HomeMy WebLinkAboutPermit Plumbing 1999-9-29
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RESIDENTIAL ., ,",:<,:. '~l
PERMIT APPLICATION' rll;f,
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Inspections: 726.3769
Office: 726.3759
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LOCATION OF PROPOSED WORK''''? / 07J
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":~OB NUMB~~ 11/ ?U~"'.l
". 225 f;ifth Street, "1"
Sprln~~!leld. Or~gon 974n~"'I"'__'
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SUBDIVISION'
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OWNER: h.... tod7I::t~ntP~'- '. PHONE:~--F.,.?t1?'? _,'. ~'I :
ADDRESS: .:; /.,-0 Jon p n.. Jf -;70;4
CITY- p.......,L7;c/c: IcL , STATI='~ ZIP:
DESCRIBE WORK: -/h t:~ A/,-. ~ ~a flO /j1t'7"Jj..J /-Iu:/'U C
NEW ~ REMODEL ADDITION . ' DEMOLISH OTHER
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CON ST.
CONTRACTOR'S NAME ADDRESS' CONTRACTOR'
GENERA" t/djJ1 ,fe" 11~1:fC'/r;,f7. tf:dlArr-/S'J /2/773
,r<"C.'IVX- Li /1 G>'C,
PLUMBIN""
MECHANICA' .
ELECTRICAl'
EXPIRES e PHONE
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, '. _ OFFICE usErIENTION:Oregon law rtl4ulI"'" YYu. :U
follow rules adopted by the Oregon Utility
QUAD ARGh.lo..-I~- LAND USE: I~oliffeat;::: ':'::'lter. Th'f'LO001PlfAiN,;,et forth
."tV I "',", , . 2 001 0010 throuah QAR 952-001-
· OF BLDGSII--E-'lITSH^t.t.EXPIRE'FTHEO~~I" mOAR95 - - . ;:ONING,CODE:;',,'.l.":.. '. ""..
In..... - f.., " 0090. You may obtam \;OjJltlt> 01 "'V .....~--,
OCCY GR9-\tl'!}l~,,~,:, Ill1In~8IH'S PER~ TYPE: .:..:.:1;;1- :f:: ':'2nter. (r~~Of; !BDRM~~hone .':" II,,, ..
OR IS ABANDONEn ~nR , b " f the Oregl1n IllililV Notification
. OF STORilOMMEfl!r.ED 'l'iEm-'SOURCE: num er or. SECO,NUARY HEAT:
CenterlS 1-8f1rh',j"","-I-
WATER H~WR180DAYPERIOD. RANG<;' 'SQUARE,FOOTAGE: ,;..,
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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 a.m. will be made the following work ~!,y.
D Temporary Electric
D SlIe Inspection - To be made'"
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover. .
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D ::~~~~~ed. After._t~enche~.~r~_ ii,
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D Masonry - Steel,locatlon, bond
, .beams. groutlng"r ,: J
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D Foundation - After forms "are
erected. but prior to concrete
placement.
REQuIRED INSPECTIONS
D Rough Mechanical - Prior to.
cover.
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-0 Roug"h -Eh)ctrlcal - Prlor- to
cover. .
D'"Electrlcal Service - Must be
- , oJ'approved to obtain permanent
".j elect,r,lc~! power.
, D Flr~i>I~ce - Prior to facing
materials and framing Insp.
o Framlng'- Prior to cover.
....". '" . ~: . ,
D,WaIl/C~lIIng insulation - Prior to
cover,'... .
D Underground Plum'blng - Prior 0 Drywall - Prior to taping.
to filling tren~h. . I ',. "~"..' ' . ,
D Underlloor Plumbing/Mechanical " . ,", . , .--"
_ Prior to Insulation or decking. j 'j D Wood S.tOYO - After Installation.
D Post and Beam; Prior to floor
Insulation or decking. .
D Floor Insula lion - Prior to '
decking.
bing Connections ~ When
e has been connected to
ater and sewer,-.-.-. _:;011.' "
@eClrlC81 Connection - When
b oC:lng, s~t~uP"~n~ PIU~~;ng'~
specllons have been approved
and the home Is connected -to".-::
. . the service panel...... ; '....,
o Fence.-- When completed. . ~ .. . --. ._, - --
....' ' " OF al-Aft~!~!Ue!'lulr~,d'''''vl,
.. ". ." . spectlons are approved and ....
. "'OlS,~ree~,Trees - When all require _., porch os, sklrtlng,-dec.ks, and
trees are planted. . .. ' .ventlng have:been In'stalled;A.v,
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D Insor. - After fireplace approval
and Installation 01 unit.
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D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete,
D Sanitary Sewer - Prior to filling
trench,
.. ,",' ,.... 0 Sidewalk & Driveway - After
D 5t S Prl to filling excavation Is-complete, forms
arm ewer'- or' . an.d' subo. base material In place.
trench, . .
D Waler Line - Prior to filling
trench.
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D Rough Plumbing - Prior to
cover. .-
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'" :'; flfllfl..II;'1
D Final Plumbing -"When'aIPll.t,;
plumbing w9rl< Is complete.
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D Final, Ele~,tr.lca!.- 'Wh~n, all
electrical work Is complete.
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D Final Mechanical -.\N~en all.
mec~anlcal work Is complete.
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D Final Bulldlng,-,Whan all.
required 'lnspectlo'n's"have' been
approved and building Is
completed. _ ' .
D Other
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MOBILE HOME..INSPECTIONS
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..:,',.,"~~,.;,".': Setbac"s.':' '''.''.' '( is THE PROPOSED WORK. IN THE.
~' :>VP.L: . HSE I GAR .ACC\ ' .'-:HISTO~ICAL DI!3TRICT. OR ON '
"'\!f";'T"i("" . "', ." , ' .. ,: ' THE HiSTORICAL REGISTER?
-:. (.~"Corner ; .~.:'.' N If yes, ,this application must be signed
, .:,tllii1flll'panhandle~"" he;:'::' .: '-. ,-" ~ ~ :,;,:'!lnd approved by the Hlltorloal
.' - . I .' Coordinator prior to permit Issuance.
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'!iotal height Cul.de'sac" .,
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. -?\....\-I~, ?t.,-,,>,~. Ji... 1}., t~) !,~~:r~:~,rPR9YED:
BUILDING PER1IIT ~.~~t~ ~.(, BUllDIN'G .~t~E,ptAN CHECK
''''ITEM .' sa. FT: x' $/Sd. F~. VALUE AND' BUILI)!~_G PE~IY\IT
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l;<>t '!Ype ':
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Leit faces.
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Lotsq,..'tg. ",
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. Lot c:overage f~~,
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Topography . ........::....:.-
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Main
Garage
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Carport
Total Value
.- BullCllng perinit Fee'
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State Surcharge
Total Fee
(A)
SYSTEMs DEVELOPMENT CHARGE (SDe)
(B)
PLUMBING P.ERMIT
ITEM
FEE
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Fixtures
Residential Bath(s) N'
Sanitary S~wer FT.
Water '. FT.
Storm Sewer FT.
Mobile Home
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Plumbing Permll
State :Surcharge ,",I
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Total Charge
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(C)
MECHANICAi.::p,.ERMlr.
Furnace
Exhaust Hood t,., ';1 ":"'"\'. .'"
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Vent Fan
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Wood Stoviillnsert/Flreplace Unit
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Dryer Vent',' ,
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Mechanical" Permit'
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Issuance
State Surcharge
Tot.al.Perm!t~~-;I,ln .'n~;i('1 (0)
MISCELLANEOUS PERMITS
Mobile Home. .'
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State Issuance j
I()S 0:>
$0
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" 7...3 5'"
Stat~.Surcharg~;.... -r::" {}I ;.' "J . 1
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Sidewalk It
Curbcut
It
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Demolition. .>' ~
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Stat~ s'~r6.h~;ge '. ;In.t .
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TotaI'Mls'~'Jilan'e6us1:P~~'mlts'. J (El
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\ i:, .T.OTA" AM. ,quo NT'DUE"(excludlng'electrlcal)
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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
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 due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENT~ (,i>
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By signature, I state and agree, that I have carefully examined
the complkted application and do hereby certify that all
Info'rmatlon hereon Is true and correct, and I further certify
that any a,nd all work performed shall be done in accordance
wlth,ttle Ordinances of the City of Springfield, and the Laws
of the State of Oregon .perlalnlng to the work described
herein" and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
l,.further c~rtlfy that only contractors and employees who
are'ln c.om'pllance with ORS 701.055 will be used on this
'"
project.
I further agree'to ensure that all required Inspections are
requested at the proper,t,l.me, 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 s~~ tlmesJ construction.
Slgnatu;;;r~~
Date .9-'/ 9-- ~
,IF 'J'
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VALIDATION:
RECEIPT NUMBER t1 ~f 7 2. Z.
DATE PAID ~h 1/ /7
A'~O~N'r:RECEI~~~/7 20n
RECEIVED BY . ,.,t:V< tUd/
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