HomeMy WebLinkAboutPermit Plumbing 1999-9-14
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Ofllce: 726.3759
LOCATION OF PROPOSED WORt<. ~O c; 7/
ASSESSORS MAP' / g () 2- () S 2- 3 .
OWNER: LIlt 4/1: L, &J CL.P4;1t/
ADDRESS" Lln 9L( ,-fA<::: .f)~~ R.d
CITY: 5Pf-/~rLfl.J! . 01-.
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DESCRIBE WORK' /AJ <::rA-// C:;4j1;
NEW K REMODEL ,,;.- ADDITION
--,' ,~
LOT'
CONTRACTOR'S NAME
GENERAl'
PLUMBING'
MECHANICA' .
ELECTRICA' .
BLOCK:
STAT'"
o~-
..
JOB NUMBER Qf/2-s)
225 Fifth Street
Springfield, Oregon 97477
M
TAX LOT'
SUBDIVISION'
tJO ~c? j-
f/1fi
/-/71: I
PHONE:
")7/ 72.(; / ~(J
,
DEMOLISH
OTHER
ZIP: +-7.t;r7 A
ADDRESS
CON ST.
CONTRACTOR .
EXPIRES '::- PHONE
REQUIRED INSPECTIONS
o Rough Mechanical -.:. Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power,
- 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' RANG'" SQUARE FOOTAGE:
o Masonry - Steel location, bond
beams, groullng,
o Foundation - After forms are
erected but prior to concrete
plecement.
o Underground Plumbing - Prior
to filling trench.
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulallon or decking,
o Floor Insulation - Prior to .
decking,
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to mllng
trenCh.'. .
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
To requesl an Inspecllon, 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. ~I,II b~ made the following work day.
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F.lnal Plumbing - When all
o pl.umblng w9rk Is complet.e.
D Final Eloctrlcal - When all
electrical work Is complete.
/" ~--\nal Mechanical - When all
~eChanlcal work Is complete.
o Final Building - When all
required Inspections have been
approved end building la
completed.
@o~~er~4:f" ~
o Wail/Ceiling Insulation ;- Prior to ' ,.
cover. '
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to c?v~r.
o Drywall - Prior to taping.
o Wood Stovo - ~After Installation.
o Insart - After fireplace approval
and Installation of unll.
o Curbcut & Approach - After
torms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base ""laterlal In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. '.
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete,
o Plumbing Connections - VYhen
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 connected to
the servIce panel.
o Final - After all required '
Inspections are approved and
porchos, skirting, decks. and
venting- have been Installed.
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o Temporary Electric
O Site Inspection - To be mado
after excavation. but prior to
setting forms.
o Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover.
o Footing - Aller trenches are
excavated.
Lot faces
~t~P.
Lot sq. ltg,
I PL.
IN
Is
Interior
Lot coverage
Corner
Topography
Total height
,
Panhandle
Cul-de'sac
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BUILDING PERMIT "I
ITEM SQ, FT, X
"
't
$/SQ, FT, -
VALUE
Main
Garage
'0
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM FEE
Fixtures I IS-I&.
Residential Bath(s) N'
Sanitary S~wer FT.
Water FT.
Storm Sewer FT.
Mobile Home
/5", "..
Plumbing Permit
State Surcharge I. ~
TOlal Charge (C) jt., 5"t.
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stovellnsert/Flreplace Unit
Dryer Vent
i:../h, 1'tviv
I
Mechanica-I Permit
e.;/!I
/5: d i)
/Ood,;)
/.0>
Z6,Sf)
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
Slate Surcharge
Total Miscellaneous Permits (El
.1
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C, 0, and E C(omblned)
17. ()D
- -;:'
t,ll ~\:::~:~:,
.HE PROPOSED WORK tN THE.
"HISTORICAL DISTRICT, OR ON
'THE HiSTORICAL REGISTER?
II yes, this appll<lation must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks '
HSEIGAR
ACe' I
APPROVED: '
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BUILDING VALI:iE, PLAN CHECK
AND BUILDING PERMIT
ThIs permit is granted on the express condition that the said
construction shall, In all respects, conform to the Ordinance
adopted by the Clty.ol Springfield, Including the
Dovelopment Code, regulating the constructlon and use of
oulldlngs, and may be suspended or revoked at any tlme
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 due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
By signature, I stato 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 perlalnlng to tho work described
herein, and that NO OCCUPANCY will be made of any
structure wlthout"perrnlssion 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.
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 ' /JI( L
Date
VALIDATION: 3 5
RECEIPT NUM~~ /J 5' 'I C-
OATE PAID 1/ N /7'1
AMOUNT RECEIVED f{} 0 (/?>
AVW^ I
RECEIVED BY v-r f/\"\A