HomeMy WebLinkAboutPermit Plumbing 1998-2-12
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726-3759
ASSESSORS MAP'
LOT'
OWNER'
}-fa r.,. ,I
J)~I
LUR- [, I~Vl
eX'e....'s+- rlr.
ADDRF"'"
CITY' C:"'''eJ~ ~
DESCRIBE WORK:....lib!> 1<
NEW REMODEL
CONTRACTOR'S NAME
IJJ',1 M~h
GENERA" '
PLUMBING:
MECHANICA' .
ELECTRICA" .
.
BLOCK'
STAT'" '
t)(?
.
JOB NUMBER 3Z..n /3 L
I
.
225 Fifth Street
Springfield, Oregon 97477
SUBDIVISION'
PHONE:
'7:-.4'-1 ~j D,-;-
Q"lns-H"-') SPw-U-
ADDITION DEMOLISH
h
r.-{"N
I
OTHER
ZIP:
0'1..4 D :s--
~
,J'
ADDRESS
f.~\)e notVo~S P,J~M.-0
CONST.
CONTRACTOR .
,.., PHONE
.. &>'C3777/)
EXPIRES
- OFFICE USE -
QUAD AREA- LAND USF' FLOOD PLAIN'
. OF BLDGS' · OF UNITS' ZONING CODE:
OCCY GROUP' CONSTR TYPE: . OF BDRMS:
. OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGE: _ SQUARE 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, Inspections requested after 7:00 8.m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Site Inspection - To be mado
after excavation, but prior to
setting forms.
D Underslab Plumblng/Eleclrlcall
Mechanical - Prior to cover.
D Footing - Aller trenches are
excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but prior to concrete
. ,placemont.
D Underground Plumbing - Prior
to filling trench, .. "
D Underfloor PlumblnglMechanlcel
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking.
r\(1 Sanitary Sewer - Prior to filling
JA.:..J trench.
D Storm Sewer - Prior to filling
trench.
D Water Line - Prior to filling
trench. .
D Rough Plumbing,,,,, Prlorto
cove~ ,
"
D Rough Mo~hanJcal'~ Prior to
cover.
D Rough Electrical - Prior to
cover.
D Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wall/C"elllng Insulallon - Prior to
cover.
_D Dry~al~ prlo~o taping.
D Wood Stovo - AHar Installation.
D Insert - After fireplace approv~1
and Installation 01 unit.
D Curbcut & Approach - AHer
forms are erected but prior to
placemont of concrete.
D Sidewalk & Drlve"!i'Y - After
excavation Is complete, forms
and sub-base material In place.
D Fence - When completed.
D Street Troos - When all required
trees are t":ianted.
D Flnel Plumbing - When all
plumbing w9rk Is camplet.e.
o Final Eloctrlcal - When all
electrical work Is complete,
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed,
DOihor
MOBILE HOME INSPECTIONS
D Blocking and Set.Up - When all
blocking Is complete.
D Plumbing Connections - When
home has been connected to
water and sewer.
D Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
I
. "
"';,, ': i ;'.:;~ j. ,.
Lot ~pe. " ';"1' .' ':~:"\.:1J,~.:I~;~
, ". ", ..1,1;.....
" ,
Lot faces Setbaoks . ( IS THE PROPOSED WORK IN THE.
Lot aq, fig. Interior I P.L HSE GAR Accl HISTORICAL DISTRICT, OR ON
IN I THE HISTORICAL REGISTER?
Lot coverage Corner If yes, this application must be signed
Is I and approved by the Historical
Topography Panhandle' Iw I Coordinator prior to permit Issuance.
TOlal height Cul.de.sac IE \ I
APPROVED:
BUILDING PERMITi
ITEM
SO, FT,
X $/SQ, FT,
VALUE
. ,- .,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
"
t
Main
Garage
Carport
"
This permit Is granted on the express condition thatlhe said
construction shall, In all respects, conform to the Ordinance
adopted by the City ,of Springfield, Including the
Dovolopment Codo, rogulotlng tho conatructlon and U80 of
buildings, and may be suspended or rO'Joked at any time
upon violation of any provisions of said ordinances.
.
Plan Check Fee'
Total Value
"
,
Date Paid:
Building Permit Fee
Receipt Number
Received By:
State Surcharge
Total Fee
(A)
Plans Rovlewod By
Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Bath(s) N'
Sanitary S~wer
FT, ~ tIff5 0 $..J ~, -'!
Water ,FT.
Storm Sewer FT,
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
_ :<5:-
~. i~~'
.../ /.,ptl!I>
(C)
MECHANICAL PERMIT
Furnaco
Vent Fan
N'
By signature, I stato and agree, that I have carofully examined
the completed application and do hereby certify that all
Information horeon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of tho State of Oregon pertaining to the work described
heroin, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Dlvlalon,
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
Exhaust Hood
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
Slale Surcharge
Total Permit
(D)
I further agreo to ensuro~that all required Inspections are
requested at the proper tlmetlhat oach address Is readable
from the street, that the pormlt card ts looated at the front
of the property, and Ihe approved set of plans will remain
on the site at al~ IJ~. ~u.r~~~:t:strftt.~o,n; .J ;" ~ J
Stgnature~ ;?~~ y. 7'1/:;;/7;.--_,
Date )Ih"~ /2- /)q gOO- .
MISCELLANEOUS PERMITS
Mobile Home
. State Issuance
State Surcharge
Sidewalk
II
II
Curbcul
Demolition
State Surcharge
VALIDATION:
cb
RECEIPT NUMBER '2-<61 '1
DATE PAin. & -/;:;'--111
AMOUNT RECEIVED$ri1 '3'6"'). ,i
RECEIVED BY cKtJ
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excludlnll electrical)
(A, B, C, D, and E Combined)