HomeMy WebLinkAboutPermit Plumbing 1997-3-11
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LOCATION OF PROPOSED WORK: d. 3 58.__l:~jlA./l (!.ooei
ASSESSORS MAP: \ln~" '
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOT'
OWNER'
~OG'GR
..
SPRINGFIELD
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BLOCK:
L-r. \.. J i:. e,f:.RG
ADDR''''~' a~58 E: RM.A C!..D uRI'
CITY: 5 pP,\ ~Sf= \ E:.l..n
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JOB NUMBER
225 FilII' Street
Sprlnglleld, Oregon g7477
TAX LOT:~)
SUBDIVISION:
PHONE: _1!::LtJ - D 592
ZIP' Q'7 'I '7 '7
STATE: (') R
",reGf'~,::,vr A-./l.D
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DESCRIBEWORK./NSTALl (jftS T='tJRNitC€ ANIJ AIR t!JJf/1)/I/lJ}/cR
REMODEf-8~S ~~~~~~6 I':' Dfr..,,~[~S~C. C ~~H~)
NEW
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICAL:rJ\m~l't F"la.o
ELECTRICA' '
ADDRESS
CONST,
CONTRACTOR'
PHONE
lqSI l)ON~. Sk,t) SJI.\~ <\'1411
EXPIRES
bOUuD
"ItJ7 /47
1 ~c. - () ItJO
- OFFICE USE -
QUAD 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: __ SOUARE FOOTAGE:
To request an Inspectlon, you must call 726.3769. This Is 1=1. 24 hour recording, All Inspections requested before 7:00 n,m, will be
made the same working day, Inspections requested after 7:00 a,m. wIll be made the following work. day,
o Temporary Eloctrlc
O Slto Inspection - To be made
after excavation, but prIor 10
setting forms.
o Underslab Plumbing/Electrical1
Mochanlcal - Prior to cover.
o Footing - Afler trenches are
excavated.
o Masonry - Steel location, bond
beams, groutlng.
o Foundation - After forms arc
. erected but prior to concrete
placemont.
o Underground Plumbing - Prior
. to filling trench,
O Underlioor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and Boam - Prior to tloor
Insulation or decking,
o Floor Insulation - PrIor to
decking,
O Sanitary Sewer - Prior to filling
trench, !,l
o Storm Sower - Prior to filling
trench. l
o Water Llno - Prior 10 filling
. trench, . 0
o Rough Plumbing - Prior to
cover,
REQUIRED INSPECTIONS
~9h Mechanical - Prior to
cover.
'0 Rough Electricnl - Prior to
cover.
o Electrical Servlco - Must be
approved to obtaIn permanent
electrical power.
o Flreplaco - Prior to facing
materials and framing Insp,
o FramIng - Prior to cover.
o Wall/COelllng Insulation - Prior 10
cover, .
o Drywall - Prior to taping,
o Wood Stovo - After'lnstallatlon.
o Inserl - After flreplace approval
and Installatlon Of unit.
o Curbcut & Approach - After
forms are erected but prior to
placemont of concroto.
D Sidewalk & Driveway - After
excavation Is complete, forms
and sub,base material In plac9.
o Fence - WIlen completed.
o Streot Treos - Whldn all,rcQulrcd
trees are planted.
o Final Plumbing - When all
plumbing worl( Is complete.
, ,
o Final Electrlcnl - Whon all
electrical work Is complete,
[3-:lnal Mechanical - When all
mochanlcal worl( Is complete.
o Flnnl Building - Wllon all
required Inspections have been
approved and building Is
completod,
~~-D
MOBilE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - When
homo has been connected to
water and sewer.
o
Electrical Connecllon - When
blocking, set-up, and plumbing
Inspections have been approved
and tile home Is connected to
the service panel.
o Final - Aftor 011 required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces Lot Type .'
I P,L.
Lot sq, ftg, Interior IN
Lot coverage Corner Is
Topography Panhandle Iw
Total height Cul,de'sa~ IE
". ,
i.THE PROPOSED WORK IN THE,
STORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit issuance,
Setbacks
, , , I
HSE GAR ACC
I
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT. m VALUE
Main
Garage
Carport
, ' ~ I \
Total Value
Building Permit Fee
State Surcharge
Total Fcc
"
'-,
(A)
. ,
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)'
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s) N'
Sanitary Sewer FT,
Water FT,
Storm Sewer FT.
Mobile Home
Plumbing Permit
Stato Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
MechanIcal Permit
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Stdewalk
fl
Curbcut
It
Demolition
"
State Surchargt;
, '
1 " ,
~ r,;,
FEE
(5aJ
(U pu
,~
Total MIscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding eleclrICal)c{lh ().()
lA, B, C, 0, and E Combined)
.'
, APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condlllon that the said
construcll,on shall,ln' all respects, conform to the Ordinance
adopted' by the Clly,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,
'","\ ,',
'Plan' Check Fee: . "
"
'Date 'Paid:
Receipt Number.
Received By:
Plans Reviewed By
Date
Systems Development Charge Is duo on all undeveloped
properties within lho.City limits which are being Improved,
ADDITIONAL COMMENTS
By signature, I stale and agree, lhall have carefully examined
the completed application and do hereby cerllly that all
Informatlon hereon Is Irue and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the C1ty of Sprlngfleld, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
slructure without permission oflhe 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.
I further agreo to ensure that all required Inspections are
requesled at the proper lime, that each address Is readable
from tho streel, 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.
Slgnalure g~r~ ~aLb
,"=3-Ll- 1'1
Date
VALIDATION:
RECEIPT NUMBER M.E.13
DATE PAID ~. tI . Cf7
,AMOUNT REC~ ^.., C)f,.,.t).O
RECEIVED BY~ ,)
The following project as submitted has the followi
zoning, and does not require specific land use
225 FIFTH STREET approval. L1'n
SPRINGPIELD, OREGON 97477 ~o ing .'J'G
INSPEctION REQUEST: 726-d~~9 7 "-' Ci ty Job Number
OPFICB: 726-3759 ' J Yh.L
Authorized Signature ^~., ~F. FEP SCHEDULE BELOII
1. !,.OCAT!l}N qf INSTALLAJ."ION .
1..31')75 VXVY\!1_ (j- , A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
JOB DESCRIPTION
:2 /'Arl'/A/'/"2...
Permits are non-transferable and expire
if york is not started'vithin 180 days
of issuance or if york is suspended for
180 days.
!
,
',2. CONTRACfOR INSTALLATION ONLY
, ,
Electrical Contractor BUILDERS
Address
293 MONROE
Ci ty EUGENE
Phone 4R~-nq??
. .
Supervisor Licen~e Number ~,
Expi'ration Date
10/l/9i
"
Constr Contr. Number 04296' ,{.
Exp1'ration'Date
l2/l0/~f.
Signature of SupervisinO' Electric,'".,
" ~.~
Ovners rfamejztX\/.N L~ iL~ D.
Address 23 5<60 6->>1ct 'f' A- J
CitY~~PhOne 7r.ff..(:-05Qz.
OllNER I~ALiATION
The, installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-----,- ------IC-~----------------------
DATE: 5 -1,(1" 7 7
RECEl l' 1 ,: 1. II7$?' 1
RECEIvED BY: IV
Items Cost Sum
1000 sq. ft. or less $ B5.00
Each additional 500,
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps----- '$130.00
'Over 1000 amps/volts $300.00
,Reconnect Only . $ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
,200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000-vorts
$ 40.00
S 55~OO
S 80.00
see "n" above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circ~it or vith Service
or Feeder Permit I
$ 35.00 35:)0
$ 2.00 ~,
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$
$
S
$
f37tYO
/.~~
/, II
::sq. q (4
40.00
40.00
20.00
36.00
SUBTOTAL OP ABOVE
5% State Surcharge
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