HomeMy WebLinkAboutPermit Plumbing 1999-3-19
/"
-\
.J,
<
'~
SPRINGFIELD
,:~- ( .
,.,'
, RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726~37~9
:9 Cf056Y
v ,
JOB NUMBER
225 Fifth ,Street
Springfield. Oregon 97477
l51:!
LOCATION OF PROPOSED WORK:
ASSESSOR~ MAP: ,I 70.1
D (03<8 /
_ TAX LOT:
SUBDIVISION:
LOT:
BLOCK:
~ cc, <\C.,/ ~J
OWNER: ~. >-e-~7 ,1-~Y)L-f./
ADDRESS:.'2l.~r~ Li.' (' O'\\kY111 /cJJ
CITY: ..~/1;.t;:;,Jd~jlV l ~'-
- r- /7 }-- --,
DESCRIBE ~ORK~ ~Ol Cr. ( 0
r ADDITION
7YJ.-, 8173
PHONE:
(S l/' -
STATE: -Ql~
5R~c... ~ L~
ZIP:., q 7 '1'77
~ .
~~~ dn
;1~!^ _, L;J- ~._.
NEW
REMODEL
DEMOLISH
OTHER
CONST.
CONTRACTOR #
CONTRACTOR'S NAME
GENERAl'
,PLUMBING: 7J=d,- r)~- W~(
ADDRESS
EXPIRES ::" PHONE
A./5-J4L%"
". ]1Lcf(bl
MECHANICAL:
ELECTRICAL:
I'l,I A "rI'1Il""!::':.
U'lI~ U'UVbo'u:.-. ... '....f.ue 'Nt"t.t!r,{
THIS PERMII tiHALL l:^rlF.;..... I: II:. ,-
r, ~ 17~~OR1ZED UNDER THIS PERMiT IS NOT
,< , . FLOOD PLAIN:- -. .....D ~
'," IlVIENCED OR IS !-\Bf'\I'lUVI~!;' I
. 1# OF UNITS' M~,~~~~~g~requ;,,:>J,Y::b:.~
CONSTR. TYPE: At)l,'\ftt:'N1, II C)'F~~(1Ifjy tho ()reaon Utility
follow rules adUJ-Il . rUl,es are set fortn
HEAT SOURCE: r~\jtificatiOl1i~OllQDAfR\Om~h OAn 952 901-
AR 952- 001-001 0 throug I by
WATER HEATER: RANGE: in 0 -SQ1JAb\5tal~<e~ of the ru es
0090. You may . ' (II l~tO' thp. telephone
calling ((II:: "CI ,LI.\, .. !'Jf)rifiCatlOn
To request an Inspection, you must call 726-3769, This Is a 24 hour recording, AlIlns~.QPM {~~$ego~~tY:mr ,m, will be
made the same working day. Inspections requested after 7:00 a,m. will be made n-MhOrl'e'e~We'r'15rli-~-332-2344 .
REQUIRED INSPECTIONS
_../'~
.p-
I
"
- OFFICE USE ~
QUAD AREA:
LAND USE:
II OF SLOGS:
OCCY GROUP:
# OF STORIES:
D Temporary Electric
D Rough Mechanical ...; .Prlor to
cove~ .
o Final Plumbing - When all
plumbing wor~ Is complete,
D 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 Underslab Plumblng/ElectrlcalJ
Mechanical - Prior to cover.
o Final Mechanical - When all
mechanical work Is complete,
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Footing - After trenches are
excavated. '
o Final Building - When all
required I'nspectlons have been
approved and building is
completed.
D Fireplace - Pi'lor to facing
materials and framing Insp.
o Masonry - Steel location, bond
beams, grouting.
D Framing - Prior to cover.
o Other
D Foundation .:..... After forms are
erected, but prior to' concrete
placement.
o WalllCel/lng insulation - Prior to
cover.
D Underground PlumbIng - Prior
to filling trench.
D Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
D Underflo,or Plumbing/Mechanical
- PrIor to Insulation or deckIng.
o Wood Stove - After Installation.
o Blocking and Set.Up - When all
blocking Is complete,
D Post and Bel\'!1l - Prior to floor
Insulation or dec~lng.
D Floor Insulation' ..:..."Pr.lor to
decking.
~anltary Sewer - Prior to fllll~~
r trench. ,
D Storm Sewer - Prior to filling
trench. .
o Insert ,- After fireplace approvl!ll
and Installation 01 unit,
:'}
. ~J.;f
D Plumbing Connections - When
home has been connected to
water and sewer,
, 0 Curbcut & Approach - After
'; , .. forms are erected but prior to
, ~ 'p~acement of concrete,
. 0 Electrical Connection - When
blocking, set-up. and plumbing
Inspections 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.
';',0 tW8,terhLlne - Prior to~ ,fillIng
:, renc .
o Fence - When completed.
o Final - After all required
Inspections are. approved and
, porches. skirting. decks, and
venting have been'lnstalled,
"
. .
D Rough Plum~lng - ~rlor to
cover. ' ' _
o Street Trees - When all required'
tree~ are planted, '-- ~
, '
~
~
Lot faces
Lot Type
Lot sq, ftg,
Interior
Lot coverage
Corner
Topography
Total height
Panhandle l'
Cul-de.sac
"
, "
BUILDING PERMIT
ITEM SQ, FT.
't
X $/SQ, FT,
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
'J61al Flee~\ -'.~'
,.',(A)
I .
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
r" PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary, Sewer FT. 0&1
Water FT.
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
2-fYO -r I :2-0
(C)
Total Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
NO
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcl;1arge
Sidewalk
ft
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT Ol!E (excluding electrical)
(A, B, C, D, and E Cpmblned) ,
"
r
\'.'. :;..
, .'.
IS THE PROPOSED v.vqBKtN<THE.
HISTORICAL DISTRICT,'OR ON ." ,
THE HISTORICAL REGtST-ER'?
If yes, thIs appllcatlon'm!Jst be 'signed
and approved by tile Historical
, Coordinator prior to permit Issuance.
Setbacks
I P.L HSE GAR ACC
N
S
W
IE
VALUE
" ,
).-
FEE
4tJ6t?
:5 2-D
4-3 ,20
(
4~ ,2-D
( - -
J
1____ APPROVED:
, ;'. " ',!
BUILDING Vi\UJE, 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 of Springfield, Including, tIJe
Development Code, regulating the cons'tructlon and useof
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said "?rdlnances.
Plan Check Fee: j , I
Date Paid:
Receipt Number'
Received By:
Plans Reviewed ,By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
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 propert/y and the approved set of /;1lans will remain
on the site at II times d-u~I" const9'f~n.
\) Signature '/1/Y) J>rM
/\ .'tt (1/ "
. Date \~~ 91
V \J \f'
'',.
,
'-"
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RE.CEIVED
RECEIVED BY
~ 3/J 6 "
~V~~;O ,
;-~~
-'\'"