HomeMy WebLinkAboutPermit Plumbing 1999-4-15
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RESIDENTIAL
PERMIT APPLICATION
In'specllons: 726-3769
Office: 726.3759
JOB NUMBER 110 'ff f
225 FI flh Street
Springfield, Oregon 97477
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LOCATION OF PROPOSED WORK' 1(,5'
171J3~"
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ASSESSORS MAP'
TAX LOT:
SUBDIVISION'
LOT'
BLOCK'
OWNER: (J; /(0. r'I u..1(j, 1'1 P ft1 e '''WI' ; ~ \
ADDRESiO' 705- IJ. _< free ~
CITY: '::'Pf'/'II1,!/c'e \',J...
DESCRIBE WORK' (("'Iv\ oI.l'c.:1'I re Olc.C'e M~n r
REMODEL )(
€wi~
PHONE: ~7(jc,
I?; c. 0
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STATE: .
ZIP'
NEW
ADDITION
DEMOLISH
OTHER
CONST.
CONTRACTOR .
'711~::l.
CONTRACTOR'S NAME
G~NERA" Rr,-l;o Rm-kr
ADDRESS
L( <S~ 7
EXPIRES
,00
.;:. PHONE
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~ 8'9-/711
PLUMBING'
MECHANICAl'
EL.ECTRICAI .
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
. OF BLDGS' . OF UNITS' ZONING CODE:
OCCV GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGF' 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 INSPECTIONS
o Rough MechanlcCiI - Prior to
cover. .
o Final Plumbing - When all
plumbing w~>rk Is complet.e.
o Temporary Electric
o Site Inspection - To be msde
: 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 Undsrslsb Plumblngl Electrlcall
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, groullng.
o Framing - Prior to cover.
o Other
o Foundation - After forms are
erected. but, prior to concrete
placement.
o Wail/Ceiling Insulation - Prior to
cover.
o Underground Plumbing - Prior
: to filling trench,
o Orywal~::::. Prior to taping,
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MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Stovo - Atter Installation.
o Blocking and Set.Up - When sll
blocking Is complete.
o Post and Beam - Prior to floor
Insulation or decking.
o Insert - After fireplace approval
and Installation of unit.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Floor Insulation - Prior to
decking.
D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
o Sanltsry Sewer - Prior to filling
~nCh'
o ,arm Sewer - Prior to mllng
rench.
o Water.Lins - Prior to filling
trench;
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o Electrical Connection - When
blocking, set.up. and plumbing
InspectIons have been approved
and the home Is connecled to
the service panel.
o Sldewslk & Driveway - Alter
excavation IS compietG, forms
and sub.base material In place.
D Fence - '''Vhen completed.
o Flnsl - After all required
Inspections are. approved and
porches, skirting, decks, and
venting have been Installed,
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D Rough Plumbing - Prior to
cover.
D Street Trees - When all required
trees are planted.
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Lot faces
Lot ~ype.
Lot sq. fig.
Interior
Lot coverage
Corner
Topography
Panhandle
Total height
Cul-de-sac
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BUILDING PERMIT
ITEM SO. FT.
'f
"
X $/so, FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT,
Storm Sewer
7DI
FT.
Mobile Home
PlumbIng Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsertlFlreplace Unit
Dryer Vent
MechanIcal Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
fI
Curbcut
fI
Demolition
State Su rcharge
Tolal Mlscellaneou~ Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
I PL.
IN
Is
_V'!__
E
VALUE
"
FEE
I/o W
'fu w
/.U Ij.d,)
I.t UP
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a
i-' THE PROPOSED WORK tN THE.
. . HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes. this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
HSE GAR'Accl
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APPROVED:
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BUILDING "ALOE, 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 the
Development Code, regulating the construction and use of
oulldlngs, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid:
Receipt Number
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties wIthIn tho City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, 1 state and agree., that' 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 Ordinancos of the City of Springfield. and the Laws
of the State of Oregon pertaining to tho 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 set of plans will remain
on the site at all times during construction.
Signature <<lmlJ/)---11:,.~
Date Ie.; -/r::. q'f
VALIDATION: /0
RECEIPT NUMBER D2. ~~
DATE PAID LI/ !(/qq
AMOUNT RECEIVEd 1. V.J, -;).( ).
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RECEIVED BY