HomeMy WebLinkAboutPermit Plumbing 1997-2-11
OWNER: tfJ /l-T e ( C ( ~ f:.M... e
ADORESS:~C:1d?q m~ ~
CITY:-S.tJ~ ~
J3A- -r IIIZCOC9-~
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.,.
RESIDENTIAL .....
PERMIT APPLlCATIQ.~
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP' /7 0"3
LOT'
DESCRIBE WORK:
NEW REMODEL-X-
CONTRACTOR'S NAME
GENERAl'
PLUMBING:
(\0J /11';-0
MECHANICAl'
ELECTRICAL'
QUAD AREA'
. OF BLDGS:
OCCY GROUP:
. OF STORIES'
WATER HEATER:
SPRINGFIELD
.
;:::iJ / f, (/1 8VV
BLOCK:
jj;.. II/- j
()/Z...-
STATE:
ADOITION
DEMOLISH
OTHER
..
JOB NUMBER q7 02L(Z-
225 Fifth Slree'
Sprlnglleld, Oregon 97477
TAX LOT:
() ;), ? nO
SUBDIVISION:
PHONE: _2Y v - ~ &v h
ZIP:
C7 /\?7tf
ADDRESS
CONST,
CONTRACTOR'
PHONE
- OFFICE USE -
LAND USE:
. OF UNITS:
CONSTR, TYPE:
HEAT SOURCE:
RANGF' ,
EXPIRES
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT:
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7;00 3.m. will be
made. the same working day. Inspectlons requested after 7:00 a.m. will be made the following work day.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
D Undcrslab Plumbing/Electrical/
MechanIcal - Prior 10 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 Un"derground Plumbing - Prior
to filling trench,
D
Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D
Post and Boam - PrIor to floor
Insulation or decking.
o
Floor Insulation - Prior to
deckl ng.
D Sanitary Sewer - Prior to filling
trench.
. I
D
Storm Sewer - Prior to filling
trench.
D Waler Line - Prior 10 filling
trench.
~ Rough Plum'blng - Prior :0
~ cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
D Rough Elcctrlcnl - Prior to
cover.
D
Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
D FramIng - PrIor to cover.
D Wall/e'elllng Insulation - Prior to
cover.
D Drywall - Prior to taping,
D Wood Slove - After Installation.
D Insert - After fireplace approvel
and InstallatIon 01 unit.
D Curbcut & Approach - After
forms are erected but prior to
placement of concrel(!.
o Sidewalk & Driveway - Afler
excavation Is complete, forllls
and sub.base malerlal In place.
D Fence - When completed.
D 51reot Trees - When alt required
trees are planted.
~ Final Plumbing - When all
~lumblng worl( Is complct.c.
D Flnnl Electric..1 - WIlen all
electrical worl( Is complete.
D Flnnl Mcchnnlcal - When all
mechanical worl( Is complete.
D
Flnnl Bullding - Whon all
required Inspections have been
approved nnd building Is
compleled.
,,~-;..
D Other
MOBILE HOME INSPECTIONS
o Olocking and Set-Up - When all
blockln~l Is complete.
o
Plumbing Connections - When
tlQlne tlns been connected to
y.lnler ;1n(l sewer.
D
Elcctricnl Connection - When
l>lockinu, sel-up, and plllmblng
Inspections hnvc been approved
and the home Is connected to
Ihe service panel.
D
Final - Ahar nil required
inspections arc approved and
porches, sl(lrtlng, decks, and
venting have been Installed.
, ,
- '.',.
I
Lol Type '"Setbacks
Interior I P.L. HSE GAR ACC I
IN -I.
Corner
Is I
Panhandle
Cul.de.sac W I
,E ~
LOI faces
Lol sq, fIg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM
SO, FT,
X $/SO, FT.
VALUE
Main
Garage
"
Carport
Total Value
Building Permit Fec
Slate Surcharge
Total Fcc
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT,
ITEM
FEE ()U
80.
Fixtures
,-:S
Residential Bath(s)
N'
Sanitary S~wcr
Water
1'1'.
FT.
Storm Sewor
FT.
Mobile Home
Plumbing Permit
Stato Surcharge
,.:so. iSfJ
1.50
'#. 'L:! '-\Q
Total Charge
-1 gt. p.J.tn M
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flrcprace Unit
Dryer VCr'!
Mechanical Permi I
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Homo
Slale Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
~tatc Surctl<Hgc
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrlcal) :{2 '_~
(A, B, C, 0, and E Combined)
)
.HE PROPOSEO W~RK iN THE
. "'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-~-'
II yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVE!'"
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condillon that the said
construction shall, In all respects, conform to the Ordinance
adopted by the City 01 Springfield, Including the
Development Code, regulaling the construction and use 01
buildings, and may be suspended or revokod at any time'
upon violation of any provisions of said ordlnances.--,'
Plan Check Fee'
Dale Paid:
Receipt Number"
Received By:
Plans Reviewed By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
By signature, I stale and agree, that I have carofully examined
the completed application and do hereby certify that all
Information h~reon is true and correct, and I further certHy
that any and ail work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the Slale of Oregon perlalnlng to the work described
herein, and thai NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further c~rtlfy that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I further agree Lo ensure that all required Inspections are
requested at the proper time, that oach address Is readable
from tho 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 I t es during construction.
'A'ih' 4~
Signature
Dato ;J:! / - 77
VALIDATION:
RECEIPT NUMBER ().) If 5 'i I/J
DATE PAID ;) - / / - '1/
, '10
AMOUNT RECEIVED V) .
RECEIVED BY J7. /YIaChAdO