HomeMy WebLinkAboutPermit Plumbing 1997-9-8
ASSESSORS MAP'
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OWNER: t\ro\'G\~tQ.( \ ~O~
ADDR"'"'' : ~,~l?\ - ,,'1\ N\. ~ \... ck '\01\ 11 CL
CITY: . r}'~L -
\ 0\tQ l(\ ~ t 1'\0)
RESIDENTIAL
PERMIT APPLICATION
Inspecllons: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
\.., ()'J.. 'M!) A-
LOT'
DESCRIBE WORK'
NEW
REMODEL
CONTRACTOR'S NAME
.
BLOCK'
STATE:
OM ~\
v
AODITION
DEMOLISH
OTHER
.
,~~\
JOB NUMBER
SUBDIVISION:
PHONE:l~.G\?lXX
ZIP: U'l4{)\
ADDRESS
,
CONST.
CONTRACTOR .
PHONE
;~:~::~: ~\ir\ t'tID(~_~llJ f(\ rjf(V
MECHANICAl ' ~
ELECTRICAl.
\()~'ci4
EXPIRES
H'\~.y~
- OF!I@~SE -
QUAD AREA' LAND USE: l"07,~'>. ~~. FLOOD PLAIN:
"IV 'C'.))
· OF BLDGS: . OF UNliI'S: 1""'00 ~/)-, ZONING COOE:_
vU41A.._ "t.?(:; """'1.
OCCY GROUP' CONST~J:.YPS::-~u,v. '1./ ~ . OF BDRMS:
',9, "(.~O V(:; , ~J>
. OF STORIES: HEAT SOURCl?"l- n, ~ ~ 'f!:l/' SECONDARY HEAT:
'"IYA {S' '7/,5' ,..~
,WATER HEATER' RANGE: ~,Q/v. -4a1~!:-9). ~,.uARE FOOTAGE:
V . 'Un, ''''I)-/. V,Q,t..
'1::0..,,_ U ii, '
To request an Inspection, you must call 726.3769, This Is a 24 hour recording, Allln'~\.lo'r!'DJl'quested before 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a.m. will be made the fofi'Owlng work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlca"
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 IIIl1ng trench,
D Underlloor Plumbing/Mechanical
- Prior to Insulation or deckIng.
D Post and Beam - Prior to floor
Insulation or decking. .
D Floor Insulation - PrIor to
decking, '
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to filling
trench. .,
~ater Line - Prior to f1.'~ng
trench. . .
D Rough Plumbing - Prior to
cover.
D Rough MechanIcal - Prior. to
cover.
o RoughElectrtcal - Prior to
CQver.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping,
D Wood Stovo - After In~tallatlon.
D Insert - After fireplace approval
and Installation of unit. '
D Curbcut & Approach - After
forms are erected but prIor to
placement of concrete.
D Sidewalk & Orlvewav - After
excavation Is complete, torms
and sub-base material In place.
D Fence - VVhen completed.
D Street Trees - When all required
trees are planted.
D Final Plumbing - When all
plumbing w9rl< Is complet.e.
D Final Electrical - When all
electrical work,ls complete.
D Final Mechanical - When all
mechanical work Is complete.
D Final BUilding - When all
required Inspections have been
approved and building Is
completed.
DOthor
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - Whcn all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connocllon - When
blocking, set-up, and plumbing
Inspectlons have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed,
LotI faces Lol Type.
Lot sq, ftg, Interior PL.
Lot coverage Corner N
Is
Topography Panhandle ' I~
Total height Cul-de-sac
IE
BUILDING PERMIT.
" ITEM SQ, FT. X $/SQ, FT, = VALUE
Main
. . :;. ,: \;'.; .\..i~ :~~.. '
;;1 '.
~ THE PROPOSED WORK IN 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,
Setbacks
HSE GAR Accl
I
I
APPROVED'
, - "
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Garage
"
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.
Carport
Plan Check Fee:
Oate Paid:
Total Val ue
Receipt Number:
Building Permit Fee
Received By:
State Surcharge
Tolal Fee
(A)
Plans Reviewed By
Date
SYSTEMS DEVELOPMENT CHARGE (SDe)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
:, '
or
Residential Bath(s)
Sanllary S~wer
Water
N'
"
,
(",'\
".
" '
.':
',;'
FT.
d)\-\5~ :,: ":\11fl). ::y'
Storm Sewer
FT,
.., ;:.-,
. "\""~"
. ~" \ , .
I' " (,' ~\,-;." .
..., \' .:..._\')....v
" .".
"
.~.....
'-
.\'.
.....
Mobile Home
Total Charge
(C)
~.~ -
~
Plumbing Permit
State Surcharge
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By signature, I stato and agree, that I have carefully examined
the,completed appllcallon and do hereby certify that all
Information hereon Is true a'nd correct, and I further cerllfy
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield. and the Laws
of the Slate of Oregon pertaining to the w'ork 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 Stovellnsertl Fireplace U'nll
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensuro 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 Ihe approved set of plans will remain
on the site at all ~mJ: during constructIon.
Slgnatureg~
Date ~ C. /{ ..:.-
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharg~
VALIDATION:
. .. . ~ - .
TOTAL AMOUNT OUE (excluding electrical)
(A. B, C. 0, and E Combined)
4~ .'ill
'_ 'd/7:~.<}
DATE PAID 11 . P, .q /)
AMOUNT REC~~ }~() , -
RECEIVED BY )
RECEIPT NU~~c=-r>
Tolal Miscellaneous Permits (E)