUMBING: ~'!1~/~L!2/?
MECHANICA"
ELECTRiCAL:
Zs/.~ ~ <1:IW~'
. ,~...~ ~ ,~rJ'1
,} I' - ~
If/ 0 \" 7~7-gf<</
QUAD AREA:
. OF BLDGS:
OCCY GROUP:
. OF STORIES:
WATER HEATER: _..
- OFFICE USE -
LAND USE:
. OF UNITS'
CONSTR. TYPE:
HEAT SOURCE:
RANGE'
FLOOD PLAIN:
ZONING CODE: _
. OF BDRMS:
SECONDARY HEAT:
SOUARE FOOTAGE:_
To request an inspection, you must cail 726.3769, Tills Is a 24 hour recording. Alllnspeclions requested before 7:00 a,m, will be
made the sanle working d<lY, Inspections requested after 7:00 a.m. will be made tho followIng work day.
o Tcrnpornry Electric
o Sito Inspection - To be mado
after excavAtion, but prIor to
sOltlng forms.
o Underslllb Plumbing I Electricall
Mechanical - Prior 10 cover.
o Footing - After trenches arc
excavated.
o Masonry - Sleel location, bond
beams, grouting,
o Foundation - After forms are
erected but prIor to concrete
placement.
o Underground Plumbing - Prior
to fllllnQ trcnell.
o Underlloor Plumbing/Mechanical
- Prior to Insurallon or decl<lng.
o Post and Beam:. - Prior to troor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer - Prior to fllllng
trench.
O Storm Sewer - Prior to filling
trench.
M Water Line - Prior to filling
/'J!ench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electr~cal - Prior to
cover. .
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing lnsp.
o Fram.'ng - Prior to cover.
o Wail/Ceiling Insulallon - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stovo - After Installation.
o Insert - After fireplace approv~1
and Installallon 01 unit,
o Curbcut & Approach - After
forms are erected but prior to
placemont of concroto.
o Sidewalk & Driveway - After
excavation Is compiClo, forms
and sub.base material In place.
o Fence - When completed.
o Street Trees - When al/ required
trees are planted. .
o Final Plumbing - When all
plumbing wqrl< Is complet.e.
D Final Electrical - When all
electrical work is complete,
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved end building Is
completed,
DOthor
MOBILE HOME INSPECTIONS
o Blocking and Sot,Up - When all
blocking Is complete,
o Plumbing Connoctlons - When
home has been connected to
water and sewer.
o Electrical Connoctlon - When
blocking, set-up, and plumbing
Inspec tlons have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
Lot laces Lot TYP. Setbacks ~S THE PROPOSED WORK IN THE
Lot sq, ltg, Interior I PL. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner 11 yes, tl,ls applicailon must be signed
Topography Panhandle S I and approved by the Historical
I I Coordinator prior 10 permit issuance.
Total height Cul,de,sac W
IE 1_ --.J APPROVED:
BUILDING PERMIT
ITEM sa. FT. x $/SO, FT, ~ VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on the express condition that the said
construction shall, in all respects, conform to It''le Ordinance
adopted by the Cily 01 Springlleld, including the
Development Code, regulating the cOl'):itruction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fe~: '"__
Main
Carport
Total Value
Date Paid:
Building Permit Fee
ReceIpt Numbcl:.._.._____
Slate Surcharge
Total Fee
Received By:
(A)
Plans Reviewed..Sy'.----'-.
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
Systems Development Charge Is due on all undoveloped
properties within Ihn City limits which arc being improved.
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s) N'
Sanitary Sewer FT.
Water FT, /5""0
Storm Sewer FT.
Mobile Home
Plumbing Permit
Stato Surcharge
Total Charge (C)
ADDITIONAL COMMENTS
FEE
z.s-~
?~
27"0
MECHANICAL PERMIT
Furnaco
Van t Fan
N'
By signature, I slale and agroe. thai I t1aVQ carefully examined
the completed appllcallon and do hereby cerllly that all
Information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
wllh the Ordinances or the City 01 Sprlngfieid, and the Laws
of the State of Oregon pertaining to the work described
herein, and thai NO OCCUPANCY will be made 01 any
structure without permission of Ihe Building Safely Division.
I further cerllfy 1I1al only contractors and employees who
are In compliance with ORS 701.055 will bo used on this
prolect.
Exhaust Hood
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agreo 10 ensure that all required Ins pee lions are
requested at the proper time, that oach address Is readable
from the street, thai the permit card Is located at the front
of the property, nnd the approved 5el of plans will remain
on the site ~rl limes durIng con t ucllon.
Signature _1J~ ."
\ I v
7 -- /0 ....'1..~
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Date
Curbcut
It
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
?'Jl-CO
VALIDATION:
RECEIPT NUMBER / ~:z.5 /'
DATE PAID ' 7,//0;::.5-
AMOUNT RECEIVED ~~ '7. &-0
.. RECEiVED BY ~~
- . t,...-'" ~
State Surcharge
Total Miscellaneous Permits (E)