HomeMy WebLinkAboutPermit Plumbing 1998-11-5
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
/7(; '51 'f
ASSESSORS MAP:
LOT'
OWNER'
fitr.'~ ....
L.lce
I.
ADDRESS' .J~..--,".
_' II.
CITY: L~
t; [
"
DESCRIBE WORK' r.-.,:~ r,~ <-
NEW
REMODEL
CONTRACTOR'S NAME
GENERA' .
PLUMBING'
If,,-/..,
MECHANICA' .
ELECTRICA' .
-e
SPRINGFIELD
I .k.""
.
JOB NUMBER!1$../ 3 rS"
225 Fifth Streel
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION'
1))"00
PHON'"
't 6J - '-17.1 fJ
l1o~
21.-
/;J/o
/u. /I~~)
ZIP: -:r-;- " 97'/oJ
. \.':t\t
~-"'J j.. /'1.--0"""
I I. 'I:O}",\;i".:::.:\\\.'
1"v I"f' b ' . 'I',,;.~,!l...,. ".~:\:\
BLOCK:
~. '7 } ,["'J,I /.rl-, ./l"~
/
l.i ' [:.7-<'>-'<-
STAT'"
f9-J.f
I,t..."e. 1r~IO/(L4""""oL"".J.
h.-.,,--
OTHER f?<,,,,,..~
i~,~'" ',.,."
ADDITION
DEMOLISH
ADDRESS
CONST.
CONTRACTOR #
EXPIRES ',-:- PHONE
-
r>.(w...- A",,'"C..
I~_ f'. ~'d
IJ//'J
("8~-J) )/
"l.~-k:.t.
QUAD AREA:
# OF BLDGS:
OCCY GROUP:
# OF STORIES:
WATER HEATER'
. - OFFICE USE -
NOTICE: eg<uires you to
- .' '. LAND USE' Cf+"'-/IlIlON:Oreg~~r P. Alt>!. . ~~,
'n1., t'tHMI r SHALL EXPIRF IF T~~. WORK f~1I0W rules adopted by tne ....rell~ 's~; ;~)rth
hUn-'-- Z # 01' lJNrrs. ter ~ll'(lh"SDC"
Ivr.. tU UNDER THIS PERMIT I~ NOT Notification ven. hOAR 952-001-
00'1'.- . CONSTft ry'F'E~ __~.,... n""-"01.0010~~gRMS:. \,= "y
" ",c;"eco-QR IS ABANDONED FOR '" v' .. . - . obtain coptes on"o ,- -- .
..", . n~ ~ . ~ HEAT SOURCE: 0090. You may ."mull>'LlRa'lelm',t.lP.ne
.., ....) .r.. fcR100. call1ngm<lCentel:-\'~ 'j Notification
RANGE: Jmbllr fnr the Or~\J~I!:l.,I)!.~lIGE:
..~, ..' II f'nntAfiS 1.800.3~':~'
- Kool-O:,';".k... '1,0
"', \,\.,'I\'\I\;.'A':&,;, .,...\ ",':'
'1~""~i'Y"'''i\\'''~'&\\''-1.. .( .
.,;'.. . ;.'\ ',...~';\"\l.~..;t'I"'~"..~..~' ,
"i.\.\I\j\'t,,~\'I!i,~\~ rv~'~" ", ~..'
.......JldJ,\,IL..I'....".. " . ::.~+ '.'
. ,1. ,..~"::;';': ",'Y-',',.;'
:,.,;l~"
....;.'rl..
',;l\\,~':
To request an Inspection, you mustc~a..rt726.3769, Thls.i~ 'a'24 h~~r .recordlng. AIII'nspectlons requested before 7:00 3.m, will be it.
made the same working day, Inspections requested cifter 7:00' a.m. wIll be made the following work day,
o Temporary Electric
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanics! - Prior to cover.
o Footing - After trenches are
excavated,
o Masonry - Steel location, bond
beams, grouting,
o Foundation - After forms are
erected but prior to concrete
placement.
o Underground Plumbing - Prior
. to filling Irench.
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking,
o Post and Beam - Prior to floor
Insulation or decking,
11 Floor Insulation - Prior to
~ dec g.
/"
to San ary Sewer - Prior to filling
tr ch,
o Storm Sewer - Prior to filling
trench,
o Water Line - Prior to filling
trench.
D Rough PlumbIng '- Prior to
cover,
"
REQUIRED INSPECTIONS
o Rough Mochanlcal - Prior to
cover.
D Rough EleClrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover,
.0 Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
,
o Wood Stovo - After InstallatIon,
o Insert - After fireplace approv~1
and Installation of unIt.
o Curbcut & Approach - After
forms are erected but prior to
placofT!cnt of concrete.
o Sidewalk & Drivew:-IY - After
excavation Is complele, forms
and sub.base mRt~rial In place.
o Fence - \Nhen COiYlpleted.
D Street TroDe - When all roqulrod
trees are planted.
o Final Plumbing - When all
plumbing W9rl( Is complet.c,
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
completed,
OOthor
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complele.
o Plumbing Connections - When
home has been connected to
water and sewer,
o Electrical Connoction - 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
porches, skirting, decks, and
venting have been Installed.
Lot faces
L~t ~YP.
Lot sq. Itg.
Interior
Lol oovorago
Tepooraphy
Total hel ght
-
Corner
Panhandle ','
Cul-de-sac
,
BUILDING PERMIT
ITEM SO. FT.
X $/SO. FT.
Main
Garage
Carport \.
,
Total Value
Building Permit Fee
State Surcharge
Tolal Fee
(A)
,- -. . }~~ :..,/~.~
'IS THE PROPOSED WORK IN THE_
'HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
II yes, this eppllcellcn musl bo signed
and BpprovBd by the Historical
Coordinator prIor to permit Issuance.
" 'J
Setbacks
P.L. HSE GAR ACC'
N
\s
VI'
-----
~...L-- I
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary S~wer FT.. tC7
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hood
Vent Fan
N'
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Stale Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A. B, C. D, and E Combined)
FEE
-'10
.w-
Vo, tJ IJ
;;~u. ~/2-o
Lf3, ?:J
I
I
_J
APPROVED'
BUILDING "hoLlJE, 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
'Development Code, regulating the constructlon and use of
oulldings, and may be susR.ended or revoked at any tlme
upon violation of any provisions of said ordinances.
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 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 performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon perlainlng to the work described
herein. and that 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 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.
s,gnature~OJd ~
Date II l.r 1'7 fj
VALIDATION:
RECEIPT NUMBER 05(77)
DATE PAin (fir; ('16
AMOUNT RECEIVED ;{ : ~ /l
RECEIVED BY ?:f vJ ~