HomeMy WebLinkAboutPermit Plumbing 1999-9-3
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOT'
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SPRINGFIELD
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BLOCK'
JOB NUMBER
225 Filth Street
'Springfield, Oregon 97477
TAX LOT:-!L77()0
SUBDIVISION'
OWNER: f!.\/ -+ ti:\~Y\ ~w.<-t::y
ADDRESS:' i-fnl;;r." ~~
CITY:~~eld . STATE:CY2'- zIPgl'7--'"(8-h.9fl-
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DESCRIBE WORK: Rrll'Y\hlY\Cl -add VlfW Wc:tTe.rlh-"-e.f~, , ,c1c..r--Jn reoae...Dld J ; he.,
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NEW
REMODEL
CONTRACTOR'S NAME
ADDITION
DEMOLISH
OTHER
PHONE:
>(1-1-1 -:J.. ^f) ~
ADDRESS
CONST.
CONTRACTOR #
EXPIRES .", PHONE
GENERAl'
PLUMBING: E-7-. CBII FrU>'Y\'oi~
MECHANICAl'
ELECTRICA' .
0'- P~):1 JYtves.~ ,.IY\C.. (Cc.Bft1~
- OFFICE USE'=!v IIUi\..J,t..!:l"',; ul\ ":;1q..Jlj~~ YVI' I...
NOTICE: """'J.f_ follow rules adopted b" tMo ",DOreD 'I" v.
OUAD AR~Il: ::-'..QIREIFTIIllStI....,"..-c: ".,.,.., -, .FLOOD PCAIN' 'I
THISPERMII bt1I\L1-~r : W""u,,",,"'" v,,,,,er. Thosf '1J1e1' ,ire SEe: ,n1/
# OF BLDGS: -- '" ".,r-r.T'-\IS PERMl1:J~ tiRih: In OAR 952-00'''001 0 th'ZONINGceODE:,=-<-,
AU I HUMIi..l:U u..:J- . . 0090 Y '. - .. . '- -- - - .
oCCY GR0.Ug"11IENCCD OR IS ARANDONEQgR~R. TYPE: :.. DU may obtam c<::,oOF ilbR'MS!JleS bv
\.iUlv v Uo;\'''''lJ '"'' '-""ller. (NOIe: me telephone
# OF STOR~l(~ec['^VPI=I"lIOD. HEAT SOURCE: numbertnrlh~OregonS.ECS),I'!I?il'.Ij\Yc.!il.Fu"1Y:
Cenl,o" fF 1-Rr)n_~~,=, ':;M{o\
WATER HEATER' RANGE: . SOUARE FOOTAGE:
To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m, will be
made the same working day. Inspectlons requested after 7:00 a.m. w.1lI be made the following work day.
REQUIRED INSPECTIONS
o Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumblng/Electrlca"
Mechanical - Prior to cover.
o Footing - Alter trenches are
excav~ted. .
o Maaonry - Steel location', bond
,beams, grouting.
o Foundation - After forms are
erected but prior to concrete
placement. '
o Underground Plumbing - Prior
to filling trench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
,
o Floor Ins.ulatlon - 'Prior to
decking. ,
'\ \
o Sanitary Sewer - Prior to filling
trench.
II Storm Sewer - Prior to mllng
~-tfen,.
h~a1er Line - Prior to fI;lIng .
trench.
.' .'
o Rough Plumbing - Prior to
cover. .
o Rough Mochanlcal _tprlor to
cove~ ,
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtai n permanent
electrical power.
o Fireplace - Prior to facing
.materlals and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After Installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcllt & Approach - After
forms are erected but prIor to
placement of concrete,
o Sidewalk & Drlvewav - Alter
excavation Is completo, forms
ahd sub-base material in place,
o Fence - When corilpleted.
D Street Trees - When all required
trees BrB planted.
o Final Plumbing - When all
plumbIng w9rl< Is complet,e.
D 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
com~feted.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - 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 connected to
the service panel.
o Final - Alter all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
,-
,
Lot faces
L~I ~y.
Interior
Lot sq. rig.
Lot coverage
Corner
Topography
Total height
,.
Panhandle
Cul.de.sac
BUILDING PERMIT;
ITEM sa. FT,
'-?
x $/SO. FT.
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
~ ... ';..,
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~IS THE PROPOSED WORK IN THE.
HISTORICAL DISTRICT, OR ON
'THE HISTORICAl. REGISTER?
If yes, this applldaUon must be signed
and approved, by the Historical
. Coordinator prlot to permit Issuance.
Selbacks
I P.L. HSE GAR' ACC
IN
Is
W
E
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
San I tary S~wer
FT.
FT. 50
Water
(Est)
Storm Sewer
FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Slovellnsert/Flreplace Unit
Dryer Vent
MechanIcal Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcul
It
Demollllon
State Surcharge
Total Miscellaneous Permits . (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
2f....
21""
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APPROVED:
,.
. .1'.. '.' 'I
BUILDING VALOE, 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 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.
Plan Check Fee'
Date Paid:
ReceIpt Number.
Received By:
Plans Reviewed By
Date
Syslems Developmenl Charge Is due on all undeveloped
properties wllhln the City Iimlls which are being Improved.
ADDITIONAL COMMENTS
By signature, I state 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 porformed shall be done In accordance
with the Ordlnanc~s of the City of Springfield, and the Laws
of the State 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.
J 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 urlng onstruc
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VALIDATION:
RECEIPT NUMBER t1. 3 5"'-1.3 7
DATE PAID 'f.1J /r'1 "
AMOUNT RECEIVE" ~ I. J 0;1
a.rW~
RECEIVED BY