HomeMy WebLinkAboutPermit Plumbing 1997-11-14
LOCATION OF PROPOSED WORK:
/70 z- ~ 7, '3 i.I
y
.
R,ESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
ASSESSORS MAP:
LOT:
OWNER: ~Q.b.cw-+ ~ \~
ADDRESS: 'i;~:\ ~ S\-
CITY: Spvt nz,~l~Jd
~
DESCRIBE WORK:
NEW
REMODEL
ADDITION
DEMOLISH
CONTRACTOR'S NAME
.
SPRINGFIELD
.
JOB NUMBER
q7 I ~ ~ /
,
*'
...
5~.DaJ.S LI Gt.
,
OLf'(? f LI-
/
225 Fifth Street
Springfield, Oregon 97477
SPVU'Y3~ILJd
TAX LOT:
SUBDIVISION:
DR-
BLOCK:
~
Ct.ur+,f---,
PHONE: _ 7410 -LlN ~
STATE:
'r/{
ZIP:~~
tlot-~, Lot&
l,Ur:tLt.; S,'-I~
OTHER ,..--
1A1\
M.F'H
J
..
ADDRESS
CONST.
CONTRACTOR #
EXPIRES .~ PHONE
.'.
GENERA' .
PLUMBING: ?~ Q0v4-Llwv) 9t. qi;:} \(p
MECHANICAl'
ELECTRICAl'
Ih~?l
)~CO 1~7R~3~
- OFFICE USE -
aUAD AREA: LAND USE: FLOOD PLAIN'
# OF BLDGS: # OF UNITS' ZONING CODE:
OCCY GROUP: CONSTR. TYPE: # OF BDRMS:
# OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGE: SaUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a24 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
D Temporary ElectrIc
D Site Inspection - To be made
after excavation, but prior to '
setting forms.
D Underslab Plumbing/Electrical/
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
placement.
D Underground Plumbing - Prior
to filling trench.
D Rough Mechanical"':' Prior to
cover.
~al Plumbing - When all
,plumbing w9rl< Is compll~t,e.
D Rough ElectrIcal - PrIor to
cover.
D Final Electrical - When all
electrical work Is complete.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Mechanical - When all
mechanical work Is complete.
o Fireplace - Prior to facing
materials and framing Insp.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Framing - Prior to cover.
o Other
D Wail/Ceiling Insulation - Prior to
cover.'
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underlloor Plumbing/Mechanical 0 Wood Stovo - After Installation.
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
D Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
o Insert - After fireplace approval
and Installation of unit.
o Blocking and Set.Up - When all
blocking Is complete.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Plumbing Connections - When
home has been connected to
waler and sewer.
D Sidewalk & Driveway - After
excavation Is complete, forms
andsub.base material In place.
.
o Electrical' Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the ho'me Is connected to
the service panel.
o Fen.ce - When completed.
o Street Trees - When all required'
trees are planted. '
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Setbacks '
HSE GAR ACC'
, ,
,.
( IS THEPROPOSED WORK tN THE ..
''''HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
1
Lot Type. ':~ \ ': . .. : ~
. ,
',-'.. :~
Lot faces
Lot SQ. ftg. Interior I P.L.
IN
Lot coverage Corner
',' S
Topography ~anhandle
Total height Cul-de.sac W
E
, . ; . 't'." ~ I. .
'I . , " .~ 'I t, ;; ,~, ;-1.....: ,'ti. ": ,
'. .;'" ~;.t.i ;~ .
X $/SO. FT. =
VALUE
, APPROVED:'
" .
BUILDlN!G VALOE,PLAN CHECK
AND BUILDING PERMIT
'I,' ',I
"'i
BUILDING PERMIT
ITEM SO. FT.
':~ 't
Garage
Carport
"
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 ordinances.
Main
Plan Check Fee:
Date Paid:
Total Value
Receipt Number'
Building Permit Fee
State Surcharge
Received By: '
Tolal Fee
(A)
Plans Reviewed By
Dat~
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
PLUMBING PERMIT
ITEM
I
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s) N'
Sanitary S~wer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
41' /~ -
,'# -
-i I -I-S + ; 7~
<( 1ft;, ,;)0
MECHANICAL PERMIT
Furnace
Vent Fan
N'
By slgnature,l 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 Ordinances of the City of Springfield, and the Laws
of the' State 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 Stove/lnsert/ Fireplace Unit
Dryer Vent
Mechanical Permit
Iss~ance
State Surcharge
Total Permit
(D)
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 e~--e.E..~u..~('Yk
.'
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
Date
~ L/-/q,
Curbcut
ft
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER ,~X'() /t
DATE PAID J t+ tJ ~l.~ b-eA-
AMOUNT RECEIVED ~J; .;;)0
" t-w /":1' "'
RECEIVED BY I... ,~ "
Total Miscellaneous Permits (E)
",
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
..