HomeMy WebLinkAboutPermit Plumbing 1999-9-7
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RESIDENTIAL
PERMIT APPLICATION
LOT:
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SPRINGFIELD
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JOB NUMBER 1'.ft>/ S-c:;-:z,
225 Filth Street
Sprlnglleld, Oregon 97477
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TAX LO" ---1!!2/"l ~ ./'TlJ
SUBDIVISION: ~Q-)
OWNER: ,~.<~,z:/~ (?(lIM'~,(/AJ<~ )&It:'~...w{i'rPHONE:
ADORE"'" I/J 7.. " ,.::1 <;;T
CITY' ~ #~ I STATe, . a:t
BLOCK:
DESCRIBE WORK: ,~~tS<.J7T P'Y
NEW v--- REMODEL ADDITION
CONTRACTOR'S NAME
GENERAL: ~~U &~
PLUMBING'
MECHANICAl'
ELECTRICA' .
?,,U -, rS-IP. J
ZIP' 9'7
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~_) AJ""",~ /,,(/Ati'-'=--
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DEMOLISH OTHER
ADDRESS
/tJ 1/';'" 1<!"C<t?k.1
CONST,
CONTRACTOR #
00'" n/
o PHONE
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EXPIRES
.v/Ytffl
- OFFICE USE -
QUAD AREA: LAND USE:_ FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR. TYPE: . OF BDRMS'
. OF STORIES: HEAT SOURCE: SECONLlARY HEAT:
WATER HEATER' RANGE: _ SQUARE FOOTAGE:
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 day. Inspections requested after 7:00 a.m. will be made the following work day.
o To":,porary Electric
'0 Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical!
Mechanlc8.1 - Prior to cover.
o Footing - After trenches are
excavated. .
o Masonry - Steel ,location, bond
,beams. grouting,
o Foundation - After forms Bre
erected.but prior to.concrete
placement.
o Underground Plumbing - Prior
to filling trench,
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o Underlloor Plumblng/Machanlcal
- Prior to Insulation or decking.
o Post and Boam - Prior to floor
Insulation or decking.
O Floor Insulation - Prior to
decking,
o 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.
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REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
MR~~2.~~~f _~(
~over.
t91' Electrical Service - Must be
~ approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/C'clllng Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stovo - After Installation.
O Insert - After fireplace approvel
and Inslallatlon of unit ,
o Curbcut & Al,proach - After
forms are erected bilt' prior to
placemont of concrete.
o Sidewalk & Driveway - After
excavation is complete. forms
and sub-base material In place.
o Fence - When completed.
o Street Trees - Wh~n all'r~q~red
trees are planted. _', -. ."'...-
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o Flnat Plumbing - When all
plumbing worl, Is complet,e,
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed.
,l5:'2f Other~.r ~J ~b//CC
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Conf!oc_Uons - 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 connecled to
the service panel.
o Final - After all required
Inspections are approved and
porchos, sklrling, decks, and
venting have been installed.
Topography
Total height
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Panhandle"
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" . '~.:: ::t~:~'~~':~\'i,~L: ~S THEP~OPoseD WORK IN ~E.'
I 'PL. HSE GAR ACe' I "HISTORICAL DISTRICT, OR ON
.1 THE HISTORICAL REGISTER?
~ -. If.yes, this application must be signed
S I ~nd i:';e.~r~v",d J by ,!h~ H,IS.to~I~,!-1
_V'!._ _ _ __ . Coordinator prlo(Ii~~'PI~,lisr~c~,
Lot faces
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L~t Ty .
Interior
Lot sQ, ltg,
Lot coverage
Corner
.Cul-de~sac.
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BUILDING PERWlIT :Ij. -,'11 't
ITEM SQ, FT, X $/SQ, FT, m VALUE
BUILDIt~'G Vh.U!1E, 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 10 the Ordinance
adopted by the City, of Springfield. Including the
Dovelopment Code, regulating the construction and use of
oulldlngs, and may be suspended or revoked at any' time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee:
, .
Date Paid:
Total Value
Receipt Number:
BUilding Permit Fee
Total Fee
(A)
Recei~MM-(
Plans"Revlewed By -
Date
State Surcharge
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systerl)5 Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Residential Bath(s)
N'
5t:71~~Mt../~t.r
j7JY' /JA~ 5~ be;a:7~~ /<:.,
,AE9u/~ .
Fixtures
Sanitary S.!3wer
Water
FT,
FT,
FT.
Mobile Home
~~ JIP/65
/5":01'
-,f~ ~ 1./1'&1'1 ff'A,rr ,J't/JL
f:it;;~/1IW~ ~. /%Tl' RIJe ~
f ~ I ,
,A ~.A";~r
Storm Sewer
Plumbing Permit
AI lIT,) .
,7S"+,1T
Total Charge
(C)
I, l..lJ
-IC?- D
State Surcharge
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By sIgnature, I stato and agree, that I have carefully examined
Ihe 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 thai 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 OAS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFlreplace Unit
Dryer Vent
MechanIcal Permit
Issuance
State Surcharge
Total Permit
<; {" I
State Surcharge ,,2-
/75--/ /, AU 41> "..elV
Sidewalk ,v IP_. It MeAS
.-!-9:;fO
~ ~:b:!f.
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.
~gnature~a.~
~ate -/~/ t If?9
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Curbcut
It
Demolition
State Surcharge
VALIDATION:
RECEIPT NUMBER
:>,'7', LI S c:(
0-')-<7'7
,jJc..-l c,.~
c:;z>(~
Tolal Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrICal):~GO ,
(A. B, C, 0, and E Combined)
DATE PArr'
AMOUNT RECEIVED
RECEIVED BY
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