HomeMy WebLinkAboutPermit Plumbing 1998-2-6
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LOCATION OF PROPOSED WORK: ~/ ( 7 (' ~A..--/.e /l_^ \.' ~ l
(/0 ~ ..,.,<.-/- y~
OWNER jb..Je.r.d!-4 ~C-t!
ADDRESS: /~-;g1 p~ '
Cln, ,..c- o^.?
DESCRIBE WORK: \.~ tJ~ DG!!.t'lJ it"-r=-
NEW Y
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT:
REMODEL
CONTRACTO~'S NAME
ZIP: 9?1rJ/
72~ --=- :,.,.. ~~~~~7- ~ r
'~/'- . -~,
DEMOLISH OTHER
BLOCK:
.uAr> - '
o
STATE:
ex
ADDITION
ADDRESS'
CONST,
CONTRACTOR #
GENERAL: _
.PLUMBING: r Ko\n ~t '_~C
MECHANICAL:
ELECTRICAL:
QUAD AREA'
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
WATER HEATER:
..<f( "\ 7 g oJe? r Ad.
- OFFICE USE -
LAND USE:
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE:
RANG~'
"
..'
JOB NUMBER~84" S~
,225 Fifth Street
Springfield, Oregon 97477
~/c-,)/-..
TAX LOT: ~/~c::::::::.
SUBDIVISION:
PHONE: 4~~- /~1
EXPIRES <, PHONE
?l/~? ,~9 6JY-LliI
FLOOD PLAIN:
Z6~ING CODE:
# 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; ~'I/ ~e made the fOllowing work day,
REQUIRED ,INSPECTION$:
D R~ugh Mechanlc~1 ~. Prior to
cover,
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover.
D Footing..,... After trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting,
D Foundation - After forms are
erected but prior to concrete
placement.
D Underground PlumbIng - Prior
to filling trench.
D Underiloor PlumbIng/Mechanical
- Prior to Insulation or decking,
D Post and Beam - Prior to floor
. . Insulation or decking, ., .. '
. ,
O Floor Insulation '7' Prior to",
decking, , . , ", ..
. '. .....
~ Sanitary Sewe~- Prlor'to filling
~trench,
D Storm Sewer - Prior to' filling
'trench.
o Water LIne - Prior to.lilllfl9
trench. ~_'."
.
o Rough Plumbin'g - Prior to
cover, ,'~,
o Rough 'ElectrIcal - Prior to
cover.
D ElectrIcal ServIce - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D FramIng - Prior to cover.
D Wall/C'elllng Insulation - Prior to
cover. '
D Drywall- Prior to taping.
D Wood Stove - After Installation.
Dlnsert ~ Afte'r fireplace approvel '
, and Installation of unit.
, l
,- D Curbcut & Approach - After
, forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is compiete, forms
and'sub-base mater/al In place.
D Fence - Wtlen completed.
o Street Trees - When all required
trees are planted.
r\t1 Final Plumblng.F- When all
~Plumblng W9rl< Is complete.
o 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 and building is
completed.
o Other
MOBILE HOME INSPECTIONS
D 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 home /s connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting h'ave been Installed,
," ;! ~~., ,. ~ .f 'i ~ ~: \7' ~;i~:.;\}t. ~'~~I;~'
:1 Lot faces Lot Typ_ Setbacks ' IS THE PROPOSED WORK iN THE _
Lot sq. ftg. Interior p.L. HSE GAR ACC' HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
Lot coverage Corner N If yes, this application must be signed
, S I I and approved by the Historical
Topography Panhandle Iw I I Coordinator prior to permit Issuance.
Total height Cul-de-sac '.I E J ~,--1
APPROVED:
BUILDING PERMITi
:It
ITEM
SQ, FT,
X $/SQ, FT,
VALUE
"", , !";t" '.0;{ '~}.
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
This permit is granted on the express condition that the said
construction shall, In all respects, con{orm to the Ordinance
adop,ted' by the' City of Sp'ringfield, including the
Development Co.de, regulating the construction and use of
buildings, and may be suspended or 'revoked at any time
upon violation of any provisions of said ordlnan<?es.
Plan Check Fee:
Main
Carport
Total Value
Date Paid:
Building Permit Fee
Receipt Number:
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
.... J' \. '"
(B)
Systems Development Charge Is due on' all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) N'
Sanitary S~wer FT, ~()
Water FT,
Storm Sewer FT,
Mobile Home
c.h
Plumbing Permit
41~. pi/?
'-~ (?:~
~??~
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Vent Fan
NO
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 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.
Exhaust Hood
Wood Stovellnsert/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 the street, that the permit card Is located ~t the front
of the property, and the approved set of plans will remain
on the site at all times dUrln~gtru. cUon. I
---- C" J / \... ~
~ ~Iowtur~ \ )Dt:>e::t..~__ / ~~
. Dater;1-6 -9c.\
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
RECEIPT NUMBER =<~/~ /
~-6'-~
AMOUNT FIECEIVED ~'" :::?~
~~-
DATE PAID
Tolal Miscellaneous Permits (E)
RECEiVED BY