HomeMy WebLinkAboutPermit Plumbing 1995-9-21
- ---
SPRINGFIE!-D
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
JOB NUMBER 9S'/~..L~
225 Fifth Street
Springfield; Oregon 97477
#~~.?<:
/ -
5;<.
O~~3
LJH ~II(-
TAX LOT:
SUBDIVISION:
7tll'-U~
,OWNER: L 0: v..v el1 ~ Yl fftf-Cef
ADDRESS: . "7 '~4b IhIA V'f-tov1 t1 ~
CITY: .5fJ VIlA ~~ frt
(/
PHON E'
()f
t:{71f'J f
ZIP:
STATF'
DESCRIBE WORK: /~?~A""LL /&~~A"/t2:?~c>' -C:?r- ~/~~r?~~
DEMOLISH
OTHER
ADDITION
REMODEL
NEW
CON ST.
CONTRACTOR It
EXPIRES ..., PHONE
/ . ADDRESS
L I +e j-fY'/p ,1& I'no f, "[;1 C
PI ch tel /1 {l(Vll~ k14 / (;,C~/lJu t/If
o ~ I
VCt I lev E(~/c'-/YI C/
/
CONTRACTOR'S NAME
GENERAL: fVlAeltA. ,J
PLUf'0BI NG: Be;... (V1 e J
7;z6~-71.ft)
MECHANICAL:
ELECTRICAL:
Cvo IAJ
- OFFICE USE -
QUAD AREA: LAND USE: FLOOD PLAIN:
It OF BLDGS: 1/ OF UNITS: ZONING CODE:
OCCY GROUP: CONSTR. TYPE: II OF BDRMS:
.,
It 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,
REQUIRED tNSPECTIONS
o Rough Mechanical ,- Prior to
cover.
o Temporary Electric,
o Final Plumbing - When all
/ plumbing work Is complete,
o Site Inspection - To be made
after excavation, but prior to
setting forms,
o Rough Electrical - Prior to
cover.
o Final Electrical - When all
, electrical work is complete.
o Final Mechanical - When all
',' mechanical work is complete,
o
Underslab Plumbing I Electrical/
Mechanical - Prior to cover.
o Electrical Service - Must 'be
approved to obtain permanent
, electrical power.
o Footing - After trenches are
excavated.
o Final Building - When all
required Inspections have been
approved and building is
completed.
o Fireplace - Prior to facing
materials and framing Insp.
o
Masonry - Steel location, bond
beams, grouting.
o Framing -. Prior to cover.
o Other
o Foundation - After forms are
erected bu t prior to concrete
placement. '
o Wail/Ceiling Insulation - Prior to
cover.
o Underground Plumbing - Prior
to filling trench,
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underfloor Plumbing(Mechanical
- Prior to insulation or decking.
, 0 Wood Stovo - After i~stallatlon.
o Blocking and Set. Up - When all
blocking Is complete.
D Post and Beam - Prior to floor
insulation or decl<lng,
D Insert - After fireplace approval
and Installatl(,)n of unit. '
o Floor Insulation - Prior to
decki ng,
o Plumbing Connections - When
home has been connected to
water and sewer,
o Curbcut & Approach - After
forms are erected bllt prior to
placemont of concrete.
~...,\~
n7I Sanitary Sewer - Prior to filling
L,LJ trench.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place,
O Storm Sewer - Prior to fillrng
trench,
o Fence - When completed.
o Water Line - Prior to filling
trench.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed,
o Rough PlUmbing - Prior to
cove~ ,
o Street Trees - When all required
trees are planted.
Lot faces
Lot Ty~
Lot coverage
Corner
N
Setbacks
IHSE GARIACC'
I I
I I
I I
I "
IS THE PROPOSED WORK IN THE _
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
Lot sq, ftg.
Interior
I P.L.
Topography
Panhandle
S
Iw
"E
"
J
APPROVED:_
Total height
Cul-de-sac,
BUILDING PERMIT
ITEM SO. 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 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.
Main
Carport
Total Value
Plan Ch~ck Fee:
Date Paid:
Building Permit Fee
Receipt Numb'cr:_____,_
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
--.-..--.-.-.------
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tho City limits which are being improved.
PLUMBING PERMIT
ITEM
FEE
. ADDITIONAL COMMENTS
~~ ~v~~~ _7~<==5
~..~/(..C~ ('<~//,c:.. /.Pg/J~9~
~~~~/ / ~~7?:~,..?;7~~
_~T ~7 '~~ ~/ ~I' _
~~~~C:::-:".-J~~ ~/-~
Fixtures
Residential Bath(s)
NO
Sanitary Sewer
FT.
/dC)
,
y~ 64:>
..
Water
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
p;
7I'~. --
r :::;:,.,-p ,
I .::a::>
~~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
./
Furnace
Exhaust Hood
Vent Fan
NO
By signature, I stale 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 perforrried 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 certily that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuarice
State Surcharge
Total Permit
(D)
I further agree to ensure that all required inspections are
requested at the proper time, t~at each address Is readable
Irom the street, that the permit card Is located at the front
of the prop'erty, and the approved set of plans will remain
on the site at all times during constructloJ),
Signa fu1~/M/ A 6L
v:,;::; (' ,
Date' 7fP fr ~
---
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
-)
Sidewalk
It
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding elect..rl~al)
(A, 'B, C, 0, and E Combined) .
.~~~
RECEIPT NUMBER /~~95
9-2/"~S-
AMOUNT RECEIVED V?, :<t:>
a~
'"
DATE PAID
Total Miscellaneous Permits (E)
RECEIVED BY