HomeMy WebLinkAboutPermit Plumbing 1997-12-11
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.37S9
LOCATION OF PROPOSEDrWORK' 4. 4\a
ASSESSORS MAP: If\") ~ ~f\4
LOT' BLOCI"
JOB NUMB~R W27 _
225 Fifth Street
Springfield, Oregon 97477
SUBDIVISION'
OWNER:_Lcu. f"'" C!r, !ll'Jd.51Ar. A~~rilt PHONE: 6lr7- .~?\).'\
ADDRESS" ~ ;::CL~ r Vf~w ~ :Dr.
CITY: -5pll ^E \ ~..... 1f'l7 STATE: r"'Jf ZIP: _9 7 .t:t7 7
DESCRIBE WORK' ,-Se.u1e{' 6~QtJlc."... 'Uf""n'-L I' r
I
NEW
ADDITION'
REMODEL
CONTRACTOR'S NAME
ELECTRICA' .
QUAD AREA-
. OF BLDGS:
OCCY GROUP:
. OF STORIES'
WATER HEATER:
DEMOLISH
OTHER
ADDRESS'
CON ST.
CONTRACTOR'
EXPIRES ,;:'> PHONE
D Rough MechanIcal -.:. Prior to
cover.
D Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wall/Celllng Insulation - Prior to
cover,'
o Drywall - Prior to taping.
o Wood Stovo - After Installation.
D Insert - After fireplace approval
and Installation of unit.
'0 Curbcut & Approech - After
forms are erected but prior to
placement of concrete.
D Sldewelk & Drlvewav - Alter
excavation Is compieto, forms
and'sub.base material In place.
o Fence, - \oVhen completed.
O Street Treos - When all required
trees are planted.
7 / L6,~
/9~-171';
GENERAl'
PLUMBING: Ho+~..J....<'~,\,~r 407
MECHANICA' . ' Nn.... '
)'1l7,~ : fC~.
"'1/>-, " CRA!;
C'O.f(~V-9~i~o USE -
-4N.'~N~&(l,,,,: (;Jvlf:; C"..r,o,^
-'rlflrO ~Q 'T 'h."C
. 0,91J\Qa;s:l91.~, .tyl.(l~ I,t:-'h.~
'-~Iil "'0'1. 'C/)l' I" ~
CONSTR. Tr~ :.t"'1' ~t...-O-9J.-
. -'V~ 'IJik- '1
HEAT S,OURCE: '() }:'~)'
KII/~( All
RANGE:
FLOOD PLAIN'
ZONING CODE:_
. OF BDRMS'
SECONDARY HEAT:
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 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Temporary Electric
D Slto Inspoctlon - To be mado
after excavation, but prior to
setting forms.
D Underslab Plumblng/Electrlca"
Mechanical - 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
placemont.
O Underground F:umbing - ?dor
to filling trench.
D Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
. Insulation or decking.
, .
D Floor Insulation - Prior to
decking. ' ,
~ Sanitary Sewer - Prior to filling
L...P trench.
D Storm Sewer - Prior to filling
'trench.
O Water Line - Prior to IIIUng
trench.
D Rough Plumbing - Prior to
cover.
\\WI Final Plumbing - When 011
'\T"I'\,p',umblng w9rk Is complct.o.
o Final Electrical - When all
electrical work Is complete.
o Final Mechanical - Whon all
mechanical work Is complete,
o Final Building - When all
required Inspections have been
approved and building Is
completed.
DOther
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is oomplete.
o Plumbing Connoctions - When
homo 'has been connected to
water and sewer.
O Electrical Connoction - Whon
btocklng, set.up, and plumbing
Inspections have been approvod
and the home Is connected to
the service panel.
O Final - After all required
Inspections Bre approved and
porchos, skirtIng, decks, and
venting have been Installed.
Lot faces
L~t~y.
Interior
'~r 1; i,' '<':'1 ~ 'j i; 1;.1:J~;;:~:~L
::...:" ' \ '.1,1 :.;,
','
Setbacks,
HSE GAR ACC'
';. ~IS THEPROPOSED WORK IN THE,
'....HISTOI'lICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
:.1
:(i
BUILDING PERMIT
ITEM SO. FT,
-'
I P.L.
IN
/5
Iw I I
:.~c
" BUILDING V~LlryE, PLAN CHECK
AND BUILDING PERMIT
" yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
Lot SQ. fig.
Lot coverage
Corner
Panhandle Y
Topography
Total height
CuI-de-sac.
APPROVED:, '
:i!
't
X $/50. 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
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Plan Check Fee'
Total Value
, .
Date Paid:
Building Permit Fee
Receipt Number'
State Surcharge
Received By:
Total Fee
(A)
Plans Reviewed By
Date
~~STEM~ DEVEL()PMENTGf:lARQE '(SDC),
(B)
'. .
Systems Devel~pnierit.Charge Is .cue on all undeveloped
properties within the City Ii mils which are being Improved.
PLUMBING PERMIT
ITEM
ADDITIONAL COMMENTS
FEE
Fixtures
Residential Balh(s) N'
Sanitary S~wer FT, ~O
Water FT.
Storm Sower FT.
Mobile Home
, ~.1
c~~. CfJ" .
}'.. \.' ,\', ",~.',
h. ~ ,.\\\, .' \'
~;. "," . '
\ ,\' .
,
\~,
I .
.. '.
'~\.' ,-;.
Total Charge
(C) ,/
;J;5~
I ' '^'''?
''Lt
a.l a.>
Plumbing Permit
State Surcharge
MECHANICAL PERMIT
Furnaco
E.haust Hood
Vent Fan
N'
By signature, I stato 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 Ordinanc~s of the City of Springfield, and the Laws'
of the State of Oregon perlalnlng to tho 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.
Wood StovellnsertlFlreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
I further agree to ensure that. all required Inspections are
requested at the proper time; that each addiess Is readable
from the street, that the pormlt card Is located at the front
of the property. and the appro ... <>.;;a "". plans will remain
on the site at all times durin constructl n.
Slg~ture ~ _
;;)- /1-9'" ~
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MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Date
Curbcut
fI
Demolition
VALIDATION: (\<::::-1\ rf]
RECEIPT NUMBER eX () ,,!.~)l
DATE PAID.f!J'; / Y'l J
AMOUNT R~EIVE ! 3- ') ,0
RECEIVED _)
, ~
. State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical) 6;') (l.)
(A, B, C, D, and E Combined)
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