HomeMy WebLinkAboutPermit Plumbing 1998-10-28
SPRINGFIELD
RESIDENTIAL
PERMIT APPl!CATION
Inspections: 726-3769
Office: 726-3759
.JOB NUMBER -J~! .3 cj:::::
225 Fifth Street
Springfield, Oregon 97477
Cen+~"'IA--'
BlvD
10m
ASSESSORS MAP:
LOT:
__ TAX LOT:
SUBDIVISION:
BLOCK:
~e... .f?J~'-~'~ \ b ri "':)1--e~
ADDRESS: 13:>S c...e.h +eV'~il<'>--l l3l VI[)
CITY: 5(Y,'l"8, +;'(...l cO
DESCRIBE WORK: ((e.DI~~"",~ ~f-
\
[4ft:, -Si.f61
OWNER:
PHONF'
crt Lf7 7
STATE: 0 (L.
ZIP:
Se-~ v- U" e....
?e fh9a- e~x.c~t&.h1J
NEW
REMODEL
ADDITION
DEMOLISH ____ OTHER
CONST.
CONTRACTOR #
CONTRACTOR'S NAME
GENERAL:
ADDRESS
EXPIRES ,~~ PHONE
~..fc) rto o-+e.-v
C0C> 11:- l I I fn ~
'f~7 !<\y(;V" ~
t II q<7
~'8i ~/711
PLUMBING:
MECHANICAL:
ELECf.RICAL:
- OFFICE USE -
QUAD AREA:
LAND USE:
FLOOD PLAIN:
# OF BLDGS:
# OF UNITS:
ZONING CODE:
# OF BDRMS:
OCCY GROUP:
CONSTR. TYPE:
# OF STORIES:
HEAT SOURCE:
SECONDARY HEAT: ~\\
, \-I.f. \J'lUI ,
\~t:. SQU~~'<<iTh'cE: C:1~\
~,('\1' v I\~l \ tl' _....~^\\ \..... '
\~- t>..~1\ 01 · .- c; n...'.l
To request an Inspection, you must call 726-3769. This Is a 24 hour record~~b~gt:lec\if1...~e~\:it'@~\-ed ~~EtIZlBo a,m. will be
made the same working day, Inspections requested after 7:00 a.m. will bt\{tn~C\t>~!aQMwrn~ ~~~(119 '-
REQUIRED INSPECT~Ns'E~\Ct.D Ot\ \ On
.. CO~~\ iT+R~R~ \J.
D Rough Mechanical -' Prior to,.} 'll\) 'I)U 'tinal Plumbing - When all
cover. , ",', r>-.~' '''', plumbing work Is complete.
WATER HEATER:
RANGE:
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D RoughElectrical\2:... 'P!lor to.
cove~ .
D Final Electrical - When all
electrical work is complete.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
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 location, bond
beams, grouting.
o Framing - Prior to cover.
D Other'
o Foundation - After forms are
erected but prior to concrete
placement.
D Wail/Ceiling Insulation - Prior to
cover.
D Underground Plumbing - Prior
. to filling trench.
D Drywall - Prior to taping.
MOBILE HOME INSPECfIONS
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Wood Stove - After Inst?IJatlo".
o Blocki,:,g and Set.Up - When all
. , . bl,9sk~ng Is complete.
D Post and Beam - Prior to floor,
Insulation or decking.. \
or '" ./ .1.
o Floor Insulation - Prior to
decking. .
't><'( Sanitary Sewer - Prior to filling
. . \.trenCh,
o Insert - After flrefi~~e"~app~rov81
. and Installation of unit. . ' .. ,
. . DPiumbing Connections - When
, home has been connected to
/. water. and sewer.
o Curbcllt & Approach -:. Afte,r
forms are erected but prior'to
placement of concrete.
D ElectrIcal Connection - When
blocking, sel.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Sidewalk & Driveway - After
excavation is complele, forms
and sub.base material in place.
o Storm Sewer - Prior to filling
trench. .
~ - l_ ".
\.
D Water Line - Prior to filling
trench., ". < _
D Fence - When cCi"/lpleted.
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed,
DROU9h Plumblrig,,--. Prior to
cover. ,___ _' .
D Street Trees - When all required
trees are planted.
Lot faces
- Lot Ty
Lot sq. Itg.
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cul-de,sat
... ..,. _.....~... . .,.
'( .-.1
BUILDING PERMIT 'i.
'f
ITEM
SO. FT.
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. ~S-
FT.
Storm Sewer
FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood.
Vent Fan
NO
Wo.od,Stove/lnsert/Flreplace Unit
.,;.'<,. .
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
..' \~i' ~ 7
::;"i
'!.,,":
Setbacks
'HSE'GAR'ACC!
I
I
IS THE PROPOSED WORK ~NTHE.
HIST081CAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
I P.L.
N
S
w
---'-'-
, ;
E
VALUE
"
" I
FEE
j{),C{)
40,(ffl
'. ~ zfJO
;, J. 1)
T ..., ~
~,
Total Permit (D)
. . . ~~requires you to
MISCELI#\\N:itDIUSJP~gm]JI/tfi Ore on Utility
Mobile Howtlow rules adopted by tel g re-set-t"~""
1\1, tification Center. Those r~ ep a 001
State Issql3.9;~fi1R 952-001-0010 through OAR 952- -
In OPt . . pres of the rules oy
State Sur<QOO(ile You may obtam co I ~o
II' the center (Note: the te,,:ol-''''''':-
Sidewalk n~~~;/torthe Or~go~'Otility Notification
Curbcut Genter is 1_800-332-2344). ,
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
.\;
- APPROVED'
.. ,_"",." I. . 111.'\'..'. I.' ".' " I
, . '.1. "~ -f.L . .
BUILDING VALtJE, PLAN CHECK
AND BUILDING PERMIT'.
This permit is granted on the express c,ondition that the said
'corfstruction shall ,':i r;aii re.spects, conform to the Ordinance
,adopted ,by the Ci,tyof ,Springfiel9, including the
Development'Coae, regula'ting the construction and use of
buildings, and may be susp}lnde~ 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 the City limits which are being improved.
ADDITIONAL COMMENTS
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 ali 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 des<;:rlped
herein, and that NO OCCUPANCY will be made of any
structure wi thout 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 pr erty, and the approve of plans will remain
on the sl e t all. ~mes du g onst ction.
Signature J(^-- -----.
Date C- 10- 2-8-"lK'
"
,/
VALIDATION:
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A/ / /J A./\
,z.:r {/-
\,
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
RECEIVED BY