HomeMy WebLinkAboutPermit Plumbing 1997-7-15
OWNER, JdJItIlY'! 'Ro~ ~ f1f2pI11""fwse_
ADDRESS: 31 y f?R..O AOlNfJY
~ pe 11./6 F',E'LD
R ESID ENTIAL
PERMIT APPLICATION
Inspections: 726.3769
o rtice: 726.3759
LOCATION OF PROPOSED WORK:
/7e; .3
ASSESSORS MAP:
LOT:
CITY:
33'1
2.~
--:JOB NUMBER
1~J[)
BLOCK:
STATE:
o~
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
~ .:16 ~/?')
SUBDIVISION:
PHONE:
'7t.tJ-J.c;75
Q'7f..Ji'l
ZIP: LL-f
DESCRIBE WORK:
t<cPLllce
,<)eeve~ LI'~
NEW
REMODEL
EXPIRES
CONTRACTOR'S NAME
GENERAL:
PLUMBING:
MECHANICAL:
ELECTRICAL:
ADDITION
DEMOLISH
OTHER
ADDRESS
CON ST.
CONTRACTOR II
PHONE
uto ~ 'O~\<.
f! r.'r l' p{.. cr;
NO~~ E .lJ ~f\~\. E'j.~~ OERM\1 \S N '
?ERMH i\ 1\-\\S ' liP.
LAND u~rrl\S 1l"'''' \JNOB DO~EO ~t'6bD PLAIN:
rt\-\OR',-\:.V S ~e~N
II OF UNI~ f'g)-OB.\ ZONING CODE:
f'\n\Al/tENv ~OO
CONSTR. ~~:~Wl~'\! pE~ .
HEAT SOU~: _
QUAD AREA:
II OF BLDGS:
OCCY GROUP:
II OF STORIES:
WATER HEATER:
RANGE:
1/ 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 mad,e the following work day.
D Temporary Electric
D Sile 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 Undorground Plumbing - Prior
to filling trench. ,
D
Underfloor Plumbing/Mechanical
- Prior to Insulation or decl<lng.
D
Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
deckl ng.
r\J(sanltary Sewer - Prior to filling-
~ trench. ."
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
D Rough Mechanical - Prior to
cover.
D Rough Electrical - Prior to
cover,
o Electrical Service - Must 'be
approved to obtain permanent
electrical power.
D FIreplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
o Wood Stovo - After Instal/atlon.
D Insert - After fireplace approvnl
and Installation of unit.
o
Curbcut & Approach - After
forms are erected but prIor 10
placement of concroto.
D Sidewalk & Driveway - After
excavation Is comp/ote, forms
and su~).base material In place.
o Fence - WtlOn completed.
o ~ltreet Treos - Whon all required
trees are planted.
o Final Plumbing - When all
plumbing w()rl< Is complete.
o Final E/ectrlcill - When all
electrical worl< is complete,
o Final Mechanical - When al/
mechanical Worl< is complete.
o Final Building - When al/
required Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer.
o
Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the homo Is connected to
the service panel.
o
Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
,
'~
'\
.' \.'.
Lot faces
Lot Type
Cul-de-sac
W
Setbacks
HSE GAR ACC I,
I
,I
I
~
\, IS THE PROPOSED WORK ~N THE.
"'HIST08ICAL 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.
IN
Is
Lot coverage
Corner
Topography
Total height
Panhandle
E
APPROVED:
BUILDING PERMIT
ITEM
SO. FT.
X $/SO, FT.
VALUE
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Main
This permit Is granted on the express condition that the said
construction shall, In all respects, conrorm to the Ordinance
adopted by the City or Sprlngrield, including the
Development Code, regulating the construction and use or
buildings, and may be suspended or revoked at any time
upon violation or any provisions of said ordinances.
Garage
Carport
Plan Check Fee:
Total Value
Date Paid:
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Total Fee
(A)
Plans Rcvlewcd-B-y.---,------
Dale
SYSTEMS DEVELOPME'N.r':yG:HARGE (SDC),i,Systems Development Charge Is due on all undeveloped
'':'.,ti[:,: ".:,.' '11;..1h/'l.<::1 J :'1, '.J';dfd~q'Mes within the City limits whicll are being Improved.
' '(8)tJi{;~'~J'~::-::T; " ""1. t.':':: ?'i.,' ":;.,,
. ,~ . _ "".... 4: _~..~..~,.',:J ,I ....,; ~-.-;r.t.; r
'I\.J-' 1}:?t';'UG';1.~;ll ~::;.j,.,,) fl.::: ':'/?'itft-i9 D,ITIO NAL CO M M ENTS
i';'FEEA() r~~'I~ ',~~. . ". ;..r,l:
1"'1'" '. ........-..:\,j ~1.,.J't,.4'.. ,
... ('1'":''' '~I.it!fF j' ~
J' j l'i'~:'ifi tt4' _ ") " '~"'~',J
'c~ t ;,t1' 1ft,. 'Li._
. -.? ;r io""ri
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
NO
Sanitary S.ewer FT. 35-~O 2S-.1rO
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge I..'). r- 1- ,7J ?., p-a
d~~
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
By sIgnature, I stale and agree, that I have carorully examined
Ihe' com pi cted appllca tI on and do hereby certlly 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 Ordlnunces of tho City or Springfield, and the Laws
of the State or Oregon pertaining 10 tho worl~ described
herein. nnd that NO OCCUPANCY will be made of any
structure without permission of Ihe BuildIng Safely DIvisIon.
I further certify 1I1at only contractors and employees who
arc in compliance with ORS 701.055 will be used on this
project.
Wood Stove/Insert/FIreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from tllO street, that the permit card Is localed al the front
of the property, and the approved set of plans will remain
00 the ,lte at all lime, ~",IO'/>'''t'"i'7~O/) i.
SlgnatureM~ ./! ~.L.L~ ..~
'/ (I " . / '
Date '~/5/ 11 '
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
'ft
...
Curbcut
It
Demolition
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E COmb\n.ed)
,':2'i-~
VALIDATION:
RECEIPT NUMBER_
DATE PAID
AMOUNT RECEIVED
State Surcharge
RECEIVED BY
2t;,C,97
7/cJ/Y-;
~7~
~
, L
. (
Total Miscellaneous Permits (E)
n,