HomeMy WebLinkAboutPermit Plumbing 1997-11-3
RESIDENTIAL
PERMIT APPLlCATION/
Inspections: 726-3769
Office: 726.3759
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SPRINGFIELD _".,
ASSESSORS MAP:
LOCATION OF PROPOSED WORK: -LObS' (12,...""'~\'L~ I
; ~ /) ~ 7~4 L/' .1 2-1-t!/J
'81./(1.
LOT'
OWNER: /!~LhA,.4A
ADDRESS:' S-'t', lU.
CITY: $' r+'J.
DESCRIBE WORK' ~b
NEW REMODEL
BLOCK:
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{oNo..-+~'6-1
ZIP: Q71.f1?
~ V"<WY' ~ e _ v;... +e +-V'fh-.-+ '1 "'^ d
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OTHER ~l1\'V-
STATE: '-.l2?L
ADDITION
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'190.' ~~/\ 0'4' ~( ~
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LAND USE: ~ '/ITA nf.....
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CONTI:lACTOR'S NAME
GENERAL: '~Il\-<l-.
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PLUMBING:
MECHANICAL:
ELECTRICAL'
QUAD AREA"
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
WATER HEATER'
DEMOLISH,
f
JOB NUMBER
g7/S7~
225 Fi fth Street
Springfield, Oregon 97477
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__ TAX LOT:
SUBDIVISION:
PHONE:,
72.f?-72-l/7,
(,., l....l~X'1
CONST.
CONTRACTOR #
PHONE
7l.fl.:r422.' /
# OF UNITS:
CONSTR. TYPE:
HEAT SOURCE'
RANGE'
EXPIRES .~
b - 9<;<
FLOOD PLAIN:
ZONING CODE:
it OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAG E:
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 d,ay, Inspections requested after 7:00 a,m. ,,:,,111 be made the following work day,
D Temporary Electric
D Site Inspection - To be made
after excavation. but prior to
seltlng forms.
D Underslab Plumblngl Electricall
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
"Iacement. '
o Underground Plumbing - Prior
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post ana Beam - Prior to floor
Insulation or decking,
D Floor Insulation -- Prior to
, decking.
cd Sanitary Sewer - Prior to filling
trench,
D Storm Sewer - Prior to filling
trench,
o Water Line - Prior to filling
trench,
o Rough Plumbing - Prior to
cover,
..
REQUIRED INSPECTIONS
D Rough MechanlcaL-':' 'Prlor'to
cover,
D RoughEleclrical - Prior to
cover.
D Electrical Service - Must.be
approved to obtain permanent
electrical power,
D FIreplace - Prior to facing
materials and framing Insp,
o Framing - Prior to cover,
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping,
..
D Wood Stovo - After Installation,
D Insert - After fireplace approv~1
and Installation of unit.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
D Sidewalk & Driveway - After
excavation Is compiete. fOrms
and'sub,base material In place.
o Fence - When conlpleted,
D Streel Trees - When all required
trees are planted,
~nal Plumbing - When all
plumbing W9rl< Is complet.e,
o Final Electrical - When all
electrical work Is complete,
D 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 HOMEINSPECfIONS
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
Inspe,ctlons have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting. decks. and
venting have been Installed.
,I
\
, ' ' ~::1 ~'.~'~~.~1'1 "
.,1' ," :::..~ '"i) <
Lot faces Lot T)., 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 and approved by the Historical
Topography Panhandle I Coordinator prior to permit issuance,
Total height Cul-de.sac W
E ,-,~ APPROVED:
');
I "
BUILDING PERMIT 'j
ITEM SO, FT,
..~..
L
X $/so. FT,
VALUE
:, .' 'I,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
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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
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordlnanc~s.
Main
Carport
Plan Check Fee:
Total Value
Date Paid:
Building Permit Fee
Receipt Number:
.
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed ',By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Deve'lopment 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. r-!J.<:
Water FT,
Storm Sewer FT,
MObile Home
II /~, --
,I-/s'+ ,7.s-
It'J/P ,02..0
Plumbing Permit
State Surcharge +- f 03
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 Ordinanc~s of the CUy of Springfield, and the Laws
of the Slate 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/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that all required Inspections are
requested at Ihe 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,
S(~lgnature r)~ ./2 L
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Date / J ... '3"-9 7
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
AMOUNT RECEIVED
RECEIPT NUMBER d f ~q 10
31J~hvv
ftllo~d6
,\ Cf\c.z~
Total Miscellaneous Permits (E)
DATE PAID
RECEIVED BY