HomeMy WebLinkAboutPermit Plumbing 1997-7-14
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
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JOB NUMBER
225 Fifth Street
Sprlnglleld, Oregon 97477
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LOCATION OF PROPOSED WORI<' f??r CJ
ASSESSORS MAP' 170 335'1;Jo
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TAX LOT:
SUBDIVISION'
LOT:
BLOCI<'
At\. (j." r:=
ADDRESS' 3:< (gO (-n;:/AM..l~
CITY: 75pr~/r~jbl
DESCRIBE W~K: {( E r'U"7 ~
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PHONE:
OWNER'
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ZIP: -Cl~77
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ADDITION
OTHER
REMODEL
DEMOLISH
NEW
CONST,
CONTRACTOR'
CONTRACTOR'S NAME
GENERAl'
ADDRESS
EXPIRES .:-:- PHONE
L\-~:r 1('2...
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(2.., ,lffI
nn711(,7. ,~/(P-qff
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PLUMBING:
MECHANICAl'
ELECTRICA' .
- OFFICE USE -
FlQPl:l.I",,,,IiN,
. if\Ct.. 11'1\11:: ,,1:1<""
· OF UNITS: NO Ef\~\ T 81 Ip,lJ E.~Plf\Ep~gf;(~IMlCiiE:_
CONSTR. Typ~\'IIS P '\) ~OF.f\ 1\'\\S '.~,~s:
U1\'10f\\LI:: e~NDONI::\'/
HEAT SOURCE'" '<"r"C r"IR IS~ SECONDARY HEAT:
COtANlI::\W~
,~ ""v PERIOD. SQUARE FOOTAGE:
Jl.tol'l ,,,;TV'"'
QUAD AREA'
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
WATER HEATER:
LAND USE:
RANGE:
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 8.m. will be made the following work day.
REQUIRED INSPECTIONS
D Final Plumbing - When all
plumbing w9rk Is complet.e.
o Rough Mechanlcel - PrIor to
cover.
D Temporary ElectrIc
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
D Und';~slab Plumbing/Electrical/
Mechanical - Prior to cover.
o Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
D Final Mechanical - When all
mechanical work Is complete.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Footing - After trenches are
excavated.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
D FIreplace - Prior to facing
materials and framing Insp.
o Masonry - Steel locallon, bond
beams, grou\\ng.
D Framing - Prior to cover.
DOther
o Foundation - After forms are
erected but prior to concrete
placement.
~erground Plumbing - Prior
~fllllng trench,
D Underlloor Plumbing/Mechanical
_ Prior to Insulation or decking.
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
D Wood Stovo - After Installation.
D Blocking and Set.Up - When all
blocking is complete.
D Post and Beam - Prior to ((oar
Insulation or decking.
D Insert - After fireplace approvlll
and Installation 01 unit.
D Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - Prior to
decKing.
.~ Sa'nltary Sewer - Prior to filling
~nch.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Electrical Connection - When
blocking, set.up, and plumbing
Inspecllons have been approved
and the home Is connected to
the service panel.
D Sidewalk & Driveway - After
excavation Is complete. forms
and sub-base material in place.
D Storm Sewer - Prior to f111Ing
trench.
D Fence - When completed.
o Water Line - Prior to filling
trench.
D Final - After all required
Inspections are approved and
porch os, skirtIng, decks, and
venting have been Installed.
D Street Trees - When all required
trees are planted.
D Rough PlumbIng - Prior to
cover.
Lot faces
Lot Type'.
Lo.t sq, flg,
InterIor
Lot coverage
Corner
Panhandle ',:
Topography
Total height
Cu/-de.sac
BUILDING PERMIT
ITEM SQ, FT,
.,
'(
X $/SQ, FT, ~
Main
Garage
Carport
Total Value
Building Parmi t Fee
State Surcharge
Total Fec
(A)
..~
I P.L.
IN
Is
Iw
IE
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
FIxtures
,11'1:
. ~ 1,.'
, ,
ResIdential Bath(s) .- - N'
Sanitary S~wer
Waler
FT. ~0 I
"
FT,
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
StalO Surcharge
Sldewatk
fl
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permlls (E)
TOTAL AMOUNT DUE (excluding electrical)
(.... B. C, D. and E Combined)
FEE
2,5frD .. (
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'('THE PROPOSED W~~K 1:'THE:!!l:: .~-
....HISTORICAL DISTRICT, OR ON
THE HISTORIC...L REGISTER?
If yes, this appllcallon must be signed
and approved by. the Historical
Coordinator prior to permit issuance.
Setbacks .
HSE GAR Acc.1
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APPROVED:
. .. " .t
BUILDING VAUJE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condItion that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City, 01 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 Check Fee:
Date Paid:
Recel pt Number.
Received By:
Plans Reviewed 8y
Date
Systems Devetopment Charge Is due on all undeveloped
properlles within tile City IImlls which are being Improved.
ADDITIONAL COMMENTS
By signature, I stato and agree, that I have carefully examined
Ihe completed appllcallon and do hereby cerllfy 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 perlalnlng 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 s~t plans will remain
on the site at all times durIng con uctlon.
~ , ./1"'''' - ____
Signature h .-- ~~,,'
Date - ~~~7 ,
VALIDATION:
RECEIPT NUMBER J..I4 (J r;tj
DATE PAl[)' 7- 1'(- q 7
AMOUNT RECEIVED .17.PJ
RECEIVED BY ---#t'