HomeMy WebLinkAboutPermit Plumbing 1998-12-17
5335
LOCATION OF PROPOSED WORK:
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RESIDENTIAL .
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOT:
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OWNER' tilll/"-~
ADDRESS" 5 3 ~ S-
CITY' 'S~ t!/ {V1j /;tt'"ltYf,
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SPRINGFIELD
.
225 Fifth Street
Springfield, Oregon 97477
JOB NUMBER
ri / '1.>10
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TAX'LOT: ' I? / ~ 0 a
SUBDIVISION:
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STATE:' ()PE~
ZIP: 7' 7'17 f
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DESCRIBE WORK'
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NEW REMoDEL
PHONE:
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ADDITION DEMOLISH
OTHER
CONTRACTOR'S NAME
GENERAl'
PLUMBING: I/trul'&dI Jh..hrtt,,.J!,
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MECHANICAl'
ELECTRICAl.
ADDRESS
CONST.
CONTRACTOR II
.
EXPIRES '::'> PHONE
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," ,ATTFI\ITI()N'nr~r"n I",.., "o1",rN" \'~': .:-
NOTICE" - OFi=ld~~~~lJl.es adopted by the Oregon Utility
'~ ' " .'" ,Notification Center. Those rules are set forth
aUAD AREA1i=tt3 ;:2f;M:7 0: IA:'L ::~PIRE IF 1f~1ji~~~~(- 'in GAR 052 001 001 0 through~I~~u I_
II OF BLDGSAL:-:-: :OrH~::D U~lO![n THIS PI:RfJ:~Fi$JN(TS: 0090. .You may obtain copi~fi>~1rttmcmD~tl)1
, . ""_ _",,_ callmg the center. (Note: the tell~~e
OCCY GROUP.....~HAI':"If"c:r'\ nO'~ I\QANDON~_0N'Sl'R. TYPE: ""...."I---~..,-tl-' O-e Ut~',.QF.:NB, : _
\.1"''''1''1_1._''.- -.. .- . .- J'".L.111L"G.. 'VI n:;; VI gon IIlly 0 I hJ"
# OF STORI~~:!V H~n nllV pi=Alnn HEAT SOURCE: Center is 1-800-33~€tS04ijOARY HEAT:
WATER HEATER'
I
RANGE'
saUARE FOOTAGE:__
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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.
-.
o Temporary Electric
.' D Site Inspection....;.. To be made)
after excavation, but prior to .
setting forms.
o UndersJab Plumblngl Electrlcall
Mechanlca! - Prior to cover.
o Footing - After trenches are
excavated. '
o Masonry - Steel location, bond
beams, grouting.
o Foundation - Af.ter forms are
erected' bl.lt prl,or to concrete
plac'ement.
o Underground Plumbing - Prior
to filling trench. '
o Underlloor PlumblnglMechanlcal
- Prior to Insulation or deckln(J.
o Post and Beam - Prior to floor
Insulation or decking.
o Floor Insulation - Prior to
decking.
o Sanitary Sewer -:- Prior to filling
trench. :
..,. . ". . . '. ... ..
o Storm Sewer - Prior to Wllng
trench.
o Water Line - Prior to filling
trench.
,
o Rough Plumbing .,... Prior to
cover., '
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
.. .. "D Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
o Electrical Service - Must be
. approved to obtain permanent
electrical power.
o Final Mechanical - When all
mechanical work Is complete.
o Fireplace - Prior to facing
materials and framing Insp.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Framing - Prior to cover.
o Other
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Wood Stovo - After Installation.
o Insert - After fireplace approvlll
and Installation of unit.
o Blocking and Set.Up - When all
blocking Is complete.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete,
o Plumbing Connections - When
home has been connected to
water and sewer.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material In place,
o Electrical Connection - When
blocking. set-up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Fence - When completed.
o Final - After all required
Inspections are approved and
. porches, skirting, decks, and
venting have been Installed,
. .....
o Street Trees - When all required
trees are planted.
.
I
lot faces
L~t ~p.
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. THE,PROPOSED WORK'tNTHE.,
"'HISTOI:tICAL DISTRICT, OR ON '
THE ,HISlORICAL REGISTER?
If yes, this application must be signed
and approved, by the Historical
Coordinator prior to permit Issuance.
Lot sq. ftg.
Interior
Setbacks '
I P.L. HSE GAR ACC'
IN
Is
Lot coverage
Corner
Topography
Total height
~'
Panhandle:
Cul-de-sac
w
E
I " . />.PPR9vED:
BUILDING Vli.U1JE,~lAN CHECK
AND BUILDING PERMIT
BUILDING PERrdJlT
ITEM sa. FT.
,.' ',0 ':r;;
!;, . .(f -''t:
X $/sa. FT. =
VALUE
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
Receipt Number:
Building Permit Fee
State Surcharge
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.
1
PLUMBING PERMIT
ITEM
ADDITIONAL ,COMMENTS
FEE
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT.
FT.
FT.
. I2t:TIlA"
'-
Storm Sewer
Mobile Home
-
/~ ( ,) J
Total Charge
(C)
!>,OL)
~7r
/,t. u
Plumbing Permit
State Surcharge
MECHANICAL PERMIT
j
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 ali work performed shall be done In accordance
with the Ordinances 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
structurewlthout permission of the'Bullding Safety Division,
I further certify that only contractors and employees who
I . \. .' .
arfl In compliance with ORS 701;055 will be used on this
project.
Exhaust Hood
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that. all re,qulred 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.
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
. State Surcharge
Sidewalk
Signature
Curbcut
ft
ft
Date
Demolition
State Surcharge
VALIDATION:
Total Miscellaneous Permits (E)
,
RECEIPT NUMBER tJ3 2- 3:) ~
l~h7/7F
AMOUNT. RECEIVE';,!,} .'J.lf'kfJ- , ......
RECEIVED BY tt% W~
DATE PAID
TOTAL AMOUNT ~UE (excluding electrical)
(A, B, C, 0, and E Combined)
.
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