HomeMy WebLinkAboutPermit Plumbing 1998-7-17
RESIDENTIAL
PERMIT APPLICATION
InspectIOns 7263769
Office 726 3759
SPRINGFIELD
LOCATION OF PROPOSED WORK -./7AC;-__~fl~~/"<.L
/70.3 '2.-~ 1L(
E LA7~ /%bp"""t"C-
ADDRESS /2:l.S" ~~'71 <LI
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DESCRIBE WORK J-/'-_ILt:-/'?j/ &..>/'''5
NEW REMODEL ADDITION
ASSESSORS MAP
LOT
OWNER
CITY
CONTRACTOR S NAME
GENERAL
PLUMBING
MECHANICAL /,h""'6 (J,-h,t;-
ELECTRICAL
.
QUAD AREA
. OF BLDGS
OCCY GROUP
. OF STORIES
WATER HEATER
BLOCK
STATE
/)r
JOB NUMBER qf Ol(?-J
225 Filth Street
Sprlnglleld, Oregon 97477
TAX LOT
SUBDIVISION
071/.7
DEMOLISH __
OTHER
PHONE
?ift - 7,1)~t..
ZIP
97'iJ7
ADDRESS
CONST
CONTRACTOR .
,.,
@IRED INSPECTIONS
o Ro h Mochanlcal - Prior to
er
o Site Inspection - To be mado 0 Rough Electrical - Prior to
after excavation, bul prIor to cover
setting forms
7~t O>~..... St:.-G.)
f~111. L/
LAND USE
NOTICE: . OF UNITS
THIS PERMIT S~Mflm~ THE WORK
AUTHORIZED UNnER THIS PERMIT IS NOT
H~AT SOURCE . .
COMMENCED OR IS ABANDONC:LJ ..un
ANY 180 DAY p~~BE --
- OFFICE USE -
EXPIRES
PHONE
~J</"1
S~'x1"
FLOOD PLAtN
ZONING CODE
. OF BDRMS
SECONDARY HEAT
SQUARf FOOTAGE
To request an Inspection, you must call 7263769 Ttlls Is a 24 hour recordIng AlIlnspectlons requested before 700 a m will be
made the same working day, Inspectlons requested after 700 a m will be made the following work day
D Temporary Electric
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover
o Footing - After trenches are
excavated
o Masonry - Steel location, bond
beams, grouting
o Foundation - After forms are
erected but prior to concrete
placement
o Underground Plumbing - Prior
to filling trench
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking
o Post and Beam - Prior to floor
Insulation or decking
o Floor Insulation - Prior to
decking
o Samtary Sewer - Prior to filllng
trench
o Storm Sewer - Pllor to tilling
trench
o Water line - Prior to tilling
tren<..h
o Rough ~Iumblng - Prior to
cover , _
)
o Electrical Service - Must be
approved to obtain permanent
electrical power
o Fireplace - Prior to facing
materials and tramlng Insp
o Framing - Prior to cover
o Wail/Ceiling Insulation - Prior to
cover
o Drywall - Prior to taping
o Wood Slovo - After Installation
D Insert - After fireplace approv~l
and installation of unit
o Curbcut & Approdch - Alter
forms arc (..rpcted but prior to
placement of concrete
o Sldewall{ & Driveway - After
excavation Is complete, forms
and sub base matulal In place
D Fence - When CCnlpleted
o Street Trees - When all required
trees are planted
D Final Plumbing - When all
plumbing worl{ Is ,complete
D Final Eleclrlcal - When all
electrical work Is complete
~al Mechanical - When all
~Chanlcal work Is complete
o Final Building - When all
required Inspections have been
approved and bull dIng Is
completed
OOlh.r
MOBILE HOME INSPECTIONS
o Blockmg 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 Is I::onnected to
the service panel
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed
Lot faces
Lot Ty pe
Lot SQ fig
Interior
Lot coverage
Corner
Topography
Total height
Panhandle
Cui de &ac
BUILDING PERMIT '
ITEM
SO FT
$/SO FT
x
MaIn
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Tolal Fcc
(A)
,
"
Setbacks
I PL I HSE GAR I ACC I
N
-----
S
w
----
E
VALUE
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s) N'
San I tary Sewer FT
Water FT
Storm Sewer FT
Ir~l~ 1!
!/."j('1-
Plumbing ermlt
State Surcharge
Total Charge (C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permll
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
,
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permlls (El
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
If. Ja
IlI-1Jlv
'lIf/7J
U24
I
_J
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, thiS application must be <.>Igned
and approved by the Historical
Coordinator prior to permit Issuance
APPROVED
BUILDING V~LUE. PLAN CHECK
AND BUILDING PERMIT
This permit IS granted on the express condItion that the said
constructton shall In all respects, conform to the Ordinance
adopted by Ihe Clly 01 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 ordinances
Plan Check Fee
Date PaId
Receipt Number
Received By
Plans Reviewed By
Date
Systems Development Charge is due on all undeveloped
pro pert res 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 certHy
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 perlaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure wi thoul pcrrmsslon of the Building Safety Drvlslon
I further certify that only contractors and employees who
are In compliance With ORS 701055 will be used on this
prolect
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 d construction ------------.
Signature (/ L /"- ~ ~ ~ ~ ./
",. !/'71 ~o
v
VALIDATION
O? 0 ?oy
DATE PAID 7// '7 /7't
AMOUNT RECEIVeD ~:2./. 10;l
RECEIVED BY C<jJ tJW
RECEIPT NUMBER