HomeMy WebLinkAboutPermit Plumbing 1998-1-13
LOCATION OF PROPOSED WORK: ,,') ~ ~ ~
ASSESSORS MAP' /7~-3 ~~
. t.\' . .
, ,". ~''l I :"' ~ ~
LOT' 'BLOCK:
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
.,
1
,
, ,
OWNER: Lo.~{J l,c,1i-~1
~DDRESS~ . ""1. ~f~~ ,.J-wy
" ' . "
CITY' Ev.-c; -en ~
SPRINGFIELD
.
JOB NUMBER ~- ~~
,
nlA~~Y
.,
~+ ~ . #s-s-
/
225 Fifth Street
Springfield, Oregon 97477
, TAX LOT: C/ /;?~
. .
\' "
SUBDIVISION'
~..
/~es
ct'1 N
,
PHONF'
Co~9 - ~ 00.2
STATF" (JIZ
ZIP: ~ ,/(.jr;..2
" ..' " . "" , "
DESCRIBE WORK: 1v~~hL ,.~~~~~'p~~,~,/?- ~..?~ /,~tP~~4~,7:i_/ :1"7
NEW REMODEL ADDITION DEMOLISH OTHER
.~ (,.,2
, /-' ,.~ /f ' 2fo'-l/ft; rt-j,JYS~ ~ONST. "'::J1/'4l)~ $I/~'"
CONTRACTOR'S NAME i.:--Of€Vl5 UJY'6 'ADDRESS/Ill'''' ~lrc.....iO(2. CONTRACTOR /I /d/523 EXPIRES .... PHONE - :1
.. . ." [.;- oJ, I c-,71 /'1 . 't.,.. .
GENERAL:~r.p,('or; /'/\...t1..{.- . .. , "':#/()t.{5"~"3 ':>jt;e .<;/)-{f.Jce>
f
I
.PLUMBING:
-,,"
MECHANICAL:
ELECTRIC.A I .
- OFFICE USE - 1
aUAD AREA: LAND USF' FLOOD PLAIN:
II OF BLDGS' /I OF UNITS: ZONING CODE:
.
OCCY GROUP' CONSTR. TYPE: /I OF BDRM~'
/I OF STORIES: " HEAT SOURCE: SECONDARY HEAT:
WATER HEATER: RANGF' SaUARE. FOOTAGE:
To request an Inspection, 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. will be made the follOWing work day.
REQUIRED INSPECTIONS
D Temporary Electric
\
D Site, tnspectlon - To be made
after excavation, but prior to
setting forms.
D Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
IV1 Footing - After trenches are
IA.,.I excavated; "
D Masonry - Steel location, bond
, beams, grouting..
D Foundation - After forms are
, erected but prior to concrete
placement.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking,
D Floor Insulation - Prior to
deckl ng.
D Sanitary Sewer - Prior to filling
trench.
D Storm Sewer - Prior to mUng
trench.
D Water Line - Prior to filling
. trench. .
D Rough Plumbing - Prior to
cover, '" '
.
, '
D Rough Mechanical -.:. Prior to
cover.
D Final Plumbing - When all
'plumbing W9rk Is complet.e.,
D Rough 'Electrical - Prior to
cover.
D Final Electrical ~ When all
electrical work Is complete,
D Electrical Service - Must be
approved to obtain permanent
elect~lcal power.
D Final Mechanical - When all
mechanical work Is complete.
D Fireplace - Prior to facing
materials and framing Insp.
l\7l Final Building - When all
tAJ required Inspections have been
approved and building Is
completed.
D Framing - Prior to cover.
D Other
D Wall/C"elllng Insulation - Prior to
cover.' '
D Drywall - Prior to taping:
MOBILE HOME INSPECTIONS
" "
D Wood Stove - After Ins.t~lIatlon.
. ,.'
D Insert - After fireplace ~pprovlSl
and Installation of unit. .
[KJ Blocking and Set.Up - When all
blocking Is complete.
D Curbcut & Approach - After
forms are erected but prior to
placemont of concrete.
r-;;7I Plumbing Connections - When
l,4J home has been connected to
water and sewer, .
D Sidewalk & Driveway - After
, excavation Is complete, forms
and sub-base material In place,
IiEI Electrical Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
D Fence,- When cOfo:Pleted.
n7I Final - After all required
,~ Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.:
D ,St~eet Trees - When all required
, trees are planted. . ,
,I
Lot sq, ftg.
Interior
.....:,.;; . ~"'_' ,~~ ~ .. ~;~ .~-.\;i?' '..
. ":.. ". ',.,.' ,\ '.; ~,.." ..i~,~;.,.'
'1f~~ , ~_.: ::t .:; (!~t'.,I:' ~.it .J.!- ;;.: ~J~f;rl.W' ""t~ r:~':. _.' '.
.. ;;i...;'~ >;' : Set~ack's' ,';':,::!:+1<;.: ";. ....( .;; THE PROPOSED WORK tN THE.
., . r
'P.L. HSE GAR ACe' HIST081CAL DISTRICT, OR ON .
THE HISTORICAL REGISTER?
Lot faces
~'t '
"L~t':~;~e .
Lot coverage
Corner
N
If yes,thls application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Topography
Total height
, ~ j
~.
Panhandle .'
S
Cul.de'sac
W
,
:>'
E
APPROVED:
BUILDING PERithlT :q.,;.';ry .it
ITEM sa, FT, x $/Sa, FT. = VALUE
BUILDING VA10E, 'PLAN CHECK
AND BUILDING PERMIT
Garage
"
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 construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Main
Carport
Plan Check Fee"
Date Paid:
Total Value
Building Permit Fee
State Surcharge
Receipt Number:
Received By: .
Total Fee
(A)
Plans Reviewed 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.
Water FT.
Storm Sewer FT,
Mobile Home
?t~~#/~ i/1.~P;Z>
7 .
Plumbing Permit
State Surcharge
Total Charge
(C)
/~~
-r-J" ,;. )5'
T'? ~y5'
. --/b ..;;US
,
MECHANICAL PERMIT
Furnace
Vent Fan
NO
By signature, I state and agree, that I have carefully examined
the completed application and db hereby certify that all'
Information hereon Is true and correct, and I further certify
that any and aJi work performed shall be done in accordance
with the Ordlnanc<:ls of the City of Springfield, and the Laws
of the State of Oregon pertaining 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.
Exhaust Hood
Wood Stovellnsert/Flreplace Un,1t
. Dryer Vent .
Mechanical Permit
Issuance
State Surcharge
Total Permit
!
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--s te at all times during ~ruct~
:::al;;' {j~~-;? ~
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Surcharge
""5"
r~
/~.s: -..
24>.
~~
-~
State Issuance
Sidewalk
ft
Curbcut
ft
Demolition
VALIDATION:
RECEIPT NUMBER 2~~~ ::?
~ .
DATE PAlO !-n"'~8
AMOUNT RECEIVED / L/~. 6. <!:/
RECEIVED BY /k~
/,/
.
j
State Surcharge
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D,and E Combined)
/~~.L/~ .
,
L!-I7 .~
Total Miscellaneous Permits (E)